负性自动思维在初产妇健康素养与分娩恐惧间的中介作用  

Mediating role of negative automatic thoughts between health literacy and childbirth fear of primiparas

作　　者：陆美芝 陈海霞 蒋晓阳 Lu Meizhi;Chen Haixia;Jiang Xiaoyang(Department of Obstetrics,Lishui People's Hospital,Lishui 323000,China)

机构地区：[1]丽水市人民医院产科,丽水323000

出　　处：《中国实用护理杂志》2025年第13期1001-1007,共7页Chinese Journal of Practical Nursing

基　　金：浙江省医药卫生科技计划(2023KY426)。

摘　　要：目的按探讨负性自动思维在初产妇健康素养与分娩恐惧间的中介作用,为缓解初产妇的分娩恐惧提供参考依据。方法便利抽样法选取2021年1月至2023年12月丽水市人民医院产科进行产检的初产妇为研究对象。采用一般资料调查表、分娩恐惧量表、自动思维问卷及围生期孕妇健康素养量表进行横断面调查。采用SPSS26.0进行Pearson相关性分析,AMOS24.0构建负性自动思维在初产妇健康素养与分娩恐惧间的中介效应模型,并运用Bootstrap法检验中介效应。结果共发放问卷246份,回收有效问卷235份。235名初产妇的年龄为(27.56±3.74)岁,健康素养总分为(173.29±20.20)分,负性自动思维总分为(88.13±16.50)分,分恐惧总分为(46.52±12.67)分。初产妇的健康素养总分与负性自动思维总分、分娩恐惧总分呈负相关(r=-0.435、-0.484,均P<0.05);负性自动思维总分与分娩恐惧总分呈正相关(r=0.386,P<0.05)。初产妇健康素养对分娩恐惧的直接效应值为-0.319(95%CI-0.495~-0.144),占总效应的56.00%;负性自动思维在健康素养与分娩恐惧间的间接效应值为-0.251(95%CI-0.393~~-0.127),占总效应的44.00%。结论负性自动思维在初产妇健康素养与分娩恐惧间起部分中介作用。护理人员应根据影响分娩恐惧的路径制订干预措施,从而最大限度地降低初产妇的分娩恐惧水平.Objective To explore the mediating role of negative automatic thoughts between health literacy and childbirth fear of primiparas.Methods The primiparas who underwent obstetric examination in Department of Obstetrics,Lishui People's Hospital from January 2021 to December 2023 were selected as the research objects by convenience sampling method.Using cross-sectional survey,the general information questionnaire,Childbirth Attitude Questionnaire,The Automatic Thought Questionnaire and Perinatal Pregnant Women's Health Literacy Scale were used to investigate.Pearson correlation analysis was performed by SPSS 26.0,AMOS 24.0 was used to construct the mediating effect model of negative automatic thoughts between health literacy and childbirth fear of primiparas,and Bootstrap method was used to test the mediating effect.Results A total of 246 questionnaires were distributed,and 235 valid questionnaires were collected.The age of 235 primiparas was(27.56±3.74)years old.The total score of health literacy,negative automatic thoughts,childbirth fear was(173.29±20.20),(88.13±16.50),(46.52±12.67)points.The direct effect of health literacy on childbirth fear of primiparas was-0.319(95%CI-0.495--0.144),accounting for 56.00%of the total effect.The indirect effect of negative automatic thoughts between health literacy and childbirth fear was-0.251(95%CI-0.393--0.127),accounting for 44.00%of the total effect.Conclusions sNegative automatic thoughts plays a partial mediating role between health literacy and childbirth fear of primiparas.Nursing staff should formulate intervention measures according to the path of influencing childbirth fear,so as to minimize the level of childbirth fear.

关 键 词：初产妇 俊健康素养 分分娩恐惧 中介作用 负性自动思维 

分 类 号：R473.71[医药卫生—护理学]