The Revision Of The Revised Prenatal Coping Inventory And Using In Pregnant Women

ObjectivesThe study aimed to translate the English version of the Revised Prenatal Coping Inventory(NuPCI)into Chinese and to evaluate its reliability and validity in women with pregnancy.Then,to investigate coping style of pregnant women and explore its influence factors.MethodsAccording to the translation mode of the scale,the Chinese version of NuPCI was developed through translation,back translation and cultural adjustment.A total of 210 pregnant women who underwent regular obstetrics and gynecology examinations in atertiary hospital and a community health service center in Tianjin from October 2017 to January 2018 were recruited and were investigated by the Chinese version of NuPCI.Item analysis of the Chinese version of NuPCI was performed with critical ratio method and Pearson correlation coefficient.Structural validity of the Chinese version of NuPCI was assessed by factor analysis.Criterion-related validity of the Chinese version of NuPCI was tested by correlation of each dimension of Chinese version of NuPCI scores with each dimension of SCSQ scores.Cronbach’s α and the test-retest reliability were applied to assess of the reliability of the Chinese version of NuPCI.During February to July 2018,A convenience sample of 242 pregnant women who underwent regular obstetrics and gynecology examinations in atertiary hospital and a community health service center in Tianjin were recruited and were investigated by a series of questionnaires,including socio-demographic questionnaire,the Chinese version of NuPCI,Pregnant Pressure Scale(PPS)、Perceived Social Support Scale(PSSS)、General Self-efficacy Scale(GSES)and Hospital Anxiety and Depression Scale(HADS).ResultsThe introduction of Chinese NuPCI: Exploratory factor analysis extracted a total of 4 common factors,which were named avoidance(12 items),planning preparation-psychology(7 items),planning preparation-knowledge(7 items)and spiritual-positive coping(4 items),the cumulative variance contribution rate was 61.247%,the factor load of each item on its common factor was greater than 0.400.The internal consistency reliability coefficients were 0.919 for the total NuPCI,and 0.767~0.940 for every dimension.Test-retest reliability were 0.914 for the total NuPCI,and 0.876~0.931 for every dimension.The Pearson correlation coefficient between the score of avoidance and negative coping dimension was 0.466(P<0.001),the Spearman correlation coefficient between the score of planning preparation-psychology and positive coping dimension was 0.508(P<0.001),the Spearman correlation coefficient between the score of planning preparation-knowledge and positive coping dimension was 0.469(P<0.001),the Spearman correlation coefficient between the score of spiritual-positive coping and positive coping dimension was 0.284(P<0.001).The application of Chinese NuPCI: 242 valid questionnaires were collected in the study.When pregnant women face the stress of pregnancy,the most commonly used management method is spiritual-positive coping,and the least commonly used management method is avoidance.The results of multiple regression analysis showed that gestational age,abortion history,PPS,support out of family,GSES and HADS-D were the influencing factors of Avoidance,which accounted for 47.5% of the total variation;the average monthly income,gestational age,pregnancy intention,support of family,GSES and HADS-D were the influencing factors of planning preparation-psychology,which accounted for 41.1% of the total variation;the average monthly income,gestational age,parity,PPS,GSES and HADS-A were the influencing factors of planning preparation-knowledge,which accounted for 40.8% of the total variation;the average monthly income,gestational age,pregnancy intention,abortion history and PPS were the influencing factors of the spiritual-positive coping,which accounted for 28.7% of the total variation.ConclusionsThe Chinese version of NuPCI has good reliability and validity,which can be used to assess coping style of pregnant women in China.The most commonly used coping style in pregnant women was spiritual-positive coping,and the least commonly used coping style was avoidance.Social and demographic factors,pregnancy-related factors,cognitive and emotional factors all can influence the selection of prenatal coping style in pregnant women.Doctors and nurses should take effective measures to improve pregnancy stress coping style,improve their pregnancy happiness level and quality of life.