【作者】 王清； 赵迪； 厉萍；

【Author】 Wang Qing;Zhao Di;Ping Li;School of Nursing and Rehabilitation, Shandong University;

【机构】 山东大学护理与康复学院；

【摘要】 背景绝经转变期是女性经历生殖功能的衰退进而走向衰老的过程,在这期间女性心理困扰的发生率较高。心理弹性和家庭关怀可以分别从内外部角度影响绝经转变期女性的心理困扰程度,但二者是如何相互协调共同发挥作用,尚不明晰。基于此,本研究旨在探讨心理弹性与家庭关怀如何相互作用,影响绝经转变期女性的心理困扰。方法利用方便抽样法在山东省某地级市选取了858名正处于绝经转变期的中年女性进行问卷调查。调查工具包括一般资料调查表、弹性量表简化版(Connor-Davidson Resilience Scale, CD-RISC)、家庭关怀度指数量表(Family Care Degree Questionnaire, APGAR)和Kessler心理困扰量表(Kessler Psychological Distress Scale, K10)。采用SPSS25.0版本进行数据录入和分析,运用RSA.3.0.30插件进行多项式回归和响应面分析。结果在"心理弹性-家庭关怀"匹配情形下,二者的联合效应与绝经转变期女性的心理困扰呈负向曲线关系(倒U形),"高-高"组合的绝经转变期女性的心理困扰程度不一定降低,反之亦然。在"心理弹性-家庭关怀"不匹配情况下,二者的联合效应与绝经转变期女性的心理困扰呈负向曲线关系(倒U形),随着"高-低"、"低-高"组合的内部差异加大,绝经转变期女性的心理困扰程度逐渐减小。结论在未来针对绝经转变期女性的干预研究中,要实时关注个体心理弹性和家庭关怀的交互协调作用,灵活调整干预手段以达到资源利用最优化,从而更好地提升绝经转变期女性的心理健康水平。更多还原

【Abstract】 Background Menopausal transition was a natural process from reproductive decline to aging for women.During this period, women presented a higher prevalence of psychological distress. Resilience and family care could affect psychological distress of women in the menopausal transition from internal and external perspectives,respectively. But it is unclear how they might be coordinated to exert the effect. Based on this, the goal of the present study was to investigate how resilience and family care interact with each other to influence psychological distress of women in the menopausal transition. Methods Convenience sampling method was used to select 858 women during the menopausal transition from a prefecture-level city in Shandong Province. All the participants completed questionnaires for socio-demographic information, 10-item Connor-Davidson Resilience Scale(CD-RISC), family care degree questionnaire(APGAR) and Kessler Psychological Distress Scale(K10). Data were entered and analyzed by using SPSS version-25. RSA was used for polynomial regression and response surface analysis. Results In the case of agreement between resilience and family care, the joint effect was a negative curve(inverted u-shaped)related to the psychological distress of women in the menopausal transition. In the cases of congruence, elevated level of psychological distress did not necessarily when resilience and family care were both high, and vice versa. In the case of disagreement between resilience and family care, the joint effect was a negative curve(inverted u-shaped)related to the psychological distress of women during the menopausal transition. In the cases of incongruence, with the increased of internal differences, the psychological distress among women in the menopausal transition gradually decreased. Conclusion Future intervention studies targeting women in menopausal transition should consider the coordinated actions of resilience and family care. And adjusting interventions flexibly to optimize the utilization of resources, so as to better improve the mental health of women in the menopausal transition.更多还原