本文選題：人類免疫缺陷病毒　切入點：孕產(chǎn)婦保健　出處：《第二軍醫(yī)大學學報》2017年12期

【摘要】：目的探討社會支持在人類免疫缺陷病毒(HIV)感染孕產(chǎn)婦負性情緒與應對方式之間的中介效應。方法利用社會支持評定量表(SSRS)、預防HIV母嬰傳播知信行量表(KAPS-PMTCT)、焦慮自評量表(SAS)、抑郁自評量表(SDS)、Berger HIV感知歧視量表(BHSS)和簡易應對方式問卷(SCSQ),通過方便抽樣的方法選取202名HIV感染孕產(chǎn)婦進行測試,采用Pearson相關分析和結構方程模型分析變量之間的關系。結果社會支持、負性情緒與應對方式兩兩之間的總得分均存在相關性;社會支持總分與負性情緒總分(P0.05)、消極應對得分(P0.01)均呈負相關,與積極應對得分呈正相關(P0.01);負性情緒總分與積極應對得分呈較弱的負相關(P=0.07),與消極應對得分呈較強的正相關(P0.01)。結構方程模型表明負性情緒主要是通過社會支持的中介作用間接影響HIV感染孕產(chǎn)婦的應對方式(χ~2/df=1.835,擬合優(yōu)度指數(shù)為0.975,調整擬合優(yōu)度指數(shù)為0.961,范式擬合指數(shù)為0.950,增值擬合指數(shù)為0.938,比較擬合指數(shù)為0.981,簡約調整比較擬合指數(shù)為0.452,近似誤差均方根為0.064),對積極應對與消極應對總的中介效應量分別為-0.273、0.522。結論社會支持是HIV感染孕產(chǎn)婦負性情緒與應對方式之間的重要中介變量。
[Abstract]:Objective to investigate the mediating effect of social support between negative emotion and coping style in pregnant women infected with HIV.Methods using the Social support rating scale (SSRS), the KAPS-PMTCTT scale for the Prevention of Mother-to-Child Transmission (HIV), the Self-Rating anxiety scale (SAS), the Self-Rating Depression scale (SDS), the Berger HIV perceived Discrimination scale (BHSS) and the simplified coping style questionnaire (SCSQS), we selected 202,202 by convenient sampling method.HIV infected pregnant women were tested,Pearson correlation analysis and structural equation model are used to analyze the relationship between variables.Results the total scores of social support, negative emotion and coping style were all correlated, and the total score of social support was negatively correlated with the total score of negative emotion (P0.05) and negative coping score (P0.01).The total score of negative emotion was negatively correlated with the score of positive coping (P < 0.07) and positively correlated with the score of negative coping (P 0.01).The structural equation model shows that negative emotion indirectly affects the coping style of pregnant women infected with HIV mainly through the intermediary role of social support (蠂 ~ 2 / dffg 1.835, goodness of fit index 0.975, adjusted goodness of fit index 0.961, normal form fitting index 0.950, increment value).The fitting index is 0.938, the comparison fitting index is 0.981. the reduced adjustment comparison fitting index is 0.452, the approximate error root mean square is 0.064, and the total mediating effect for positive coping and negative coping is -0.273or 0.522, respectively.Conclusion Social support is an important mediating variable between negative emotion and coping style of HIV infected pregnant women.
【作者單位】： 貴港市婦幼保健院兒童保健科;貴港市婦幼保健院信息科;桂平市婦幼保健院保健部;平南縣人民醫(yī)院感染科;平南縣婦幼保健院婦產(chǎn)科;
【基金】：廣西貴港市科學研究與技術開發(fā)計劃項目(GKC1504041)~~
【分類號】：R512.91

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