先兆流产患者心理弹性与社会支持、应对方式的相关性研究

发布时间：2018-02-03 07:08

本文关键词： 心理弹性应对方式社会支持先兆流产　出处：《山东大学》2017年硕士论文　论文类型：学位论文

【摘要】：研究目的:调查先兆流产患者的心理弹性、社会支持及应对方式的现状,研究人口学因素、孕产因素、社会支持、应对方式对先兆流产患者心理弹性的影响,为提高先兆流产患者的心理弹性水平提供理论依据。研究方法:选取山东省某三甲医院2016年2至11月期间诊断为先兆流产的165名患者,采用一般资料调查表、心理弹性量表、简易应对方式问卷以及领悟社会支持量表对研究对象进行问卷调查。采用SPSS20.0统计软件进行录入和分析,统计分析主要包括:描述分析、t检验、单因素分析、Pearson相关、多元回归分析等。研究结果:本调查共发放问卷165份,回收153份,调查问卷的有效回收率为92.7%。具体结果如下:1.先兆流产患者的心理弹性总分为(61.55±8.57),三个维度得分为坚韧性(30.84±6.59)分、力量性(19.98±4.53)分、乐观性(10.37±2.74)分;2.先兆流产患者的简易应对方式均分为(1.57±0.21),两个维度得分分别为积极应对(1.90±0.32)分,消极应对(1.49±0.41)分;3.先兆流产患者的领悟社会支持的均分(4.92±0.38)分,三个维度得分分别为:朋友支持(4.76±0.59)分,家庭支持(5.43±0.82)分,其他支持(4.57±0.50)分;4.独立样本t检验显示,文化程度、家庭月收入、医疗支付方式、家庭关系、住院时间、受孕方式等因素对先兆流产患者心理弹性的影响差异有统计学意义(P0.05)。年龄、民族、居住地、职业、孕次、产次、流产次数对先兆流产患者心理弹性的影响差异无统计学意义(P0.05);5.Pearson相关分析显示,积极应对、家庭支持与心理弹性为中度相关(r=0.619,P0.05;r=0.422,P0.05)。朋友支持、其他支持与心理弹性为低度相关(r=0.376,P0.05;r=0.255,P0.05)。消极应对与心理弹性呈负相关(r=-0.425,P0.05);6.分层多元回归分析显示,影响先兆流产患者心理弹性主要因素包括家庭支持、朋友支持、其他支持、家庭月收入、积极应对和消极应对,它们共解释总变异的53.7%。家庭月收入越高,家庭、朋友、其他(领导、同事、亲戚)等支持越多,积极应对方式越多的先兆流产患者,其心理弹性水平越高。研究结论:1.先兆流产患者心理弹性处于偏低水平,急需提升。2.文化程度、家庭月收入、家庭关系、住院时间、医疗付费方式、受孕方式是先兆流产患者心理弹性的影响因素。3.先兆流产患者的社会支持度越高,采取的积极应对方式越多,其心理弹性水平越高;心理弹性水平会随着消极应对方式的增多而降低。4.家庭支持、朋友支持、积极应对、消极应对、其他支持是心理弹性的显著预测因素。
[Abstract]:Objective: to investigate the current situation of psychological elasticity, social support and coping style of threatened abortion patients, and to study the effects of demographic factors, maternity factors, social support and coping styles on the psychological elasticity of threatened abortion patients. Methods: 165 patients diagnosed as threatened abortion from 2016 to November were selected. General information questionnaire, mental resilience scale, simple coping style questionnaire and perceived social support scale were used to survey the subjects. SPSS20.0 statistical software was used to input and analyze the questionnaire. Statistical analysis mainly included: description analysis / t test, single factor analysis / Pearson correlation, multiple regression analysis, etc. Results: 165 questionnaires were sent out and 153 were recovered. The effective recovery rate of the questionnaire was 92.70.The specific results were as follows: 1.The total score of psychological elasticity of the threatened abortion patients was 61.55 卤8.57). The scores of three dimensions were tenacity (30.84 卤6.59), strength (19.98 卤4.53), optimism (10.37 卤2.74). 2. The simple coping styles of threatened abortion patients were 1.57 卤0.21 and the scores of the two dimensions were 1.90 卤0.32). Negative coping score was 1.49 卤0.41); 3. The mean score of perceived social support was 4.92 卤0.38 in the patients with threatened abortion, and the scores of three dimensions were 4.76 卤0.59). The scores of family support and other support were 5.43 卤0.82 and 4.57 卤0.50 respectively. 4. Independent sample t-test showed that education level, monthly family income, medical payment, family relationship and length of stay. There were significant differences in the psychological elasticity of threatened abortion patients, such as the mode of conception. Age, nationality, place of residence, occupation, pregnancy, delivery. There was no significant difference in the influence of abortion frequency on the psychoelasticity of threatened abortion patients (P 0.05). 5. Pearson correlation analysis showed that positive coping, family support and resilience were moderately correlated with r 0.619 (P 0.05); With the support of friends, the other support was low correlation with mental resilience (P 0.05). There was a negative correlation between negative coping and psychological elasticity. 6. Stratified multiple regression analysis showed that the main factors affecting the resilience of threatened abortion patients included family support, friend support, other support, family monthly income, positive coping and negative coping. The higher the monthly income of the family, the more support the family, friends, other (leaders, colleagues, relatives) had, the more positive coping styles the threatened abortion patients were. The higher the level of psychological resilience. Conclusions: 1. Threatened abortion patients in the low level of psychological resilience, urgently need to improve .2. education level, family monthly income, family relations, hospital stay, medical payment method. The higher the degree of social support of threatened abortion, the more positive coping styles, the higher the level of psychological elasticity; The level of resilience will decrease with the increase of negative coping styles. Family support, friend support, positive coping, negative coping, and other support are significant predictors of resilience.
【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.71

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