目的 基于健康本源学,采用网络分析探究孕妇心理社会适应的内在结构,识别核心及桥接节点。方法 2024年12月至2025年5月,在华南、华中及华北5所医院产科门诊选取682名单胎孕妇为研究对象,采用生育心理一致感量表、家庭关怀度指数量表、大五人格量表简化版中的神经质分量表、妊娠压力量表、广泛性焦虑障碍量表、爱丁堡产后抑郁量表、生命质量8条简明量表对其进行调查。采用R 4.5.0构建包含39个节点的正则化偏相关网络,并进行节点中心性、桥接强度及网络稳定性分析。结果 孕妇心理社会适应各变量内部节点连接紧密,焦虑与抑郁形成情绪困扰模块。预期影响力最强的节点为无法停止或控制担忧和孕育生命让我的人生更圆满。生活质量心理维度的预期影响力最低(-0.869)。生活质量心理维度、神经质、家庭关怀和自伤念头为关键桥接因素。结论 孕妇心理社会适应呈模块化特征。“失控性担忧”和“生育意义感”为核心节点,生活质量心理维度是关键桥接因素,上述节点可作为孕期心理护理评估重点关注因素,并为后续干预方案提供线索。

Objective To explore the internal structure of psychosocial adaptation in pregnant women using network analysis based on the salutogenic theory,and to identify core and bridge nodes.Methods From December 2024 to May 2025,682 singleton pregnant women from obstetric outpatient departments of 5 hospitals in South,Central,and North China were enrolled. They were surveyed using the childbearing sense of coherence scale (CSOC),the family adaptation,partnership,growth,affection,resolve index (APGAR),Neuroticism Subscale of Neuroticism Extraversion Openness Five-factor Inventory(NEO-FFI),the pregnancy stress rating scale (PSRS-36),the generalized anxiety disorder 7-item scale (GAD-7),the Edinburgh postnatal depression scale (EPDS),and the 8-item short form health survey (SF-8).A 39-node regularized partial correlation network was constructed using R version 4.5.0. Node centrality, bridge strength, and network stability were assessed.Results The internal nodes of each variable of psychosocial adaptation in pregnant women were closely connected,with anxiety and depression forming an emotional distress module. The nodes with the highest expected influence were “inability to stop or control worrying” and “carrying a baby makes my life more complete.” The psychological dimension of quality of life had the lowest expected influence (?0.869). The psychological dimension of quality of life,neuroticism,family care,and suicidal ideation were identified as key bridge nodes.Conclusions The psychosocial adaptation of pregnant women exhibits a modularized structure.“Uncontrollable worrying” and “meaningfulness of childbearing” are core nodes,and the psychological dimension of quality of life serves as a key bridging factor.These nodes can be considered as prior factors in prenatal psychological nursing assessment and provide clues for the design of future intervention programs.

R473.71

广州市哲学社会科学发展“十四五”规划项目(2025GZGJ347)；广东省哲学社会科学规划2026年度青年项目(GD26YSH10)