重度子痫前期孕妇的家庭功能与妊娠压力和应对方式的关系  

Relationship between family function and pregnancy stress,and coping styles in women with severe preeclampsia

作　　者：吴小晴 钱璐 顾惠凤 梅丽娜 WU Xiaoqing;QIAN Lu;GU Huifeng;MEI Lina(Intensive Care Unit,Huzhou Maternal and Child Health Hospital,Huzhou 313000,China;Nursing Department,Huzhou Maternal and Child Health Hospital,Huzhou 313000,China;Gastroenterology Department,Huzhou Maternal and Child Health Hospital,Huzhou 313000,China)

机构地区：[1]湖州市妇幼保健院重症监护室,浙江湖州313000 [2]湖州市妇幼保健院护理部,浙江湖州313000 [3]湖州市妇幼保健院消化内科,浙江湖州313000

出　　处：《健康研究》2024年第6期664-668,共5页Health Research

基　　金：湖州市科技计划项目(2023GYB35)。

摘　　要：目的了解重度子痫前期孕妇的家庭功能情况,探讨其与妊娠压力、应对方式的关系,为临床改善孕妇心理状况提供理论指导。方法采用家庭关怀度指数问卷、妊娠压力量表及简易应对方式问卷,对100例重度子痫前期孕妇展开调查;应用Logistic回归方法,分析影响重度子痫前期孕妇家庭功能的相关因素;运用Spearman相关性分析,探讨家庭功能与妊娠压力、应对方式的关系。结果重度子痫前期孕妇家庭关怀度指数问卷总分为(7.05±1.18)分;家庭功能良好68例(占73.1%),家庭功能中度障碍18例(占19.4%),家庭功能重度障碍7例(占7.5%)。多重线性回归分析结果显示,妊娠压力、应对方式是影响重度子痫前期孕妇家庭功能的相关因素(P<0.05)。Spearman相关性分析结果显示,重度子痫前期孕妇的家庭关怀度问卷各维度得分及总分与妊娠压力、消极应对均呈负相关,与积极应对呈正相关,均P<0.05。结论重度子痫前期孕妇的家庭功能总体良好,部分存在家庭功能障碍,降低妊娠压力、引导积极应对或可改善孕妇的家庭功能。Objective To understand the family functioning of pregnant women with severe preeclampsia and to explore its relationship with pregnancy stress and coping styles,providing theoretical guidance for improving the psychological status of pregnant women in clinical settings.Methods A total of 100 women with severe preeclampsia were investigated using the family APGAR questionnaire,pregnancy stress scale,and simplified coping strategies questionnaire.Logistic regression method was used to screen factors influencing family function in these women.Spearman correlation analysis was used to discuss the relationship between family function and pregnancy stress,and coping styles.Results The total score of the family caregiver index questionnaire for pregnant women with severe preeclampsia was(7.05±1.18)points;68 cases(73.1%)had good family functioning,18 cases(19.4%)had moderate family dysfunction,and 7 cases(7.5%)had severe family dysfunction.Multiple linear regression analysis results showed that pregnancy stress and coping styles were risk factors influencing family function in women with severe preeclampsia(P<0.05).Spearman’s correlation analysis revealed that the scores of each dimension and the total score of the family caregiver index questionnaire for pregnant women with severe preeclampsia were negatively correlated with pregnancy stress and negative coping,and positively correlated with positive coping,all with P<0.05.Conclusions Generally,women with severe preeclampsia have good family function,but there still exists family dysfunction.Reducing pregnancy stress and guiding positive coping styles may improve family function in the women.

关 键 词：重度子痫前期 孕妇 家庭功能 妊娠压力 应对方式 

分 类 号：R714.252[医药卫生—妇产科学]