心理弹性在孕中期终止妊娠产妇创伤后成长与应对方式间的中介效应研究  

Study of mediating effect of psychological resilience on post-traumatic growth and coping styles of pregnant women terminating pregnancy in the second trimester

作　　者：丁耘 王金娥[1] 殷茵[1] 许叶涛 DING Yun;WANG Jin’e;YIN Yin;XU Yetao(Department of Obstetrics,the First Affiliated Hospital of Nanjing Medical University,Jiangsu Province,Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院产科,江苏南京210029

出　　处：《中国医药导报》2024年第14期6-8,17,共4页China Medical Herald

基　　金：国家自然科学基金青年科学基金资助项目(82001578)。

摘　　要：目的 探讨心理弹性在孕中期终止妊娠产妇创伤后成长与应对方式间的中介作用。方法 采用便利抽样法选择2020年2月至2023年7月南京医科大学第一附属医院产科接收的368例孕中期终止妊娠产妇作为研究对象。评估产妇创伤后成长、心理弹性及应对方式,分析三者间关系,并进行中介效应检验。结果 孕中期终止妊娠产妇创伤后成长评定量表评分与成人心理弹性量表评分、简易应对方式量表积极维度评分呈正相关(r>0,P<0.05),与简易应对方式量表消极维度评分呈负相关(r<0,P<0.05);成人心理弹性量表评分与简易应对方式量表积极维度评分呈正相关(r>0,P<0.05),与简易应对方式量表消极维度评分呈负相关(r<0,P<0.05)。心理弹性在创伤后成长与积极应对方式及消极应对方式间均起到部分中介作用,中介效应量分别为53.26%和81.03%。结论 孕中期终止妊娠产妇创伤后成长与心理弹性、应对方式关联紧密,临床应对心理弹性予以重视,通过改善产妇心理弹性,提高创伤后成长水平。Objective To explore the mediating role of psychological resilience between post-traumatic growth and coping styles in mid-pregnancy terminated mothers.Methods A convenience sampling method was used to select 368 pregnant women terminating pregnancy received by the Department of Obstetrics of the First Affiliated Hospital of Nanjing Medical University from February 2020 to July 2023 as the study subjects.The post-traumatic growth,psychological resilience,and coping styles of pregnant women were assessed,the relationship among the three was analyzed,and the mediation effect was tested.Results The post-traumatic growth inventory scores of pregnant women terminating pregnancy in the second trimester were positively correlated with psychological resilience scale for adults scores and simplified coping style questionnaire positive dimension scores(r>0,P<0.05),and negatively correlated with simplified coping style questionnaire negative dimension scores(r<0,P<0.05);psychological resilience scale for adults scores were positively correlated with simplified coping qaestionnaire-positive dimension scores(r>0,P<0.05),and negatively correlated with simplified coping style questionnaire-negative dimension scores(r<0,P<0.05).Psychological resilience partially mediated the relationship between post-traumatic growth and positive and negative coping styles,with mediating effects of 53.26%and 81.03%,respectively.Conclusion Post-traumatic growth in pregnant women terminating pregnancy is closely related to psychological resilience and coping styles,and clinical attention should be paid to psychological resilience to improve post-traumatic growth by improving maternal psychological resilience.

关 键 词：孕中期终止妊娠 创伤后成长 心理弹性 应对方式 中介效应 

分 类 号：R749.41[医药卫生—神经病学与精神病学] R587.1[医药卫生—临床医学]