围生期丧失产妇配偶的悲伤现状及影响因素分析

Status quo and influencing factors of grief in maternal spouses after perinatal loss

目的调查围生期丧失产妇配偶的悲伤现状,并分析其影响因素,为男性配偶悲伤支持策略的制订提供依据。方法采用便利抽样法,选取2022年3—10月在南京市妇幼保健院产科住院的180名产妇配偶为研究对象,使用一般资料调查表、围生期悲伤量表、家庭亲密度与适应性量表、社会支持评定量表、简易应对方式问卷进行横断面调查。结果围生期丧失产妇配偶的围生期悲伤量表总分为(61.57±14.14)分,家庭亲密度与适应性量表总分为(121.00±14.42)分,社会支持评定量表总分为(34.23±7.21)分,简易应对方式问卷总分为(36.08±7.64)分。多元线性回归分析显示,参与胎儿互动、丧失胎儿胎龄、社会支持、家庭适应性是影响围生期丧失产妇配偶悲伤的主要因素(P<0.05)。结论围生期丧失产妇配偶的悲伤处于低水平,医护人员可参照影响因素,实施有效的支持方案,尊重并理解配偶的父亲身份,协调社会支持资源,提升家庭共同应对能力,从而减轻男性的悲伤,帮助其回归正常生活。

Objective To investigate the status of grief among maternal spouse after perinatal loss,and analyze its influencing factors,so as to provide some reference for male grief supporting strategic.Methods Using the convenient sampling method,180 male spouses of hospitalized women in the Department of Obstetrics from Nanjing Maternity and Child Health Care Hospital from March to October 2022 were recruited.A cross-sectional survey was conducted by the general questionnaire,the Perinatal Grief Scale,the Family Adaptability and Cohesion ScaleⅡ-Chinese Version,the Social Support Rating Scale,and the Simplified Coping Style Questionnaire.Results The overall score of the Perinatal Grief Scale in male spouses of women who experienced a perinatal loss was(61.57±14.14)points.The score of the Family Adaptability and Cohesion ScaleⅡ-Chinese Version was(121±14.42)points,the score of the Social Support Rating Scale was(34.23±7.21)points,and the score of the Simplified Coping Style Questionnaire was(36.08±7.64)points.Multiple linear regression analysis showed that participation in fetal interaction,loss of fetal age,social support and family adaptability were the main factors affecting male grief(P<0.05).Conclusions The grief among male spouses of women who experienced a perinatal loss is at a low level.The clinical medical staff can refer to the influencing factors and implement effective support,such as respecting the male's father status,coordinating social support resources,and improving the family's coping ability,in order to alleviate men's grief and help them return to normal life.