Jin Xiaohuan, Xu Xinyuan, Qiu Junyan, Xu Zexun, Sun Lixue, Wang Zhilin, Shan Ling
Department of Nursing, Lianyungang Maternal and Child Health Hospital Affiliated to Kangda College of Nanjing Medical University, Lianyungang, China; Department of Nursing, Kangda College of Nanjing Medical University, Lianyungang, China.
Department of Nursing, Kangda College of Nanjing Medical University, Lianyungang, China.
Asian Nurs Res (Korean Soc Nurs Sci). 2021 May;15(2):121-128. doi: 10.1016/j.anr.2021.01.002. Epub 2021 Jan 21.
The aim of the study was to evaluate the status of psychological resilience among women in their second pregnancy and to investigate the possible influencing factors.
A total of 275 women in their second pregnancy and who met the criteria were surveyed from two public hospitals in China from July 2018 to January 2019. The instruments included the General Self-designed Questionnaire, Connor-Davidson Resilience Scale, Social Support Rate Scale, and 36-item Pregnancy Stress Rating Scale.
The total psychological resilience score of second-pregnancy women was relatively low. Multivariate regression analysis identified five factors associated with psychological resilience: intimacy with husbands, social support utilization, gender of the first child, high-risk pregnancy of the first child, and the stress caused by worrying about the health and safety of the mother and fetus.
Women in their second pregnancy represent a unique population, and their low psychological resilience score deserves attention. Identification of factors contributing to decreased psychological resilience may enable us to design prevention and intervention strategies and to deliver specific psychological supports to pregnant women at high risk of developing negative psychology.
本研究旨在评估二胎孕妇的心理韧性状况，并探究可能的影响因素。
2018年7月至2019年1月期间，从中国两家公立医院对275名符合标准的二胎孕妇进行了调查。所使用的工具包括自行设计的一般问卷、Connor-Davidson心理韧性量表、社会支持利用率量表和36项妊娠应激评定量表。
二胎孕妇的总体心理韧性得分相对较低。多因素回归分析确定了与心理韧性相关的五个因素：与丈夫的亲密程度、社会支持利用率、头胎性别、头胎高危妊娠以及担心母婴健康安全所造成的压力。
二胎孕妇是一个独特的群体，其较低的心理韧性得分值得关注。识别导致心理韧性下降的因素，可能使我们能够设计预防和干预策略，并为有产生消极心理高风险的孕妇提供特定的心理支持。
