Analysis Of Dyadic Coping And Influencing Factors Of Pregnant Women With Second Births And Their Spouses

ObjectiveTo clarify the status of dyadic coping of second-born pregnant women and their spouses,and analyze the influencing factors of dyadic coping and the correlation between these factors of sociodemographic factors,pregnancy pressure,marriage adjustment and other aspects.We aim to provide a reference for the effective identification of subjects that need to be focused on in clinical practice,the development of intervention studies.MethodsConvenient sampling method was used,240 pairs of second-born pregnant women and their spouses who underwent an obstetric examination in a hospital in Dalian from February 2020 to August were selected,and self-designed general situation questionnaire,Pregnancy Pressure Scale,Dyadic Coping Inventory,General Self-Efficacy Scale,Short Marital Adjustment and Prediction Test were used.The SPSS24.0 statistical software was used to analyze the data,the measurement data was analyzed between groups by paired t test,and the count data was analyzed between groups by chi-square test.The logistic regression equation was used to analyze the main influencing factors of binary coping of second-born pregnant women and their spouses.The test standard is α=0.05,P<0.05 as statistically significant.Results1.The total score of dyadic coping for pregnant women with a second child was(115.0±15.8),and the total score of dyadic coping for spouses was(114.2±17.7).2.The second-born pregnant woman and her spouse communicate in their own stress(t=5.078,P<0.01),authorize their response(t=2.781,P<0.01),communicate with perceived stress(t=-2.411,P<0.05)and self-efficacy(t=-3814,P<0.01)and pregnancy pressure(t=-1.989,P<0.05)scores are different;in self-supporting coping(r=0.139,P<0.05),self-negative coping(r=0.209),P<0.01),perceived negative coping(r=0.157,P<0.05),perceived authorization coping(r=0.251,P<0.01),coping with perception(r=0.295,P<0.01),and self-efficacy(r=0.242,P<0.01),pregnancy pressure(r=0.341,P<0.01),marriage debugging(r=0.154,P<0.05)scores were related,and all were positively correlated.3.The dyadic coping of second-born pregnant women is significantly positively correlated with their own self-efficacy(r=0.400,P<0.01)and marriage adjustment(r=0.247,P<0.01);and their own pregnancy pressure(r=-0.170,P<0.01)showed a significant negative correlation;and the marriage adjustment of his spouse(r=0.165,P<0.05)showed a positive correlation.4.The self-efficacy,marital adjustment,education level of their spouses,and perceived negative coping of second-born pregnant women are the main predictors of second-born pregnant women’s dyadic coping.Conclusion1.The dyadic coping status of second-born pregnant women and their spouses is at a moderate level,and there is a certain risk of coping disorders.2.The dyadic coping level of second-born pregnant women is correlated with self-efficacy,marriage adjustment and pregnancy pressure.Among them,it is positively related to self-efficacy and marriage adjustment;negatively related to pregnancy pressure.3.Pregnant women’s self-efficacy,marriage adjustment,spouse’s education level and perceived negative coping are all influencing factors of dyadic coping for second-born pregnant women.Among them,pregnant women’s self-efficacy,marital adjustment and spouse’s education are positive predictors;spouse’s perceived negative coping is negative predictor.4.In the future,the nursing of second-born pregnant women should be considered from the dual perspective of pregnant women and their spouses.