Chair of Obstetrics Development, Faculty of Health Sciences, Medical University of Lublin, 4-6 Staszica St., 20-081 Lublin, Poland.
Department of Obstetrics and Gynecology Didactics, Faculty of Health Sciences, Medical University of Warsaw, 14/16 Litewska St., 00-575 Warsaw, Poland.
Int J Environ Res Public Health. 2021 Oct 10;18(20):10590. doi: 10.3390/ijerph182010590.
: The purpose of the study was to assess the level of such psychosocial resilience resources as self-efficacy, dispositional optimism, and health locus of control in pregnant women with obesity with threatened premature labor. The study was performed in the years 2017-2020 in a group of 328 pregnant women hospitalized due to threatened preterm labor and diagnosed with obesity before the pregnancy. The following instruments were applied: the Life Orientation Test, the Generalized Self-Efficacy Scale, and the Multidimensional Health Locus of Control Scale. Obese pregnant women with threatened premature labor have a moderate level of generalized self-efficacy (28.02) and a moderate level of dispositional optimism (16.20). Out of the three health locus of control dimensions, the highest scores were recorded in the "internal control" subscale (26.08). Statistically significant predictors for the self-efficacy variable model included: satisfactory socio-economic standing (ß = 0.156; p = 0.004), being nulliparous (ß = -0.191; p = 0.002), and the absence of comorbidities (ß = -0.145; p = 0.008). Higher levels of dispositional optimism were found in women who were married (ß = 0.381; p = 0.000), reported a satisfactory socio-economic standing (ß = 0.137; p = 0.005), were between 23 and 27 weeks pregnant (ß = -0.231; p = 0.000), and had no comorbidities (ß = -0.129; p = 0.009). Generalized self-efficacy in obese women with threatened preterm labor is associated with satisfactory socio-economic standing, being nulliparous, and the absence of chronic disease. Dispositional optimism in obese pregnant women with threatened preterm labor is determined by their marital status, socio-economic standing, gestational age, and the absence of comorbidities.
: 本研究旨在评估自我效能、倾向性乐观和健康控制源等心理社会弹性资源在有早产威胁的肥胖孕妇中的水平。该研究于 2017 年至 2020 年在因早产威胁而住院的 328 名肥胖孕妇中进行,这些孕妇在怀孕前被诊断为肥胖。应用了以下工具:生活取向测试、一般自我效能感量表和多维健康控制源量表。有早产威胁的肥胖孕妇的一般自我效能感(28.02)和倾向性乐观(16.20)处于中等水平。在三个健康控制源维度中,得分最高的是“内部控制”子量表(26.08)。自我效能变量模型的统计学显著预测因子包括:满意的社会经济地位(ß = 0.156;p = 0.004)、初产妇(ß = -0.191;p = 0.002)和无合并症(ß = -0.145;p = 0.008)。婚姻状况良好(ß = 0.381;p = 0.000)、社会经济地位满意(ß = 0.137;p = 0.005)、怀孕 23-27 周(ß = -0.231;p = 0.000)和无合并症(ß = -0.129;p = 0.009)的孕妇表现出更高水平的倾向性乐观。有早产威胁的肥胖孕妇的一般自我效能与满意的社会经济地位、初产妇和无慢性疾病有关。有早产威胁的肥胖孕妇的倾向性乐观由其婚姻状况、社会经济地位、孕龄和无合并症决定。