Mediating role of negative automatic thoughts between health literacy and childbirth fear of primiparas
10.3760/cma.j.cn211501-20240911-02486
- VernacularTitle:负性自动思维在初产妇健康素养与分娩恐惧间的中介作用
- Author:
Meizhi LU
1
;
Haixia CHEN
1
;
Xiaoyang JIANG
1
Author Information
1. 丽水市人民医院产科，丽水 323000
- Publication Type:Journal Article
- Keywords:
Primipara;
Health literacy;
Childbirth fear;
Mediating effect;
Negative automatic thoughts
- From:
Chinese Journal of Practical Nursing
2025;41(13):1001-1007
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating role of negative automatic thoughts between health literacy and childbirth fear of primiparas.Methods:The primiparas who underwent obstetric examination in Department of Obstetrics, Lishui People′s Hospital from January 2021 to December 2023 were selected as the research objects by convenience sampling method. Using cross-sectional survey, the general information questionnaire, Childbirth Attitude Questionnaire, The Automatic Thought Questionnaire and Perinatal Pregnant Women′s Health Literacy Scale were used to investigate. Pearson correlation analysis was performed by SPSS 26.0, AMOS 24.0 was used to construct the mediating effect model of negative automatic thoughts between health literacy and childbirth fear of primiparas, and Bootstrap method was used to test the mediating effect.Results:A total of 246 questionnaires were distributed, and 235 valid questionnaires were collected. The age of 235 primiparas was (27.56 ± 3.74) years old. The total score of health literacy, negative automatic thoughts, childbirth fear was (173.29 ± 20.20), (88.13 ± 16.50), (46.52 ± 12.67) points. The direct effect of health literacy on childbirth fear of primiparas was -0.319 (95% CI -0.495--0.144), accounting for 56.00% of the total effect. The indirect effect of negative automatic thoughts between health literacy and childbirth fear was -0.251 (95% CI -0.393--0.127), accounting for 44.00% of the total effect. Conclusions:Negative automatic thoughts plays a partial mediating role between health literacy and childbirth fear of primiparas. Nursing staff should formulate intervention measures according to the path of influencing childbirth fear, so as to minimize the level of childbirth fear.
