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Predictors of psychosocial adaptation to pregnancy among urban African-American primiparas.

机译：城市非裔美国人初产妇对怀孕进行社会心理适应的预测因素。

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摘要

Psychosocial adaptation to pregnancy among urban African-American women has not been well-researched. The purpose of this study was to examine predictors of psychosocial adaptation to pregnancy and to explore relationships among socioeconomic status, experiences and frequency of discrimination, personal control beliefs, social support, planned pregnancy, and model of health care among urban African-American primiparas using life course theory and Lederman's model of psychosocial adaptation to pregnancy as the framework.;One hundred and nine women participated in this descriptive, cross-sectional, correlational study. Participants were recruited from three clinical sites that provided care using medical and/or midwifery models of care. Study variables were measured using the Prenatal Self-Evaluation Questionnaire - II; Internality, Powerful Others, and Chance Scales; Norbeck Social Support Questionnaire; Experiences of Discrimination instrument; and a researcher-developed Demographics and Personal Characteristics Questionnaire.;Descriptive and inferential statistics were used to describe the sample and identify predictors of psychosocial adaptation to pregnancy. Higher adaptation was associated with social support received from the woman's partner or mother, a relationship with the father of the baby, planned pregnancy, and receiving care from a Certified Nurse-Midwife. Lower adaptation to pregnancy was associated with the personal control belief of chance. Five variables predicted psychosocial adaptation to pregnancy and explained 29% of the variance: personal control belief of chance, current relationship with father of the baby, planned pregnancy, midwifery model of care, and affirmation social support provided by the woman's mother.;Knowledge of predictors of psychosocial adaptation to pregnancy assists health care providers to develop and implement intervention strategies to assess relationships important to urban African-American first-time mothers and provide needed support during the transition to motherhood. This study explored predictors of adaptation in a previously unstudied population, urban African-American primiparas; and added two new predictors to the existing body of literature regarding psychosocial adaptation to pregnancy: affirmation support provided by the woman's mother, and midwifery care.
机译：尚未对都市黑人妇女中对怀孕的心理社会适应进行充分研究。这项研究的目的是检查心理社会适应妊娠的预测因素，并探讨社会经济地位，经历和歧视频率，个人控制信念，社会支持，计划怀孕以及城市非裔美国人初产妇的医疗保健模式之间的关系。生命过程理论和莱德曼对怀孕的心理社会适应模型作为框架。一百零九名妇女参加了这项描述性，横断面，相关性研究。从三个使用医疗和/或助产士护理模式提供护理的临床地点招募参与者。研究变量使用产前自我评估问卷-II进行测量；内在性，强大的他人性和机会量表；诺贝克社会支持问卷；歧视文书的经验； ；以及研究人员开发的人口统计学和个人特征调查表。；描述性和推断性统计数据用于描述样本，并确定心理社会适应妊娠的预测因素。较高的适应能力与从女性伴侣或母亲那里获得的社会支持，与婴儿父亲的关系，计划怀孕以及获得认证的助产士的照料有关。对怀孕适应性较低与个人控制机会的信念有关。五个变量预测了对怀孕的心理社会适应性并解释了29％的方差：个人控制机会的信念，与婴儿父亲的当前关系，计划怀孕，助产服务模式以及妇女母亲所提供的肯定社会支持。怀孕的心理社会适应性预测因素可帮助卫生保健提供者制定和实施干预策略，以评估对城市非裔美国人首次母亲至关重要的关系，并在向母亲过渡期间提供所需的支持。这项研究探索了以前未被研究的城市非裔美国人原始人群适应的预测因子。并在现有文献中增加了两个有关孕妇心理社会适应的新预测因子：妇女母亲提供的肯定支持和助产保健。

著录项

  • 作者

    Visger, Joan Marie.;

  • 作者单位

    Wayne State University.;

  • 授予单位 Wayne State University.;
  • 学科 Health Sciences Nursing.
  • 学位 Ph.D.
  • 年度 2013
  • 页码 90 p.
  • 总页数 90
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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