Yan Shiqiong, Fan Wenzhuo, Ma Yonghong, Xie Sijia, Li Rong, Lan Yao, Xie Linli, Jing Jie
College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province, People's Republic of China.
Department of Nursing, Chengdu Women and Children's Central Hospital, Chengdu, Sichuan Province, People's Republic of China.
Int J Womens Health. 2024 May 31;16:1009-1022. doi: 10.2147/IJWH.S458763. eCollection 2024.
The problem of maternal mental health is a priority issue of global concern. Dyadic coping refers to the co-managing and making decisions between two parties in response to a joint stressful event. At present, china has limited focus on dyadic coping for pregnant women during pregnancy. This study aimed to investigate different categories and characteristics of dyadic coping in pregnant women throughout pregnancy and to analyze the factors that influence these categories.
This study was a cross-sectional, and 376 pregnant women who visited the obstetric clinic at a tertiary hospital in Sichuan province from June to September 2023 were interviewed face-to-face using convenience sampling. Data were collected using a sociodemographic questionnaire, dyadic coping scale, and family adaptability and cohesion evaluation scale. The data were imported into excel and exported to spss 27.0 to analyze the potential characteristics of pregnant women's dyadic coping during pregnancy and to explore the effects of this using univariate analysis and multifactorial logistic regression.
A total of 376 valid questionnaires were collected. The results of the potential profile analysis showed that the dyadic coping of pregnant women during pregnancy could be categorized into three different groups: the "low coping group" (21.3%), the "general coping group" (67.5%), and the "high coping group" (11.2%). Multiple logistic regression analyses revealed that low monthly family income, early pregnancy, primipara, family adaptability and cohesion were the factors influencing the dyadic coping of pregnant women during pregnancy.
During pregnancy, pregnant women exhibit moderate levels of dyadic coping. Three different categories of dyadic coping patterns were exhibited: low coping group, general coping group, and high coping group, with significant heterogeneity. Therefore, there is a need to focus on the dyadic coping status of various categories of pregnant women and implement targeted couple and family-wide interventions.
孕产妇心理健康问题是全球关注的重点问题。二元应对是指双方共同应对和决策以应对共同的压力事件。目前，中国对孕期孕妇的二元应对关注有限。本研究旨在调查孕期孕妇二元应对的不同类别和特征，并分析影响这些类别的因素。
本研究为横断面研究，采用方便抽样的方法，对2023年6月至9月在四川省某三级医院产科门诊就诊的376名孕妇进行面对面访谈。使用社会人口学问卷、二元应对量表和家庭适应性与凝聚力评估量表收集数据。将数据导入Excel并导出至SPSS 27.0，以分析孕期孕妇二元应对的潜在特征，并采用单因素分析和多因素逻辑回归探索其影响因素。
共收集到376份有效问卷。潜在剖面分析结果显示，孕期孕妇的二元应对可分为三个不同组：“低应对组”（21.3%）、“一般应对组”（67.5%）和“高应对组”（11.2%）。多因素逻辑回归分析显示，家庭月收入低、孕早期、初产妇、家庭适应性与凝聚力是影响孕期孕妇二元应对的因素。
孕期孕妇二元应对水平中等。呈现出三种不同类别的二元应对模式：低应对组、一般应对组和高应对组，具有显著异质性。因此，有必要关注各类孕妇的二元应对状况，实施有针对性的夫妻及全家庭干预措施。
