应对方式在反复妊娠丢失患者家庭功能和焦虑抑郁间的中介作用  

Path analysis of the effects of family function and coping style on adverse emotions in patients with recurrent pregnancy loss

作　　者：唐慧婷 杨莹莹[2] 张涵 段霞[4] Tang Huiting;Yang Yingying;Zhang Han;Duan Xia(Department of Reproductive Immunology,Obstetrics and Gynecology Hospital,School of Medicine,Tongji University,Shanghai 201204,China;Clinical Research Unit,Obstetrics and Gynecology Hospital,School of Medicine,Tongji University,Shanghai 201204,China;Neonatology Department,Wuxi Children's Hospital,Wuxi 214023,China;Nursing Department,Obstetrics and Gynecology Hospital,School of Medicine,Tongji University,Shanghai 201204,China)

机构地区：[1]同济大学附属妇产科医院生殖免疫科,上海201204 [2]同济大学附属妇产科医院临床医学研究中心,上海201204 [3]无锡市儿童医院新生儿科,无锡214023 [4]同济大学附属妇产科医院护理部,上海手201204

出　　处：《中国实用护理杂志》2024年第12期925-931,共7页Chinese Journal of Practical Nursing

基　　金：上海市科学技术委员会科技计划项目(21Y11905900);上海申康医院发展中心培训项目(SHDC2023CRS027)。

摘　　要：目的探讨反复妊娠丢失患者应对方式、家庭功能和焦虑抑郁的关系,并验证应对方式在家庭功能与焦虑抑郁间的中介作用。方法便利抽样法选取2021年2—5月在同济大学附属妇产科医院就诊的反复妊娠丢失患者242例为研究对象,采用一般资料调查表、特质应对方式问卷、家庭功能评定量表、焦虑自评量表和抑郁自评量表进行横断面调查。采用Pearson相关性分析进行相关性检验,AMOS 22.0软件构建结构方程模型。结果回收有效问卷214份,其中<35岁158例,≥35岁56例。214例反复妊娠丢失患者焦虑自评量表得分为(42.86±7.64)分,抑郁自评量表得分为(47.60±10.29)分,家庭功能得分为(125.40±18.94)分,积极应对水平得分为(34.22±7.39)分,消极应对水平得分为(28.66±7.94)分;患者家庭功能与焦虑、抑郁均呈正相关(r=0.368、0.507,均P<0.05),与消极应对呈正相关(r=0.488,P<0.05),与积极应对呈负相关(r=-0.262,P<0.05),消极应对与焦虑、抑郁均呈正相关(r=0.372、0.505,均P<0.05),积极应对与焦虑、抑郁均呈负相关(r=-0.295、-0.405,均P<0.05)。积极应对方式和消极应对方式在家庭功能与抑郁间均起部分中介作用,效应值分别为0.079、0.157,占总效应15.0%和29.9%;消极应对方式在家庭功能与焦虑间起部分中介作用,效应值为0.121,占总效应33.0%。结论反复妊娠丢失患者家庭功能影响焦虑抑郁情绪,应对方式在家庭功能和焦虑抑郁情绪间起中介作用。提高患者家庭功能,并采用积极的应对方式是改善患者焦虑抑郁的有效途径。Objective To explore the relationship between coping style,family function and anxiety and depression in patients with recurrent pregnancy loss,and to verify the mediating role of coping style between family function and anxiety and depression.Methods General data questionnaire,Trait Coping Style Questionnaire,Family Assessment Device,Self-rating Anxiety Scale and Self-Rating Depression Scale were used to evaluate patients with recurrent pregnancy loss who visited the Obstetrics and Gynecology Hospital,School of Medicine,Tongji University,from February to May 2021,and to analyze the correlation and mediating effect among coping style,family function and anxiety and depression.A total of 242 questionnaires were sent out in the cross-sectional survey.Pearson correlation analysis was used to test the correlation,and AMOS 22.0 software was used to construct the structural equation model.Results Finally,214 valid questionnaires were collected,including 158 cases under 35 years old and 56 cases over 35 years old.The SAS and SDS scores of the 214 patients with recurrent pregnancy loss were(42.86±7.64),(47.60±10.29)points,while the family function was(125.40±18.94)points,the positive coping level was(34.22±7.39)points,the negative coping level was(28.66±7.94)points.The family function was positively correlated with anxiety and depression(r=0.368,0.507,both P<0.05),positively correlated with negative coping(r=0.488 P<0.05),and negatively correlated with positive coping(r=-0.262,P<0.05).Negative coping was positively correlated with anxiety and depression(r=0.372,0.505,both P<0.05),and positive coping was negatively correlated with anxiety and depression(r=-0.295,-0.405,both P<0.05).Positive coping style played a partial mediating role between family function and depression,with an effect value of 0.079,accounting for 15.0%of the total effect.Negative coping style played a partial mediating role between family function and depression,with an effect value of 0.157,accounting for 29.9%of the total effect.Negative coping

关 键 词：焦虑 抑郁 反复妊娠丢失 家庭功能 应对方式 

分 类 号：R473.71[医药卫生—护理学]