[孕期夫妇的健康促进行为：行为者-伙伴相互依赖模型分析]

[Health Promoting Behavior in Pregnant Couples: Actor-Partner Interdependence Model Analysis].

作者信息

Kim Ju Hee, Song Young A

机构信息

College of Nursing Science · East-West Nursing Research Institute, Kyung Hee University, Seoul, Korea.

Department of Nursing, Ansan University, Ansan, Korea.

出版信息

J Korean Acad Nurs. 2017 Aug;47(4):467-475. doi: 10.4040/jkan.2017.47.4.467.

DOI:10.4040/jkan.2017.47.4.467

PMID:28894069

Abstract

PURPOSE

This study aimed to identify the actor and partner effects of self-efficacy, marital adjustment, and social support on the health promoting behavior of Korean pregnant couples.

METHODS

Participants were 132 couples who met the eligibility criteria. Data were collected from June to November, 2016 at a community health center. The Actor-Partner Interdependence Model was used for analyzing the actor and partner effects of self-efficacy, marital adjustment, and social support on health promoting behavior.

RESULTS

The fitness indices for the model were GFI=0.90, NFI=0.92, CFI=0.91, TLI=0.90, and RMSEA=0.04, which satisfied the criteria. Self-efficacy had actor and partner effect on health promoting behavior of wives, but had only actor effect of on health promoting behavior of husbands. Marital adjustment showed actor and partner effect on the health promoting behavior of pregnant couples. Social support only had an actor effect on the health promoting behavior of wives. And, marital adjustment and social support had a mutual effect.

CONCLUSION

This study indicates that the partner involvement is needed to develop health promotion programs for pregnant couples.

摘要

目的

本研究旨在确定自我效能感、婚姻调适及社会支持对韩国孕妇夫妇健康促进行为的主效应和伴侣效应。

方法

参与者为132对符合入选标准的夫妇。2016年6月至11月在社区卫生中心收集数据。采用主效应-伴侣效应相互依赖模型分析自我效能感、婚姻调适及社会支持对健康促进行为的主效应和伴侣效应。

结果

该模型的拟合指数为GFI = 0.90、NFI = 0.92、CFI = 0.91、TLI = 0.90、RMSEA = 0.04，符合标准。自我效能感对妻子的健康促进行为有主效应和伴侣效应，但对丈夫的健康促进行为仅有主效应。婚姻调适对孕妇夫妇的健康促进行为有主效应和伴侣效应。社会支持仅对妻子的健康促进行为有主效应。并且，婚姻调适和社会支持存在相互效应。