Abstract:

Objective To explore the dyad coping experience of stress in pregnant women with undifferentiated connective tissue disease and their spouses，providing a basis for developing dyadic coping intervention measures. Methods By purposive sampling，15 pairs of pregnant women and their spouses who visited the outpatient clinic for pregnancy complicated with immune diseases in a maternity hospital in Jiangsu Province from April to August 2023 were selected as the research subjects for semi-structured interviews. Content analysis was conducted using the Colaizzi 7-step method，and an interview outline and integrated themes were developed based on the Developmental Contextual Coping Model. Results 3 themes（coexistence of positive and negative stress experiences；diverse approaches to dyadic coping with stress；growth and challenges following stress adaptation） and 11 subthemes were identified. Conclusion Healthcare professionals should attach importance to the stress coping issues of pregnant women with undifferentiated connective tissue disease and their spouses，take measures to regulate the negative emotions of couples，ensure multi-faceted support，help the couple adopt positive coping strategies，and promote good stress adaptation.

Key words: Undifferentiated Connective Tissue Disease, Pregnant Women, Spouses, Dyadic Coping, Qualitative Research, Obstetrical Nursing

摘要：

目的 探讨未分化结缔组织病合并妊娠孕妇及其配偶压力二元应对体验，为制订二元应对干预措施提供依据。方法 采用目的抽样法，选取2023年4月—8月在江苏省某妇产医院妊娠合并免疫疾病门诊就诊的15对孕妇及其配偶作为研究对象，进行半结构式访谈，采用Colaizzi 7步分析法进行内容分析，基于发展背景应对模型制订访谈提纲及整合主题。结果 未分化结缔组织病合并妊娠孕妇及其配偶压力二元应对体验可归纳为3个主题（积极与消极压力体验并存；压力二元应对的方式多样；压力适应后的成长与挑战）和11个亚主题。结论 医护人员应重视未分化结缔组织病合并妊娠孕妇及其配偶的压力应对问题，采取措施调节夫妇双方负性情绪，强化多方支持，帮助夫妇采取积极应对方式，促进良好压力适应。

关键词: 未分化结缔组织病, 孕妇, 配偶, 二元应对, 质性研究, 产科护理