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| 社会支持在人类免疫缺陷病毒感染孕产妇负性情绪和应对方式之间的中介效应 |
| 覃寿学1*,施容光2,农燕丽3,卢炳炎4,程玉清5 |
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(1. 贵港市妇幼保健院儿童保健科, 贵港 537100;
2. 贵港市妇幼保健院信息科, 贵港 537100;
3. 桂平市妇幼保健院保健部, 桂平 537200;
4. 平南县人民医院感染科, 平南 537300;
5. 平南县妇幼保健院妇产科, 平南 537300
*通信作者) |
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| 摘要: |
| 目的 探讨社会支持在人类免疫缺陷病毒（HIV）感染孕产妇负性情绪与应对方式之间的中介效应。方法 利用社会支持评定量表（SSRS）、预防HIV母婴传播知信行量表（KAPS-PMTCT）、焦虑自评量表（SAS）、抑郁自评量表（SDS）、Berger HIV感知歧视量表（BHSS）和简易应对方式问卷（SCSQ），通过方便抽样的方法选取202名HIV感染孕产妇进行测试，采用Pearson相关分析和结构方程模型分析变量之间的关系。结果 社会支持、负性情绪与应对方式两两之间的总得分均存在相关性；社会支持总分与负性情绪总分（P<0.05）、消极应对得分（P<0.01）均呈负相关，与积极应对得分呈正相关（P<0.01）；负性情绪总分与积极应对得分呈较弱的负相关（P＝0.07），与消极应对得分呈较强的正相关（P<0.01）。结构方程模型表明负性情绪主要是通过社会支持的中介作用间接影响HIV感染孕产妇的应对方式（χ2/df=1.835，拟合优度指数为0.975，调整拟合优度指数为0.961，范式拟合指数为0.950，增值拟合指数为0.938，比较拟合指数为0.981，简约调整比较拟合指数为0.452，近似误差均方根为0.064），对积极应对与消极应对总的中介效应量分别为－0.273、0.522。结论 社会支持是HIV感染孕产妇负性情绪与应对方式之间的重要中介变量。 |
| 关键词: 人类免疫缺陷病毒 孕产妇保健 情绪关注应对 中介 结构方程模型 |
| DOI：10.16781/j.0258-879x.2017.12.1537 |
| 投稿时间：2017-07-30修订日期：2017-10-29 |
| 基金项目:广西贵港市科学研究与技术开发计划项目（GKC1504041）. |
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| Mediating effect of social support on relationship between negative emotion and coping style in HIV-infected pregnant women |
| QIN Shou-xue1*,SHI Rong-guang2,NONG Yan-li3,LU Bing-yan4,CHENG Yu-qing5 |
(1. Department of Children's Health Care, Guigang Maternal and Child Health Care Hospital, Guigang 537100, Guangxi Zhuang Autonomous Region, China;
2. Department of Information, Guigang Maternal and Child Health Care Hospital, Guigang 537100, Guangxi Zhuang Autonomous Region, China;
3. Department of Health Care, Guiping Maternal and Child Health Care Hospital, Guiping 537200, Guangxi Zhuang Autonomous Region, China;
4. Department of Infection, Pingnan People's Hospital, Pingnan 537300, Guangxi Zhuang Autonomous Region, China;
5. Department of Obstetrics and Gynecology, Pingnan County Maternal and Child Health Care Hospital, Pingnan 537300, Guangxi Zhuang Autonomous Region, China
*Corresponding author) |
| Abstract: |
| Objective To explore the mediating effect of social support on the relationship between negative emotion and coping style in human immunodeficiency virus (HIV)-infected pregnant women. Methods A total of 202 HIV-infected pregnant women were enrolled by a convenient sampling method in this study. Participants completed questionnaires including social support rating scale (SSRS), knowledge, attitudes and practices scale for preventing mother-to-child transmission of human immunodeficiency virus (KAPS-PMTCT), self-rating anxiety scale (SAS), self-rating depression scale (SDS), Berger HIV stigma scale (BHSS), and simplified coping style questionnaire (SCSQ). The relationships of these variables were analyzed by Pearson correlation analysis and structure equation modeling analysis. Results The correlations between negative emotion, social support and coping style were all significant. Social support was negatively correlated with negative emotion (P<0.05) and negative coping style (P<0.01), and was positively correlated with positive coping style (P<0.01). Negative emotion was weakly negatively correlated with positive coping style (P=0.07), and was strongly positively correlated with negative coping style (P<0.01). Structure equation modeling analysis showed that negative emotion indirectly affected the coping style of HIV-infected pregnant women mainly through the mediating effect of social support (χ2/df=1.835, foodness of fit index[GFI]=0.975, adjusted goodness of fit index[AGFI]=0.961, normed fit index[NFI]=0.950, incremental fit index[IFI]=0.938, comparative fit index[CFI]=0.981, parsimony comparative fit index[PCFI]=0.452, root mean square error approximation[RMSEA]=0.064), with the total amount of mediating effect of the positive coping style and negative coping style being -0.273 and 0.522, respectively. Conclusion Social support is an important mediator between negative emotion and coping style in HIV-infected pregnant women. |
| Key words: human immunodeficiency virus maternity care emotion focused coping mediation structural equation model |
