Sjöström Helga, Langius-Eklöf Ann, Hjertberg Ragnhild
Department of Development and Education, Stockholm County Council, South Stockholm Medical Area, Stockholm, Sweden.
Acta Obstet Gynecol Scand. 2004 Dec;83(12):1112-8. doi: 10.1111/j.0001-6349.2004.00153.x.
Our knowledge of how a woman as an individual experiences, evaluates and copes with pregnancy is limited. The concept of 'sense of coherence' as described by Antonovsky may be an important factor in how people deal with stressful situations in life. The aim of this study is to describe pregnant women's perception of well-being during pregnancy and after delivery and to explore its relationship to their sense of coherence.
Participants (n = 177) were recruited from four Maternal Health Care Centers (MHCCs) in the Stockholm area. Three standard instruments were used in the study: the Sense of Coherence (SOC) scale, the Health Index (HI) and the Hospital Anxiety and Depression (HAD) scale. These instruments were filled in at pregnancy weeks 10-12 and 34-36 and also 8 weeks after delivery.
One hundred and twenty women completed the study. At weeks 34-36 the pregnant women scored significantly worse for well-being than at weeks 10-12 and after delivery. A strong predictor for well-being is the women's degree of SOC. With regard to anxiety and depression no differences were found between the measurements. Neither demographic data such as age or financial status nor degree of complications influenced the results.
Our study shows that the SOC scale measures the capacity to cope with the unforeseeable process that child-bearing still implies today. The SOC scale questionnaire and the HI can complement the midwife's subjective evaluation of the pregnant woman's need for psychosocial support during pregnancy. If this is correct, the SOC scale and the HI could be of great value in clinical work within maternal health care.
我们对于女性作为个体如何体验、评估和应对怀孕的了解有限。安东诺夫斯基所描述的“连贯感”概念可能是人们应对生活中压力情境的一个重要因素。本研究的目的是描述孕妇在孕期和产后对幸福感的认知，并探讨其与连贯感的关系。
从斯德哥尔摩地区的四个孕产妇保健中心（MHCCs）招募了177名参与者。本研究使用了三种标准工具：连贯感（SOC）量表、健康指数（HI）和医院焦虑抑郁量表（HAD）。这些工具在孕10 - 12周、34 - 36周以及产后8周填写。
120名女性完成了研究。在34 - 36周时，孕妇的幸福感得分显著低于10 - 12周和产后。女性的SOC程度是幸福感的一个强有力预测指标。在焦虑和抑郁方面，各测量值之间未发现差异。年龄或经济状况等人口统计学数据以及并发症程度均未影响结果。
我们的研究表明，SOC量表衡量了应对生育这一如今仍不可预测过程的能力。SOC量表问卷和HI可以补充助产士对孕妇孕期心理社会支持需求的主观评估。如果这是正确的，那么SOC量表和HI在孕产妇保健的临床工作中可能具有很大价值。
