摘要
目的调查准父亲的分娩恐惧程度并探究其分娩恐惧的影响因素。方法采用便利抽样法，于2023年10月~2024年2月，采用自制的调查问卷了解准父母基本信息，准父亲分娩恐惧感使用准父亲分娩恐惧量表调查、准母亲分娩恐惧感采用孕妇分娩恐惧量表进行调查，采用单因素方差分析、多元线性回归以及Pearson相关性分析来探讨准父亲分娩恐惧的影响因素。结果准父亲的分娩恐惧普遍处于高水平。年龄小（β=-5.169，95%CI：0.026，0.053，P<0.001），失业状态（β=4.113，95%CI：-0.020，0.810，P=0.048）是准父亲分娩恐惧得分更高的危险因素。孕妇的分娩恐惧水平与准父亲分娩恐惧水平呈正相关（r=0.619，P<0.001）。结论准父亲分娩恐惧现状处于高水平。应关注夫妻双方面对分娩这一事件的恐惧感，特别是需要关注年轻和失业的准父亲。
关键词： 准父亲；分娩恐惧；影响因素；现状
Abstract
Objective This study aims to assess the level of fear of childbirth among expectant fathers and identify the influential factors. Methods Convenience sampling method was used to recruit participants from October 2023 to February 2024. A self-administered questionnaire was used to collect basic information of the expectant parents. The fear of childbirth of expectant fathers and mothers were investigated via the Father's Fear of Childbirth (FFCS), and Childbirth Attitude Questionnaire (CAQ), respectively. Moreover, one-way analysis of variance (ANOVA), multivariate linear regression and Pearson's correlation were conducted to analyze the influential factors of father's fear of childbirth. Results Fear of childbirth among expectant fathers was generally at a high level. Lower age and unemployment status were the risk factors for the fear of childbirth among expectant fathers (β= -5.169, 95% CI: 0.026, 0.053, P<0.001; β=4.113, 95% CI: -0.020, 0.810, P=0.048, respectively). In addition, the expectant mothers’ fear of childbirth level were positively correlated with the expectant fathers (r=0.619, P<0.001). Conclusion Fear of childbirth among expectant fathers was at a high level. Attention should be paid to both spouses regarding fear of childbirth, especially to young and unemployed expectant fathers.
Key words： Expectant fathers; Fear of childbirth; Influential factors; Current status
参考文献 References
[1] 邱天爽,吕春秀,魏建清等.初产妇分娩恐惧现状调查及影响因素分析[J].中国医学创新,2024,21(5):108-112.
[2] 颜引妹,金龙涛,陈佳等.孕晚期准母亲情绪与准父亲相关因素分析[J].中国健康心理学杂志,2017,25(3):411-414.
[3] 翁小芳.孕妇配偶产前焦虑特点的研究[J].解放军护理杂志,2014,31(2):24-26.
[4] Xue B, Wang X, Chen H, Redding SR, Wei W, Ouyang YQ. Fear of childbirth and influencing factors of expectant fathers in China: a cross-sectional study. Psychol Health Med. 2024 Mar 14:1-14.
[5] 雷云霄.准父亲分娩恐惧的现状及干预措施研究进展[J].全科护理,2023,21(6): 768-772.
[6] 渠利霞,赵明,卞小洁等.准父亲分娩恐惧的研究进展 [J].中国护理管理,2021,21(1): 141-145.
[7] 何平,成娟,洪晓娜等.孕妇配偶同步产前健康教育对孕妇产前心理压力及分娩方式、母乳喂养的影响[J].当代护士(上旬刊),2024,31(1):42-46.
[8] 陈彬.医学多因素分析设计样本例数估算——多因素分析设计样本例数综合估算法[J].伤害医学(电子版),2012, 1(4): 58-60.
[9] Ghaffari SF, Sharif Nia H, Elyasi F, Shahhosseini Z, Mohammadpoorsaravimozafar Z. Design and psychometric evaluation of the fathers' fear of childbirth scale: a mixed method study. BMC Pregnancy Childbirth. 2021 Mar 20;21(1):222.
[10] Guo P, Zhang X, Cui N, et al. Psychometric properties of the Chinese version of the fathers' fear of childbirth scale: A cross-sectional study[J]. Frontiers in Psychiatry, 2023, 14: 1128971-1128971.
[11] Lowe NK. Self-efficacy for labor and childbirth fears in nulliparous pregnant women. J Psychosom Obstet Gynaecol, 2000, 21(4): 219-224.
[12] 危娟,刘洁英,张莉芳,吴艳萍,符春风.分娩恐惧量表的汉化及信效度检测[J].护理学杂志,2016,31(2): 81—83.
[13] 张秀珍,张晶.孕产妇配偶围生期压力的研究进展[J].护理学杂志,2018,33(18):103-106.
[14] CHLMERS B,MEYER D.What men say about pregnancy, birth and parenthood[J].Journal of Psychosomatic Obstetrics and Gynaecology,1996,17(1):47-52.
[15] GANAPATHY T. Tokophobia among first time expectant fathers[J]. International Journal of Psychiatric Nursing, 2015,1(1):99.
[16] ONCHONGA D. Prenatal fear of childbirth among pregnant women and their spouses in Kenya[J]. Sexual & Reproductive Healthcare,2021,27:100593.
[17] SZEVERÉNYIP,POKA R, HETEY M, et al. Contents of childbirth- related fear among couples wishing the partner's presence at delivery[J]. Journal of Psychosomatic Obstetr ics and Gynaecology,1998,19(1):38-43.
[18] 任广秀,杨富国,刘志梅等.初产妇及其配偶产前健康教育获益现状及影响因素调查[J].护理学杂志,2018,33(4):69-71.
[19] 叶子宁.夫妻间孕期压力的相互影响与变化[D].华东师范大学, 2022.
[20] 郭焕凤.孕期配偶同步激励式心理干预对初产妇分娩结局的影响[J].循证护理,2022,8(23):3263-3266.