Research On Correlation Between Elderly Multipara Health Promotion Behavior And Family Function And Sense Of Coherence During Pregnancy

Objectives:To investigate the current situation of elderly multipara health promotion behaviors,family function and sense of coherence during pregnancy,understand the real experience of health promoting behaviors in elderly multipara during pregnancy and to further explore the influencing factors of health promotion behaviors,in order to focus on and guide the elderly multipara to implement health behaviors that are beneficial to themselves and the fetus during pregnancy,improve family functions and the sense of coherence.Promote clinical medical personnel to help them do well in perinatal care and maintain their physical and mental health from different perspectives.Method:This study is divided into two parts:the quantitative research and qualitative research.Quantitative studies used the convenient sampling method to select 225 elderly multiparous who were eligible for inclusion in the obstetrics clinic of a top-three hospital in Shandong Province from June 2017 to October 2017.Subjects were surveyed using a general data questionnaire,HPLPII,FACES ?-CV,and SOC-13.SPSS21.0,AMOS 17.0 statistical software was used for entry and analysis.Statistical analysis mainly includes:description analysis,t-test,single factor analysis,Pearson correlation,structural equation model,and so on.The second part,qualitative research,adopts phenomenological research method to conduct in-depth interviews with 15 elderly multiparous,data collation and analysis adopt Colaizzi seven step analysis method.Results:1.The total score of health promotion behaviors for elderly multipara during pregnancy(2.65±0.38).The scores in each dimension were interpersonal(2.75±0.41),exercise(2.24±0.53),nutrition(2.83±0.43),health responsibility(2.57±0.44),self-realization(2.84±0.48),stress response(2.65±0.43).2.The total score of the family function for elderly multipara(121.58±13.95).The scores in the two dimensions were:intimacy(70.73±7.76)and adaptability(50.84±6.89).3.The total score of Sense of coherence for elderly multipara(4.89±0.68),the three dimensions were:comprehensible(4.89±0.92),controllable(4.65±0.79),and sense(5.14±0.81).4.Independent sample t-test and analysis of variance showed that:the influence of factors such as the residence,payment methods,monthly income per family,family relationship,pregnant women and husband's education,pregnant women and husband's occupation,gestational age,history of hospitalization,pregnancy planning in the effects of health promotion during pregnancy has statistical significance(P<0.05).The influence of the factors such as age,nationality,history of adverse pregnancy,abortion,gender expectation,pregnancy complications,parity in the effects of health promotion during pregnancy has no statistical significance(P>0.05).Age,ethnicity,residence,family relationships,planned pregnancy,pregnant women and husband's education,pregnant women and husband's occupation,payment methods,and family average monthly income had significant differences in maternal family function(P<0.05).There was a statistically significant difference in the score of sence of coherence among age,pregnant women's occupation,payment methods,and pregnancy complications(P<0.05).5.Pearson correlation analysis showed that there was a moderate positive correlation between family function and health promotion behavior(r=0.564,P<0.01),and there was a low positive correlation between Sense of coherence and health promotion behavior(r=0.326,P<0.01).There was a low positive correlation between family function and Sense of coherence(r=0.365,P<0.01).6.The structural equation model shows that the total effect of family function influencing health promotion behavior is 0.629,the standardized direct effect is 0.564,and the standardized indirect effect is 0.065,in which the mediating effect is 10.33%,and the Sense of coherence plays a partial mediating role in family function on the health promotion behavior during pregnancy.7.The actual experience of health promotion behaviors among pregnant women during pregnancy can be grouped into four themes:lack of relevant knowledge,health behaviors taken,perceived risk factors,and favorable factors experienced.Conclusion:1.The health promotion of elderly multipara during pregnancy is in a good sub-level and still needs further improvement.2.Place of residence,payment methods,family monthly income,family relationships,pregnant women and husband's academic qualifications,pregnant women and husband's occupation,gestational age,history of hospitalization,whether the pregnancy planning are the factors influencing the health promotion during pregnancy of elderly multipara.3.The better the maternal family function,the higher the sense of coherence and the better the level of health promotion during pregnancy.4.Sense of coherence plays a partial mediating role in family function on the health promotion behavior during pregnancy.5.Clinical medical personnel should pay attention to the actual experience of health promotion behaviors of pregnant women during their pregnancy,do well in health education and humanistic care,and help them to tap internal positive mentalities,reduce stress and actively respond.