■探讨分娩自我效能感对初产妇第二、第三三个月分娩恐惧不耐受的影响路径的中介作用及感知伴侣反应性的潜在调节作用。
■共有429例初产妇在第二和第三个三个月完成了调查,其中包括一般信息问卷,不容忍不确定性量表,分娩自我效能感量表,感知合作伙伴响应能力量表,和分娩态度问卷。使用秩和检验比较不同组的分娩恐惧得分,并使用Spearman\'s相关性分析所有量表的得分。此外,使用PROCESSV3.4.1模型4(一个简单的中介模型)集中处理数据,模型5(调节了中介模型的直接路径),和非参数Bootstrap方法来检验中介效应和调节效应。
■研究表明,54.31%的参与者对分娩感到恐惧。他们对不确定性的不容忍得分,分娩自我效能感,感知的伴侣反应性为15.00(8.00),240.00(75.00),和72.00(19.00),分别。不同年龄组孕妇分娩恐惧量表评分存在显著差异,孕周,就业状况,家庭人均月收入(P<0.05)。根据我们的发现,不确定性的不容忍对分娩恐惧的直接和积极影响(β=0.76,P<0.001),分娩自我效能感在两者之间起部分中介作用,其间接效应为0.05,贡献率为6.17%。此外,在将感知合作伙伴反应能力量表的分数添加到模型中之后,感知的伴侣反应性对害怕分娩没有显著的预测作用,而知觉伴侣反应性量表和不耐受不确定度量表的乘积项对分娩恐惧有显著的预测作用(β=0.01,P<0.05),这表明感知的伴侣反应性也在对不确定性的不容忍和对分娩的恐惧之间发挥了调节作用。
医疗保健提供者可以通过减少对不确定性的不容忍来帮助初产妇减少对分娩的恐惧并改善其分娩体验,改善家庭支持,并教授应对策略。
UNASSIGNED: To explore the mediating effect of childbirth self-efficacy on the impact pathway of intolerance of uncertainty on the fear of childbirth in primiparas in the second and third trimesters and the potential moderating effect of perceived partner responsiveness.
UNASSIGNED: A total of 429 primiparas in their second and third trimesters completed the survey, which included general information questionnaire, Intolerance of Uncertainty Scale, Childbirth Self-Efficacy Inventory, Perceived Partner Responsiveness Scale, and Childbirth Attitudes Questionnaire. Rank sum test was used to compare the scores for the fear of childbirth among different groups and Spearman\'s correlation was used to analyze the scores for all the scales. In addition, the data were centrally processed by using PROCESS V3.4.1 Model 4 (a simple mediation model), Model 5 (the direct path of the mediation model was regulated), and non-parametric Bootstrap method to test the mediation effect and moderation effect.
UNASSIGNED: The study showed that 54.31% of the participants experienced fear of childbirth. Their scores for intolerance of uncertainty, childbirth self-efficacy, and perceived partner responsiveness were 15.00 (8.00), 240.00 (75.00), and 72.00 (19.00), respectively. There were significant differences in the scores for the fear of childbirth scale among pregnant women of different age groups, gestational weeks, employment statuses, and average per capita monthly income of the family ( P<0.05). According to our findings, intolerance of uncertainty directly and positively impacted on fear of childbirth ( β=0.76, P<0.001), with childbirth self-efficacy playing partial mediation role between them, its indirect effect being 0.05 and the contribution rate being 6.17%. In addition, after the scores of Perceived Partner Responsiveness Scale were added to the model, perceived partner responsiveness had no significant predictive effect for fear of childbirth, but the product term of the scores for Perceived Partner Responsiveness Scale and Intolerability Uncertainty Scale had significant predictive effect for fear of childbirth ( β=0.01, P<0.05), which suggested that perceived partner responsiveness also played a moderating role between intolerance of uncertainty and fear of childbirth.
UNASSIGNED: Health care providers can help primiparas reduce fear of childbirth and improve their childbirth experience by reducing perceived intolerance of uncertainty, improving family support, and teaching coping strategies.