复发性流产患者再妊娠过程不确定性感知的影响因素及护理启示

doi:10.3761/j.issn.0254-1769.2025.14.002

摘要/Abstract

摘要：

目的调查复发性流产患者再妊娠过程不确定性感知现状，并基于健康生态学模型系统探究其影响因素，为降低其再妊娠过程不确定性感知水平、提高生活质量提供参考。方法采用便利抽样法，于2023年12月—2024年6月，选取在苏州市某三级甲等综合医院2个院区生殖门诊就诊的260例复发性流产再妊娠患者作为调查对象，使用一般资料调查表、无法忍受不确定性量表简版、广泛性焦虑障碍量表、简易应对方式问卷进行调查，通过单因素分析及多元线性回归分析探讨复发性流产患者再妊娠过程不确定性感知的影响因素。结果共回收256份有效问卷，有效问卷回收率为98.5%。复发性流产再妊娠患者无法忍受不确定性量表简版得分为（35.18±9.23）分。多元线性回归分析结果发现，家庭人均月收入、居住地、辅助生殖技术助孕史、焦虑与应对方式是复发性流产患者再妊娠过程不确定性感知的影响因素（P<0.05）。结论复发性流产患者再妊娠过程不确定性感知处于中等水平，医护工作者应重视其不确定性感知并及早识别，增强心理支持，改善心理健康。

关键词: 不确定性, 复发性流产, 健康生态学模型, 焦虑, 应对, 产科护理

Abstract:

Objective To investigate the status of perceived uncertainty in the process of re-pregnancy in patients with recurrent abortion，and to systematically explore the influencing factors based on the health ecology model，to inform a reduction in the level of perceived uncertainty about their re-pregnancy and improve their quality of life. Methods A convenience sampling method was used to investigate 260 patients with recurrent spontaneous abortion during re-pregnancy from 2 reproductive clinics of a tertiary A hospital in Suzhou，from December 2023 to June 2024，and they were investigated by a self-designed general data questionnaire，Intolerance of Uncertainty Scale-12，Generalized Anxiety Disorder Scale and Simple Coping Style Questionnaire. The single factor analysis and multiple linear regression methods were used to analyze the influences factors of perceived uncertainty in patients with recurrent spontaneous abortion during re-pregnancy. Results A total of 256 valid questionnaires were collected，with a recovery rate of 98.5%. The score of intolerance of uncertainty in patients with recurrent spontaneous abortion during re-pregnancy was（35.18±9.23）. Multiple linear regression analysis found that average monthly family income，residence，history with assisted reproductive therapy，anxiety and coping were the factors influencing the feeling of perceived uncertainty in patients with recurrent spontaneous abortion during re-pregnancy（P<0.05）. Conclusion The level of perceived uncertainty in patients with recurrent spontaneous abortion during re-pregnancy is at a medium level. Medical workers should pay attention to the early identification of the perceived uncertainty in patients，enhance the psychological support for patients，and improve their mental health.

Key words: Uncertainty, Recurrent Spontaneous Abortion, Health Ecology Model, Anxiety, Coping, Obstetrical Nursing

张梦, 李颖, 薛海燕, 谭丽萍. 复发性流产患者再妊娠过程不确定性感知的影响因素及护理启示[J]. 中华护理杂志, 2025, 60(14): 1677-1683.

ZHANG Meng, LI Ying, XUE Haiyan, TAN Liping. Analysis of influencing factors of perceived uncertainty in the process of re-pregnancy in patients with recurrent abortion and nursing implications[J]. Chinese Journal of Nursing, 2025, 60(14): 1677-1683.

图/表 2

表1 调查对象的一般资料及再妊娠过程不确定性感知的单因素分析（n=256）

Table 1 A one-way analysis of the general information of the respondents and the perceived uncertainty of the re-pregnancy process（n=256）

表2 复发性流产患者再妊娠过程不确定性感知的多元线性回归分析（n=256）

Table 2 Multiple linear regression analysis of perceived uncertainty in the process of re-pregnancy in patients with recurrent abortion（n=256）

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