Brown M A
Nurs Res. 1986 Mar-Apr;35(2):72-6.
The influence of social support and stress on expectant mothers' and fathers' health was determined by testing and comparing different predictive models. Instruments used were the Support Behaviors Inventory, Stress Amount Checklist, and Health Responses Scale. Regression analyses were performed on data from questionnaires completed by 313 couples in the second half of pregnancy to predict health, using the same independent variables for women and men. The regression analyses began with a model that included the variables of stress, satisfaction with partner support, satisfaction with other persons' support, history of chronic illness, education, age, employment status, military status, and family income. The effects of four variables, satisfaction with partner support, satisfaction with others' support, stress, and chronic illness, were tested separately for men and women. Subsets of these variables were deleted to create a series of nested comparisons. Results indicated that social support and stress were useful in predicting health. Partner support appeared to be the most important variable in understanding expectant fathers' health, but social support for mothers included a larger domain and social networks contributed to their health in the same way as partner support. Both stress and chronic illness were more important explanatory variables for pregnant women's health than for their partners' health. These data suggest that nursing interventions targeted at reducing stress and improving expectant parents' satisfaction with their partner support might enhance their health.
通过测试和比较不同的预测模型，确定了社会支持和压力对准父母健康的影响。所使用的工具包括支持行为量表、压力量表和健康反应量表。对313对处于妊娠后期的夫妇填写的问卷数据进行回归分析，以预测健康状况，对男性和女性使用相同的自变量。回归分析从一个包含压力、对伴侣支持的满意度、对他人支持的满意度、慢性病病史、教育程度、年龄、就业状况、军事状况和家庭收入等变量的模型开始。分别测试了伴侣支持满意度、他人支持满意度、压力和慢性病这四个变量对男性和女性的影响。删除这些变量的子集以创建一系列嵌套比较。结果表明，社会支持和压力有助于预测健康状况。伴侣支持似乎是理解准父亲健康状况的最重要变量，但母亲的社会支持范围更广，社交网络对其健康的贡献与伴侣支持相同。压力和慢性病对准妈妈健康的解释变量比对其伴侣健康的解释变量更重要。这些数据表明，旨在减轻压力并提高准父母对伴侣支持满意度的护理干预措施可能会增进他们的健康。
