孕妇家庭关怀对分娩自我效能的影响——幸福感的中介作用
The Influence of Maternal Family Care on Childbirth Self-Efficacy—The Mediating Role of Well-Being
DOI: 10.12677/ap.2024.144191, PDF,    科研立项经费支持
作者: 张 欢, 岳柚成, 梅云丹, 范 尧*:重庆医科大学公共卫生学院,重庆;俞丽丽, 周明芳:重庆医科大学附属第三医院妇产中心,重庆
关键词: 孕妇家庭关怀幸福感分娩自我效能Pregnant Women Family Care Well-Being Childbirth Self-Efficacy
摘要: 目的:探究孕晚期女性的家庭关怀、幸福感及分娩自我效能的现状,并进一步探究幸福感的中介作用。方法:运用便利抽样法,采用家庭关怀度量表(APGAR)、幸福感指数量表(IWB)和分娩自我效能量表中文版(CBSEI-32)对某三甲医院435名孕妇进行问卷调查。结果:1) 家庭关怀和幸福感显著正相关(r = 0.498, p < 0.001),与分娩自我效能显著正相关(r = 0.302, p < 0.01);幸福感与分娩自我效能显著正相关(r = 0.444, p < 0.01);2) 幸福感在家庭关怀和分娩自我效能之间起部分中介作用,中介效应占总效应的64.17%。结论:家庭关怀可以直接影响分娩自我效能,也可以通过幸福感的部分中介作用间接影响分娩自我效能。
Abstract: Objective: To explore the current situation of family care, well-being and childbirth self-efficacy of women in late pregnancy, and further explore the intermediary role of well-being. Methods: Using the convenience sampling method, a questionnaire survey was conducted on 435 pregnant women in a tertiary hospital using the family Care Scale (APGAR), Index of Well-Being (IWB) and the Childbirth Self Efficacy Scale Short Form (CBSEI-32). Results: 1) Significant positive association between family care and well-being (r = 0.498, p < 0.001), family care and childbirth self-efficacy (r = 0.302, p < 0.01) , well-being and childbirth self-efficacy (r = 0.444, p < 0.01); 2) well-being played a partial mediating role in the influence of family care and childbirth self-efficacy, accounting for 64.17% of the total effect. Conclusion: Family care can directly affect childbirth self-efficacy, or indirectly through the partial mediating effect of well-being.
文章引用:张欢, 岳柚成, 梅云丹, 俞丽丽, 周明芳, 范尧 (2024). 孕妇家庭关怀对分娩自我效能的影响——幸福感的中介作用. 心理学进展, 14(4), 31-39. https://doi.org/10.12677/ap.2024.144191

参考文献

[1] 陈静(2022). 居民主观幸福感影响因素分析. 硕士学位论文, 南京: 南京邮电大学.
[2] 刘贤婷(2023). 多角度护理对降低产妇剖宫产率、提高产妇分娩自我效能感的作用. 中国医药指南, 21(15), 166-168.
[3] 刘小燕, 陈育紫, 卢德梅(2020). 妊娠晚期孕妇分娩恐惧与心理弹性、家庭功能的相关性分析. 中国计划生育和妇产科, 12(6), 60-64.
[4] 欧玉兰, 肖秀娟(2010). 不同情境下家庭支持对孕妇分娩自我效能的影响. 中国妇幼保健, 25(3), 315-317.
[5] 亓爱英(2020). 多维度护理对降低产妇剖宫产率与提高产妇分娩自我效能感的临床效果研究. 中国医药指南, 18(11), 25-27.
[6] 邱嵘, 花芸, 涂红星, 周倩, 杨湘妹, 肖静(2017). 社会支持和分娩自我效能增强干预对初产妇分娩应对能力的影响. 重庆医学, 46(10), 1319-1322.
[7] 王媛媛, 薛美(2022). 情绪干预释放疗法对初产妇分娩恐惧和分娩自我效能的影响. 河北医药, 44(23), 3590-3593.
[8] 温忠麟, 叶宝娟(2014). 中介效应分析: 方法和模型发展. 心理科学进展, 22(5), 731-745.
[9] 张辉, 罗建英, 白晓洁, 杨徐凡(2020). 马拉松赛事文化和城市居民幸福指数的关系——基于本地赛事参与者的调查. 中国体育科技, 56(6), 32-39 61.
[10] 张依, 金典, 谢雯如, 余梦婷(2023). 分娩自我效能影响因素的研究进展. 当代护士(上旬刊), 30(34), 9-12.[CrossRef
[11] 张瑜, 张春良, 王鑫(2021). 初产妇产后抑郁与育儿胜任感和家庭关怀的相关性分析. 中国妇幼保健, 36(21), 4895-4898.
[12] Atkins, L., Francis, J., Islam, R., O’Connor, D., Patey, A., Ivers, N., & Michie, S. (2017). A Guide to Using the Theoretical Domains Framework of Behaviour Change to Investigate Implementation Problems. Implementation Science, 12, Article No. 77.[CrossRef] [PubMed]
[13] Campbell, A., Converse, P., & Rodgers, W. L. (1976). The Quality of American Life: Perceptions, Evaluations and Satisfactions. Russell Sage.
[14] Cuñado, J., & De Gracia, F. P. (2012). Does Education Affect Happiness? Evidence for Spain. Social Indicators Research, 108, 185-196.[CrossRef
[15] Diener, E. (1984). Subjective Well-Being. Psychological Bulletin, 95, 542-575.[CrossRef
[16] Helliwell, J. F., & Putnam, R. D. (2004). The Social Context of Well-Being. Philosophical Transactions of the Royal Society of London. Series B: Biological Sciences, 359, 1435-1446.[CrossRef] [PubMed]
[17] Ip, W. Y., Chung, T. K., & Tang, C. S. (2008). The Chinese Childbirth Self-Efficacy Inventory: The Development of a Short Form. Journal of Clinical Nursing, 17, 333-340.[CrossRef] [PubMed]
[18] İsbir, G. G., İnci, F., Önal, H., & Yıldız, P. D. (2016). The Effects of Antenatal Education on Fear of Childbirth, Maternal Self-Efficacy and Post-Traumatic Stress Disorder (PTSD) Symptoms Following Childbirth: An Experimental Study. Applied Nursing Research, 32, 227-232.[CrossRef] [PubMed]
[19] Kuscu, M. K., Akman, I., Karabekiroglu, A., Yurdakul, Z., Orhan, L., Ozdemir, N., & Ozek, E. (2008). Early Adverse Emotional Response to Childbirth in Turkey: The Impact of Maternal Attachment Styles and Family Support. Journal of Psychosomatic Obstetrics & Gynecology, 29, 33-38.[CrossRef] [PubMed]
[20] Lowe, N. K. (1993). Maternal Confidence for Labor: Development of the Childbirth Self-Efficacy Inventory. Research in Nursing & Health, 16, 141-149.[CrossRef] [PubMed]
[21] Nan, H., Ni, M. Y., Lee, P. H., Tam, W. W., Lam, T. H., Leung, G. M., & McDowell, I. (2014). Psychometric Evaluation of the Chinese Version of the Subjective Happiness Scale: Evidence from the Hong Kong FAMILY Cohort. International Journal of Behavioral Medicine, 21, 646-652.[CrossRef] [PubMed]
[22] Nikolaev, B. (2018). Does Higher Education Increase Hedonic and Eudaimonic Happiness? Journal of happiness Studies, 19, 483-504.
[23] Podsakoff, P. M., MacKenzie, S. B., Lee, J. Y., & Podsakoff, N. P. (2003). Common Method Biases in Behavioral Research: A Critical Review of the Literature and Recommended Remedies. Journal of Applied Psychology, 88, 879-903.[CrossRef] [PubMed]
[24] Ray, T. K. (2021). Work Related Well-Being Is Associated with Individual Subjective Well-Being. Industrial Health, 6, 242-252.[CrossRef] [PubMed]
[25] Ryan, R. M., Rigby, S., & King, K. (1993). Two Types of Religious Internalization and Their Relations to Religious Orientations and Mental Health. Journal of Personality and Social Psychology, 65, 586-596.[CrossRef
[26] Skinner, H., Steinhauer, P., & Sitarenios, G. (2000). Family Assessment Measure and Process Model of Family Functioning. Journal of Family Therapy, 22, 190-210.[CrossRef
[27] Smilkstein, G. (1978). The Family APGAR: A Proposal for a Family Function Test and Its Use by Physicians. The Journal of Family Practice, 6, 1231-1239.[CrossRef
[28] Smilkstein, G., Ashworth, C., & Montano, D. (1982). Validity and Reliability of the Family APGAR as a Test of Family Function. The Journal of Family Practice, 15, 303-311.
[29] Tan, H., Luo, J., & Zhang, M. (2020). Higher Education, Happiness, and Residents’ Health. Frontiers in Psychology, 11, Article ID: 515276.[CrossRef] [PubMed]
[30] Tilden, E. L., Caughey, A. B., Lee, C. S., & Emeis, C. (2016). The Effect of Childbirth Self-Efficacy on Perinatal Outcomes. Journal of Obstetric, Gynecologic & Neonatal Nursing, 45, 465-480.[CrossRef] [PubMed]
[31] Tran, D. B., & Thi My Tran, H. (2019). Women’s Health: A Benefit of Education in Australia. Health Education, 119, 259-276.[CrossRef
[32] Yang, D., Zheng, G., Wang, H., & Li, M. (2022). Education, Income, and Happiness: Evidence from China. Frontiers in Public Health, 10, Article ID: 855327.[CrossRef] [PubMed]
[33] Zhang, Y., & Jin, S. (2016). The Impact of Social Support on Postpartum Depression: The Mediator Role of Self-Efficacy. Journal of Health Psychology, 21, 720-726.[CrossRef] [PubMed]