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土耳其孕妇分娩恐惧的社会心理预测因素。

Psychosocial predictors of the fear of childbirth in Turkish pregnant women.

机构信息

Faculty of Health Sciences, Department of Obstetrics and Gynecology Nursing, Bolu Abant Izzet Baysal University, Bolu, Turkey.

Faculty of Arts and Science, Department of Psychology, Bolu Abant Izzet Baysal University, Bolu, Turkey.

出版信息

J Psychosom Obstet Gynaecol. 2021 Jun;42(2):123-131. doi: 10.1080/0167482X.2020.1734791. Epub 2020 Mar 2.

Abstract

INTRODUCTION

Fear of childbirth (FOC) affects women's emotional health, preparation for birth, and outcomes of birth. Identifying the predictors of FOC can aid in identifying strategies for reducing women's FOC.

OBJECTIVE

This descriptive, cross-sectional study was aimed at determining the psychosocial predictors of FOC in pregnant women.

METHODS

The participants were 624 nulliparous and multiparous pregnant women in their last trimester. Data were collected using a personal information form, Wijma Delivery Expectancy/Experience Questionnaire A, Childbirth Self-Efficacy Inventory, Multidimensional Scale of Perceived Social Support, State-Trait Anxiety Inventory, and Prenatal Self-Evaluation Questionnaire. Hierarchical regression analysis was performed to determine the predictors of FOC.

RESULTS

FOC was high among this study's participants and severe for one fifth of them. The psychosocial variables predicting FOC were self-efficacy and trait anxiety level, and spousal support was found to be a mediator variable in the relationship between self-efficacy and FOC.

CONCLUSION

The findings suggest that psychosocial variables are key to predicting FOC.

摘要

引言

分娩恐惧(Fear of childbirth,FOC)会影响女性的情绪健康、分娩准备和分娩结局。识别 FOC 的预测因素有助于确定减少女性 FOC 的策略。

目的

本描述性、横断面研究旨在确定孕妇 FOC 的社会心理预测因素。

方法

研究对象为 624 名初产妇和经产妇,处于妊娠晚期。使用个人信息表、Wijma 分娩期望/经验问卷 A、分娩自我效能感量表、多维感知社会支持量表、状态-特质焦虑量表和产前自我评价问卷收集数据。采用分层回归分析确定 FOC 的预测因素。

结果

研究参与者的 FOC 较高,其中五分之一为重度。预测 FOC 的社会心理变量是自我效能感和特质焦虑水平,并且发现配偶支持是自我效能感和 FOC 之间关系的中介变量。

结论

研究结果表明,社会心理变量是预测 FOC 的关键。

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