高危妊娠孕妇及其配偶二元应对现状及影响因素研究  

Study on the current status and influencing factors of dyadic coping among high-risk pregnant women and their spouses

作　　者：魏涛[1] 关海涛 陆虹[2] 李博文 王德慧[1] WEI Tao;GUAN Haitao;LU Hong;LI Bowen;WANG Dehui(Department of Obstetrics,Beijing Hospital,National Center of Gerontology,Institute of Geriatrics,China Academy of Medical Sciences,Beijing 100730,China;School of Nursing,Peking University,Beijing 100191,China;School of Nursing,Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京医院产科、国家老年医学中心、中国医学科学院老年医学研究院产科,北京市100730 [2]北京大学护理学院,北京市100191 [3]北京中医药大学护理学院,北京市100029

出　　处：《护理管理杂志》2023年第12期916-920,共5页Journal of Nursing Administration

基　　金：中央高水平医院临床科研业务费资助(BJ-2021-221)。

摘　　要：目的了解高危妊娠孕妇及其配偶的二元应对现状,分析其影响因素,为进一步制订有效的临床干预措施提供科学依据。方法采用方便抽样法,使用一般资料调查表、二元应对量表、妊娠压力量表和一般自我效能感量表于2022年2月至2023年5月选择北京市某三级甲等医院的106对高危妊娠孕妇及其配偶进行调查。结果高危妊娠孕妇的二元应对总分为(110.42±14.54)分,配偶的二元应对总分为(109.41±16.53)分;妊娠压力总分为(44.22±10.61)分,二者呈负相关(r=-0.665,P<0.01);自我效能总分为(26.63±5.94)分,二者呈正相关(r=0.668,P<0.001)。多元线性回归分析显示,高危妊娠孕妇的文化程度、人均月收入,配偶二元应对、配偶自我效能是其二元应对的主要影响因素(P<0.001)。结论高危妊娠孕妇及其配偶的二元应对得分偏低,重点需要关注教育程度低和家庭月收入低的人群,可以通过提高孕妇和配偶的自我效能,减轻妊娠压力,保持良好状态度过妊娠期。Objective To investigate the dyadic coping status,that pregnant women are in high-risk pregnancies and their husbands,and to analyze the influencing factors for dyadic coping and the relationship between influencing factors from demographic factors,pregnancy stress,and other aspects.The purpose of this study is to provide reference for effective identification of focus objects,relevant research and formulation of intervention measures in clinical practice.Methods This study was a descriptive study.Convenience sampling method was used to select 106 high-risk pregnant women and their spouses from a third-class A hospital in Beijing from February 2022 to May 2023 as survey objects.General data questionnaire,dyadic coping questionnaire,pregnancy stress scale and self-efficacy scale were utilized for questionnaire survey.Results The binary coping score of high-risk pregnant women was(110.42±14.54),while the total score of binary coping score of spouses was(109.41±16.53).The total score for pregnancy pressure was(44.22±10.61),showing a negative correlation(r=-0.665,P<0.01).The total self-efficacy score was(26.63±5.94),showing a positive correlation(r=0.668,P<0.01).Multivariate linear regression analysis revealed that the education level of high-risk pregnant women,per capita monthly income,spouse's binary coping,and spouse's self-efficacy were the primary influencing factors on the binary coping of high-risk pregnant women(P<0.001).Conclusion The dyadic coping score of high-risk pregnant women is low,and the focus should be on population with low education and low monthly family income.By enhancing the self-efficacy of pregnant women and their partners,pregnancy stress can be alleviated,enabling them to maintain a good state during pregnancy.

关 键 词：高危妊娠 二元应对 妊娠压力 自我效能 

分 类 号：R473.71[医药卫生—护理学]