[1]刘小燕*,陈育紫,卢德梅.妊娠晚期孕妇分娩恐惧与心理弹性、家庭功能的相关性分析[J].中国计划生育和妇产科,2020,(6):60-64.
 LIU Xiaoyan*,CHEN Yuzi,LU Demei.Analysis of the correlation between fear of childbirth, psychological flexibility and family function in pregnant women in late pregnancy[J].Chinese Journal of Family Planning & Gynecotokology,2020,(6):60-64.
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妊娠晚期孕妇分娩恐惧与心理弹性、家庭功能的相关性分析
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2020年6期
页码:
60-64
栏目:
论著与临床
出版日期:
2020-06-25

文章信息/Info

Title:
Analysis of the correlation between fear of childbirth, psychological flexibility and family function in pregnant women in late pregnancy
作者:
刘小燕1*陈育紫1卢德梅2
佛山市妇幼保健院,1. 高级产房门诊;2.产房
Author(s):
LIU Xiaoyan1*CHEN Yuzi1LU Demei2
1. Senior Maternal Clinic;2. Maternal Clinic,Foshan Maternal and Child Health Hospital, Foshan Guangdong 528000,P.R.China
关键词:
妊娠晚期分娩恐惧家庭功能心理弹性影响因素
Keywords:
late pregnancy fear of childbirth family function psychological flexibility influencing factors
分类号:
R 395.6
摘要:
目的调查妊娠晚期孕妇分娩恐惧、家庭功能、心理弹性的临床情况,并分析分娩恐惧与家庭功能、心理弹性的相关关系,为临床护理提供参考。方法选择2018年在佛山市妇幼保健院建档的220例妊娠晚期孕妇,应用家庭功能量表、中国成年人心理弹性量表和分娩恐惧量表进行调查。结果本研究共计纳入212例孕妇,问卷有效回收率为964 %;孕妇的分娩恐惧得分为(3611±981)分,其中16~27分42例(198 %)、28~39分141例(666 %)、40~51分29例(136 %);心理弹性总分为(6931±1157)分,家庭功能得分为(674±096)分;家庭功能、心理弹性各维度得分均与分娩恐惧各维度得分呈负相关(-0552~-0141),差异有统计学意义(P<005);多元线性回归分析结果显示,内控性、注重问题解决的应对风格、乐观性、接受及应用社会支持的人格倾向性、接纳性、情感度、亲密度、成长度、合作度、适应度均为分娩恐惧的影响因素,共可解释513 %的方差变异量。结论大部分妊娠晚期孕妇均具有轻中度的分娩恐惧,良好的家庭功能及高水平的心理弹性是降低分娩恐惧的影响因素。
Abstract:
ObjectiveTo investigate the clinical situation of childbirth fear, family function and psychological flexibility in pregnant women in late pregnancy, and to analyze the relationship between childbirth fear and family function and psychological flexibility, and provide reference for clinical nursing.Methods220 pregnant women in late pregnancy who were filed in Foshan Maternal and Child Health Hospital from January to December 2018 were selected for investigation using the Family Function Scale, the Chinese Adult Psychological Resilience Scale and the Birth Fear Scale.ResultsA total of 212 pregnant women were included in the study, and the effective recovery rate of the questionnaire was 964 %.The pregnant women's fear of childbirth score was (3611±981). Among them, 42 cases (198 %) scored 16~27 points, 141 cases (666 %) scored 28~39 points, 29 cases (136 %) scored 40~51 points. The total score of psychological flexibility was (6931±1157), and the score of family function was (674±096).The scores of family function and psychological flexibility were negatively correlated with those of fear of childbirth(-0552~-0.141), with statistical significance(P<005). Multivariate linear regression analysis showed that internal control, problemsolving coping style, optimism, personality inclination to accept and apply social support, acceptance, affection, intimacy, growth, cooperation and adaptability were all influencing factors of childbirth fear, which could explain 513 % variance.ConclusionMost pregnant women in the third trimester of pregnancy have mild to moderate fear of childbirth. Good family function and high level of psychological flexibility are the influencing factors to reduce fear of childbirth.

参考文献/References:

[1]刘珊珊, 刘均娥. 孕产妇分娩恐惧的研究进展 [J]. 中华护理杂志, 2015, 50(3):365369. [2]赵玉环, 林田, 王娟. 初产妇妊娠晚期焦虑状况及其相关因素调查 [J]. 护理研究, 2013, 27(17):17091710. [3]Alipour Z, Lamyian M, Hajizadeh E, et al. The association between antenatal anxiety and fear of childbirth in nulliparous women: a prospective study [J]. Iran J Nurs Midwifery Res, 2011, 16(2):169173. [4]Handelzalts J E , Becker G , Ahren M P , et al. Personality, fear of childbirth and birth outcomes in nulliparous women[J].Arch Gynecol Obstet, 2015, 291(5):10551062. [5]杨静萍, 高玲玲. 家庭功能与孕妇身心健康关系的研究进展[J]. 护理学杂志, 2018, 33(9):114117. [6]周海燕.孕中期妇女睡眠质量及心理社会保护/风险因素 [D]. 山东大学, 2015. [7]Nan H, Ni M Y, Lee P H, et al. Psychometric evaluation of the Chinese Version of the Subjective Happiness Scale: Evidence from the Hong Kong family cohort [J]. Int J Behav Med, 2014, 21(4):646652. [8]梁宝勇, 程诚. 心理健康素质测评系统·中国成年人心理弹性量表的编制 [J]. 心理与行为研究, 2012, 10(4):269277. [9]危娟, 刘洁英, 张莉芳,等. 分娩恐惧量表的汉化及信效度检测[J]. 护理学杂志, 2016, 31(2):8183. [10]危娟, 刘洁英, 吴艳萍,等. 孕妇分娩恐惧状况及其影响因素调查 [J]. 护理学杂志, 2016, 31(14):8689. [11]施亦佳,刘欢,冯亚玲,等.无锡市孕晚期妇女妊娠相关焦虑及其影响因素分析 [J].护理研究,2019,33(1):8791. [12]Nieminen K, Stephansson O, Ryding E L. Women's fear of childbirth and preference for cesarean section—a crosssectional study at various stages of pregnancy in Sweden [J]. Acta Obstet Gynecol Scand, 2011, 88(7):807813. [13]吴垠. 长治市孕产妇心理状态、家庭功能及社会支持状况的调查 [J]. 护理研究, 2010, 24(10):2759,2819. [14]胡琪,周慧敏,郝飞, 等.护士主导式家庭健康计划对中早期乳腺癌患者术后家庭功能和生命质量的影响 [J].中国实用护理杂志,2019,35(22):17341740. [15]Ngai F W, Ngu S F. Family sense of coherence and family adaptation among childbearing couples [J]. J Nurs Scholarsh, 2013, 46(2):82. [16]Rouhe H, Salmelaaro K, Toivanen R, et al. Obstetric outcome after intervention for severe fear of childbirth in nulliparous womenrandomised trial [J]. BJOG, 2013, 120(1):7584. [17]程诚, 黄俊, 梁宝勇. 心理健康素质测评系统·中国成年人心理弹性全国采样调查报告 [J]. 心理与行为研究, 2014, 12(6):735742. [18]张德雪, 贾国云, 黄慧. 心理弹性对肺癌化疗患者自我感受负担的影响 [J]. 临床与病理杂志, 2017, 37(5):10251032. [19]Lim KK,Matchar DB,Tan CS,et al. The association between psychological resilience and physical function among older adults with hip fracture surgery [J].J Am Med Dir Assoc,2019, (19)9: 15251536. [20]吴小婷,章新琼,王秋萍,等.癌症患者心理弹性干预的研究进展 [J].中华护理杂志,2017,52(3):316320.

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备注/Memo

备注/Memo:
佛山市自筹经费类科技计划项目(项目编号:2017AB002971)
更新日期/Last Update: 2020-06-25