Ngai Fei Wan, Ngu Siew Fei
School of Nursing, The Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong.
J Adv Nurs. 2014 Nov;70(11):2588-97. doi: 10.1111/jan.12394. Epub 2014 Mar 26.
To examine the predictive role of family sense of coherence, social support and stress during pregnancy and their changes from pregnancy to postpartum on family and marital functioning at 6 weeks postpartum.
Family sense of coherence plays a significant role in promoting positive family and marital functioning, which is crucial to the child's well-being. However, studies that evaluate the predictive role of family sense of coherence on family and marital functioning during parental transition are limited.
The study used a longitudinal design.
Chinese childbearing couples (n = 202) completed assessments of family sense of coherence, stress, social support, and family and marital functioning during pregnancy and at 6 weeks postpartum between January 2011-May 2012.
RESULTS/FINDINGS: Mothers with a stronger family sense of coherence, greater social support and less stress during pregnancy experienced less decline in family and marital functioning at 6 weeks postpartum, while fathers with a higher prenatal family sense of coherence and family and marital functioning also experienced less such decline.
Couple-based interventions should be initiated early during pregnancy by strengthening family sense of coherence and social support to promote positive family functioning.
探讨孕期家庭连贯感、社会支持和压力的预测作用，以及从孕期到产后这些因素的变化对产后6周家庭和婚姻功能的影响。
家庭连贯感在促进积极的家庭和婚姻功能方面发挥着重要作用，这对孩子的幸福至关重要。然而，评估家庭连贯感在父母角色转变期间对家庭和婚姻功能预测作用的研究有限。
本研究采用纵向设计。
202对中国育龄夫妇在2011年1月至2012年5月期间完成了孕期和产后6周家庭连贯感、压力、社会支持以及家庭和婚姻功能的评估。
结果/发现：孕期家庭连贯感更强、社会支持更多且压力更小的母亲，产后6周家庭和婚姻功能的下降幅度更小；孕期家庭连贯感更高的父亲，其家庭和婚姻功能的下降幅度也更小。
应在孕期早期就开展基于夫妻的干预措施，通过增强家庭连贯感和社会支持来促进积极的家庭功能。
