基于人际传播视角下的产妇及其配偶社会支持落差研究

发布时间：2018-10-05 11:29

【摘要】：随着社会生存和家庭生活压力增大,中国产后抑郁的患病率也不断提高,产后抑郁造成的家庭悲剧屡见报端,对产后抑郁的防治工作迫在眉睫。对产后抑郁的研究和防治不仅要从生理因素入手,更应该对产妇获得的社会支持方面多加关注。产妇生产七周内是产后抑郁的起病期,这段时间内产妇和配偶之间的人际传播和社会支持落差会直接影响产妇的情绪积累。基于这一背景,本研究着重分析产妇产前一个月到产后42天的心理状态和社会支持期待的变化,配偶为产妇提供的社会支持差异,进而分析社会支持落差对产妇心理状态的影响。本论文以精心的可能性模式为依据,以人际传播为视角,以广东妇幼保健医院的生产前后的产妇及其配偶为调查对象,采用问卷调查和半结构访谈相结合的研究方法,通过方便抽样分析产妇生产前后的心理状态和社会支持期待、配偶提供的社会支持变化,探索产妇在生产前后的社会支持落差,并探讨配偶提供的社会支持变化对产妇心理状态的影响。研究发现如下:一、产妇生产前后对社会支持的期待发生变化,产妇产前希望得到配偶更多的主观支持,产后则希望配偶提供更多的客观支持。二、配偶为产妇提供的社会支持在产妇生产前后有差异。三、产妇生产前后的社会支持期待落差变大。四、配偶对产妇的社会支持变化对产妇心理状态的影响显著,产妇从配偶处得到的社会支持落差使产妇情绪更加焦虑,影响产后抑郁的发生。配偶的社会支持直接影响着产妇的心理状态,在产后抑郁的社会支持防治过程中应该注重对配偶的社会支持引导,从而使产妇的社会支持得到满足,使产妇获得良好的心理状态,促进家庭环境健康发展和婴幼儿健康成长。
[Abstract]:With the increasing pressure of social survival and family life, the prevalence rate of postpartum depression in China is also increasing. The family tragedy caused by postpartum depression is often reported, so it is urgent to prevent and cure postpartum depression. The research and prevention of postpartum depression should not only start with physiological factors, but also pay more attention to the social support of puerpera. The onset of postpartum depression is within seven weeks of delivery, during which the interpersonal transmission and social support gap between the puerpera and her spouse will directly affect the emotional accumulation of the puerpera. Based on this background, this study focused on the changes of psychological state and social support expectation between one month before and 42 days postpartum, and the difference of the social support provided by the spouse to the puerpera. Then it analyzes the influence of social support drop on the psychological state of parturient. Based on the elaborate possibility model and interpersonal communication, this paper takes the pregnant women and their spouses before and after birth in Guangdong Maternal and Child Health Hospital as the objects of investigation, and adopts the research method of combining questionnaire survey and semi-structured interview. Through the convenient sampling analysis of the psychological state and the expectation of social support before and after the birth of the parturient, and the changes of the social support provided by the spouse, the difference of the social support of the parturient before and after the birth was explored. The influence of the change of social support provided by spouse on the mental state of parturient was discussed. The results are as follows: 1. The expectation of social support changes before and after delivery. The pregnant women want more subjective support from their spouses before and after birth and more objective support from their spouses after birth. Second, the social support provided by the spouse to the puerpera is different before and after delivery. Third, the social support before and after the parturient birth is expected to drop greatly. Fourth, the change of spouse's social support has a significant effect on the mental state of the parturient, and the difference of the social support from the spouse makes the parturient more anxious and affects the occurrence of postpartum depression. The social support of the spouse has a direct impact on the psychological state of the parturient. In the process of prevention and treatment of postpartum depression, attention should be paid to the guidance of the social support to the spouse, so that the social support of the parturient can be satisfied. To promote the healthy development of family environment and the healthy growth of infants.
【学位授予单位】：暨南大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：G206;B844.3

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