Impact of uncertainty, social support, and prenatal coping on the psychological well-being of high-risk pregnant women
Impact of uncertainty, social support, and prenatal coping on the psychological well-being of high-risk pregnant women
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DOI：
10.1097/00006199-200609000-00008
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发表时间：
2006-09-01
期刊：
影响因子：
2.5
通讯作者：
Bryant, Fred B.
中科院分区：
文献类型：
--
作者：
Giurgescu, Carmen;Penckofer, Sue;Bryant, Fred B.
背景资料：不确定感和社会支持对高危孕妇心理幸福感的影响可能受到其产前应对策略的影响。目的：探讨高危孕妇产前应对策略是否影响其心理幸福感（为母亲做准备、回避、对事件的积极解释和祈祷）调解不确定性和社会支持对高危孕妇心理健康的影响。采用横断面、描述性、相关设计。方便样本包括105名高危孕妇，年龄在18-34岁之间，妊娠24-36周。主要测量指标为Mishel疾病不确定感量表、医学结局研究社会支持调查、产前应对量表和心理总体幸福感指数。数据分析包括描述性统计，相关技术，和路径analysis.Results：妇女报告的不确定性水平低，中度水平的困扰，和高水平的社会支持。祈祷是最常用的产前应对策略，而避免使用最少。报告更高水平的不确定性的女性也报告了更少的社会支持（r =-0.45，p < .01），更少的心理健康（r =-0.48，p < .01），更少的积极解释（r =-0.30，p < .01），以及更多的回避（r = 0.43，p < .01）。改进的通径分析与数据拟合良好。回避显著介导了不确定性对心理健康的影响（z =-2.74，p < .01）。社会支持有显着的直接影响准备为motherhood（β = 0.43，z = 3.94，p <0.001）。讨论：避免介导的影响不确定性的心理健康的高危孕妇在这个样本。这项研究的结果可能有助于围产期护士更好地了解高危妊娠对这些妇女的影响。
Background: The effects of uncertainty and social support on the psychological well-being of high-risk pregnant women may be influenced by their prenatal coping strategies.Objective: The purpose of this study was to investigate whether prenatal coping strategies (preparation for motherhood, avoidance, positive interpretation of events, and prayer) mediate the effects of uncertainty and social support on the psychological well-being of high-risk pregnant women.Methods: A cross-sectional, descriptive, correlational design was used. The convenience sample consisted of 105 high-risk pregnant women 18-34 years of age and at 24-36 weeks gestation. The main measures were Mishel Uncertainty in Illness Scale, Medical Outcomes Study Social Support Survey, Prenatal Coping Inventory, and Psychological General Well-Being Index. Data analysis included descriptive statistics, correlational techniques, and path analyses.Results: The women reported low levels of uncertainty, moderate levels of distress, and high levels of social support. Prayer was the most frequently used prenatal coping strategy, whereas avoidance was used least often. Women who reported higher levels of uncertainty also reported less social support (r = -.45, p < .01), less psychological well-being (r = -.48, p < .01), less positive interpretation (r = -.30, p < .01), and more use of avoidance (r = .43, p < .01). The modified path analysis showed good fit with the data. Avoidance significantly mediated the effects of uncertainty on psychological well-being (z = -2.74, p < .01). Social support had a significant direct effect on preparation for motherhood (beta = .43, z = 3.94, p < .001).Discussion: Avoidance mediated the effect of uncertainty on psychological well-being for the high-risk pregnant women in this sample. The results of the study may help perinatal nurses to better understand how high-risk pregnancy affects these women.