社会支持在人类免疫缺陷病毒感染孕产妇负性情绪和应对方式之间的中介效应

发布时间：2018-04-09 14:53

本文选题：人类免疫缺陷病毒　切入点：孕产妇保健　出处：《第二军医大学学报》2017年12期

【摘要】：目的探讨社会支持在人类免疫缺陷病毒(HIV)感染孕产妇负性情绪与应对方式之间的中介效应。方法利用社会支持评定量表(SSRS)、预防HIV母婴传播知信行量表(KAPS-PMTCT)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、Berger HIV感知歧视量表(BHSS)和简易应对方式问卷(SCSQ),通过方便抽样的方法选取202名HIV感染孕产妇进行测试,采用Pearson相关分析和结构方程模型分析变量之间的关系。结果社会支持、负性情绪与应对方式两两之间的总得分均存在相关性;社会支持总分与负性情绪总分(P0.05)、消极应对得分(P0.01)均呈负相关,与积极应对得分呈正相关(P0.01);负性情绪总分与积极应对得分呈较弱的负相关(P=0.07),与消极应对得分呈较强的正相关(P0.01)。结构方程模型表明负性情绪主要是通过社会支持的中介作用间接影响HIV感染孕产妇的应对方式(χ~2/df=1.835,拟合优度指数为0.975,调整拟合优度指数为0.961,范式拟合指数为0.950,增值拟合指数为0.938,比较拟合指数为0.981,简约调整比较拟合指数为0.452,近似误差均方根为0.064),对积极应对与消极应对总的中介效应量分别为-0.273、0.522。结论社会支持是HIV感染孕产妇负性情绪与应对方式之间的重要中介变量。
[Abstract]:Objective to investigate the mediating effect of social support between negative emotion and coping style in pregnant women infected with HIV.Methods using the Social support rating scale (SSRS), the KAPS-PMTCTT scale for the Prevention of Mother-to-Child Transmission (HIV), the Self-Rating anxiety scale (SAS), the Self-Rating Depression scale (SDS), the Berger HIV perceived Discrimination scale (BHSS) and the simplified coping style questionnaire (SCSQS), we selected 202,202 by convenient sampling method.HIV infected pregnant women were tested,Pearson correlation analysis and structural equation model are used to analyze the relationship between variables.Results the total scores of social support, negative emotion and coping style were all correlated, and the total score of social support was negatively correlated with the total score of negative emotion (P0.05) and negative coping score (P0.01).The total score of negative emotion was negatively correlated with the score of positive coping (P < 0.07) and positively correlated with the score of negative coping (P 0.01).The structural equation model shows that negative emotion indirectly affects the coping style of pregnant women infected with HIV mainly through the intermediary role of social support (蠂 ~ 2 / dffg 1.835, goodness of fit index 0.975, adjusted goodness of fit index 0.961, normal form fitting index 0.950, increment value).The fitting index is 0.938, the comparison fitting index is 0.981. the reduced adjustment comparison fitting index is 0.452, the approximate error root mean square is 0.064, and the total mediating effect for positive coping and negative coping is -0.273or 0.522, respectively.Conclusion Social support is an important mediating variable between negative emotion and coping style of HIV infected pregnant women.
【作者单位】：贵港市妇幼保健院儿童保健科;贵港市妇幼保健院信息科;桂平市妇幼保健院保健部;平南县人民医院感染科;平南县妇幼保健院妇产科;
【基金】：广西贵港市科学研究与技术开发计划项目(GKC1504041)~~
【分类号】：R512.91

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