目的探讨母婴分离初产妇的应对方式、心理健康状况及两者的关系。方法采用解亚宁编制的《简易应对方式问卷》(SCSQ)和《症状自评量表》(SCL-90)对100例母婴分离初产妇进行问卷调查。结果①母婴分离初产妇的积极应对水平高于常模,消极应对水平低于常模,差异有统计学意义(P<0.05);②母婴分离初产妇的SCL-90总分及各因子分均高于母婴同室初产妇,差异有统计学意义(P<0.05);③除恐怖、偏执与消极应对未见相关外(P>0.05),其余因子皆与消极应对呈高度正相关(P<0.05)。积极应对与SCL-90总分及各因子之间相关性无统计学意义(P>0.05)。结论母婴分离初产妇的心理健康状况明显低于母婴同室初产妇,消极应对是影响她们心理健康水平的重要因素。

Objective To explore the relationship between coping style and mental health status of primiparas in mother-to-child separation. Methods 100 primiparas in mother-to-child separation were investigated by Symptom Checklist 90(SCL-90) and Coping Style Questionnaire(SCSQ). All the data were analyzed with SPSS 11.0. Results ①The scores of the positive coping style of the primiparas in mother-to-child separation were higher than normal population. The scores of the passive coping style of the primiparas in mother-to-child separation were lower than normal population; ②Both total score and factor score of SCL-90 were higher in primiparas of mother-to-child separation than those of room-in (P<0.05); ③Except for the scores of phobia,crankiness or negativity,the scores of negative coping style were highly and positively related to those of other factors (P<0.05). The scores of positive coping style have no statistically significant relationship with total scores or among each other (P>0.05). Conclusion The mental health of the primiparas in mother-to-child separation is poorer than the primiparas in room-in significantly. And passive coping style is an important factor influencing their mental health.