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目的 :调查高龄双胎孕妇妊娠压力水平并分析其影响因素。方法 :采用妊娠压力量表(36-item Pregnancy Stress Rating Scale,PSRS36)、领悟社会支持量表(Perceived Social Support Scale,PSSS)、简易应对方式问卷(Simplified Coping Style Questionnaire,SCSQ)和一般资料调查表对168例高龄双胎孕妇进行问卷调查。结果:孕妇压力总分为(50.54±16.92)分,领悟社会支持总分为(69.68±9.05)分,积极应对为(1.88±0.50)分,消极应对为(1.10±0.48)分;领悟社会支持各维度、积极应对与妊娠压力呈显著负相关,消极应对与妊娠压力呈正相关。妊娠合并症、消极应对、领悟社会支持能够解释妊娠压力得分变异量的55.1%。结论 :本研究中高龄双胎孕妇妊娠压力处于中等水平,护理人员应大力加强产前教育,针对高龄双胎孕妇具体情况进行护理和指导,从而降低高龄双胎孕妇的妊娠压力,更好地帮助高龄双胎孕妇顺利度过妊娠期及分娩期。
OBJECTIVE: To investigate the pregnancy stress level of the elderly twin pregnant women and analyze the influencing factors. Methods: PSRS 36, Perceived Social Support Scale (PSSS), Simplified Coping Style Questionnaire (SCSQ) and General Data Questionnaire 168 pregnant women with twin pregnancy were surveyed. Results: The total score of stress of pregnant women was (50.54 ± 16.92) points, the total score of perceived social support was (69.68 ± 9.05) points, positive coping was (1.88 ± 0.50) points and negative coping was (1.10 ± 0.48) In each dimension, there was a significant negative correlation between positive coping and pregnancy pressure, negative coping and pregnancy pressure. Pregnancy complications, negative coping and comprehending social support can explain 55.1% of the variation of pregnancy stress scores. CONCLUSIONS: In this study, pregnant women with twin pregnancies at middle age were at a moderate level of pregnancy stress. Nursing staff should strengthen prenatal education so as to help them with their care and guidance on the specific conditions of pregnant women with twin pregnancies, thus helping to reduce the pregnancy stress of pregnant women with twin pregnancies Elderly twin pregnant women successfully passed the pregnancy and childbirth.