摘要
目的:分析家庭亲密度和适应性对产后盆底功能障碍女性应对方式的影响。方法:选取2017年5月至2018年4月在福建某三级甲等医院妇科门诊就诊的产后盆底功能障碍患者143名,采用医学应对方式问卷(MCMQ)、家庭亲密度和适应性量表(FACESⅡ)进行问卷调查,了解产后盆底功能障碍女性家庭亲密度和适应性以及应对方式的现状,并分析两者之间的关系。结果:产后盆底功能障碍女性的实际亲密度、实际适应性、理想适应性得分均低于国内常模,差异有统计学意义(P<0.05);应对方式方面,面对得分远低于国内女性常模,回避和屈服得分远高于国内女性常模,差异有统计学意义(P<0.01)。回归分析显示,控制人口学变量之后,实际亲密度、亲密度不满意程度、实际适应性、适应性不满意程度分别可解释盆底功能障碍女性面对、回避和屈服得分总变异的10.9%、10.6%和10.4%。结论:产后盆底功能障碍女性家庭亲密度和适应性水平低,应对方式不积极,且家庭亲密度和适应性是其影响因素,针对患者的家庭亲密度和适应性进行干预可改善患者的应对水平。
Objective:To determine the impact of family cohesion and adaptation on coping styles of postpartum women with Pelvic Floor Dysfunction.Methods:A total of 143 postpartum women with pelvic floor dysfunction were recruited and investigated through Medical Coping Modes Questionnaire (MCMQ),Family Adaptation and Cohesion Evaluation Scales Ⅱ (FACES Ⅱ).The relationship between family support and coping styles of postpartum women with Pelvic Floor Dysfunction was analyzed.Results:The scores of real cohesion,real adaptation and ideal adaptation of postpartum women with Pelvic Floor Dysfunction were significantly lower than the domestic norms (P<0.05).In terms of coping style,scores of facing realities were significantly lower than those of domestic females,and the scores of avoidance and submission were significantly higher than those of domestic females (P<0.01).Regression analysis showed that real family adaptation,dissatisfaction of family adaptation,real family cohesion and dissatisfaction of family cohesion could explain 10.9%,10.6%and 10.4%,respectively,of the total variance of the facing,avoidance and submission coping of postpartum women with pelvic floor dysfunction after demographic variables being controlled.Conclusion:The level of family cohesion and adaptation of postpartum women with Pelvic Floor Dysfunction is low with relatively negative copying styles.And the family cohesion and adaptation is an important factor that affects patients'responses.Intervention towards family cohesion and adaptation might improve the level of copying.
作者
林润
陈晓欢
金调芬
黄玉敏
LIN Run;CHEN Xiaohuan;JIN Tiaofen;HUANG Yumin(Fujian Provincial Hospital,Fuzhou,Fujian province,350001,China)
出处
《中国护理管理》
CSCD
北大核心
2019年第2期211-215,共5页
Chinese Nursing Management
基金
中华护理学会2017-2018年度立项科研课题(ZHKY201714)
2017年福建医科大学启航基金项目计划(2017XQ1148)
关键词
家庭亲密度和适应性
盆底功能障碍
女性
应对方式
family cohesion and adaptation
Pelvic Floor Dysfunction
female
coping styles
