心理一致感在初产妇健康素养与母亲角色适应间的相关性分析

Correlation analysis of psychological coherence between primipara's health literacy and mother's role adaptation

目的 了解初产妇母亲角色适应现状,并分析母亲角色适应与健康素养、心理一致感之间的相关关系。方法抽取2022年6月至2023年5月首都医科大学附属北京天坛医院产科收治的180名初产妇为调查对象,采用一般资料调查表、中文版心理一致感量表、围生期孕妇健康素养量表、母亲角色适应调查问卷进行测评;采用单因素和二元Logistic回归分析筛选影响初产妇母亲角色适应的因素;采用Pearson分析母亲角色适应与健康素养、心理一致感之间的相关性。结果 180名初产妇母亲角色适应评分为(53.45±7.22)分,健康素养评分为(184.62±22.34)分,心理一致感评分为(55.34±8.54)分;初产妇为独生女、人工喂养、初产妇文化水平高中及以下与母婴不同室是影响初产妇母亲角色适应危险因素(P<0.05);母亲角色适应与健康素养、心理一致感之间均呈正相关(P<0.05)。结论 初产妇母亲角色适应与健康素养、心理一致感评分均处于中等水平,且母亲角色适应与健康素养、心理一致感之间均呈正相关。提示医务人员应密切关注初产妇健康素养和心理一致感水平,并采取针对性健康教育以增强其母亲角色适应能力。

Objective To understand the current status of motherhood role adaptation in primiparous women and to analyze the correlation between motherhood role adaptation and health literacy and sense of psychological congruence.Methods A sample of 180 primigravid women admitted to the Department of Obstetrics of Beijing Tiantan Hospital Affiliated with Capital Medical University from June 2022 to May 2023 was selected for the survey.The general information questionnaire,Chinese version of the psychological consistency questionnaire,perinatal maternal health literacy scale,and mother's role adaptation questionnaire were used for the assessment.Univariate and binary logistic regression analyses were used to screen for factors affecting adaptation to the role of motherhood in primiparous women.Pearson's analysis was used to analyze the correlation between mother role adaptation and health literacy and sense of psychological congruence.Results The role adaptation score of 180 primiparous mothers was(53.45±7.22),health literacy score was(184.62±22.34),and sense of psychological congruence score was(55.34±8.54).Primigravida being an only child,artificial feeding,primigravida's literacy level of high school and below versus different rooms for mother and baby are risk factors for primigravida's mother role adaptation(P<0.05).There was a positive correlation between mother role adaptation and both health literacy and sense of psychological congruence(P<0.05).Conclusion The scores of mother's role adaptation and health literacy and psychological consistency of primiparous women were moderate and there was a positive correlation between mother's role adaptation and health literacy and psychological consistency of primiparous women.It is suggested that medical personnel should pay close attention to the level of health literacy and psychological consistency of primiparous women and adopt targeted health education to enhance their ability to adapt to the role of mothers.