目的：探讨孕期心理弹性支持与产后患者应对方式的关系，并检验心理弹性在其中的中介效应。方法：采用便利抽样法，于2025年3月-2026年3月选取350例产后1～6个月的患者为研究对象。采用一般资料调查表、孕期心理弹性支持量表、心理弹性量表及简易应对方式量表进行回顾性调查。采用Pearson相关分析变量间关系，分层回归检验总效应，PROCESS宏Model 4结合Bootstrap法检验中介效应。结果：孕期心理弹性支持与积极应对呈显著正相关（r=0.30，P<0.01），与消极应对呈显著负相关（r=-0.21，P<0.01）。孕期心理弹性支持对积极应对的正向预测作用显著（β=0.28，P<0.001），对消极应对的负向预测作用显著（β=-0.19，P<0.001）。心理弹性在孕期心理弹性支持与积极应对间的间接效应为0.12（95%CI：0.08～0.17），在消极应对间的间接效应为-0.07（95%CI：-0.11～-0.04）。结论：孕期心理弹性支持对产后应对方式的影响完全通过心理弹性的中介作用实现，提示围产期心理保健应将外部支持内化为产妇心理资源，增强心理弹性，以促进产后积极应对。

Objective: To explore the relationship between prenatal psychological resilience support and coping styles of postpartum patients, and to examine the mediating effect of psychological resilience. Methods: Convenience sampling was used to recruit 350 patients at 1-6 months postpartum from March 2025 to March 2026. A retrospective survey was conducted using a general information questionnaire, the Prenatal Psychological Resilience Support Scale, the Connor-Davidson Resilience Scale (CD-RISC), and the Simplified Coping Style Questionnaire (SCSQ). Pearson correlation analysis was performed to examine relationships among variables, hierarchical regression analysis was conducted to test the total effect, and the PROCESS macro Model 4 with bootstrapping was employed to test the mediating effect. Results: Prenatal psychological resilience support was significantly positively correlated with positive coping (r = 0.30, P<0.01) and significantly negatively correlated with negative coping (r=?0.21, P<0.01). Prenatal psychological resilience support significantly and positively predicted positive coping (β = 0.28, P<0.001) and significantly and negatively predicted negative coping (β=?0.19, P<0.001). The indirect effect of psychological resilience between prenatal psychological resilience support and positive coping was 0.12 (95% CI: 0.08-0.17), and the indirect effect between prenatal psychological resilience support and negative coping was ?0.07 (95% CI: ?0.11 to ?0.04); the direct effects were not significant, indicating a full mediating role of psychological resilience. Conclusion: The impact of prenatal psychological resilience support on postpartum coping styles is fully mediated by psychological resilience, suggesting that perinatal mental health care should focus on internalizing external support into maternal psychological resources and enhancing psychological resilience to promote positive postpartum coping.

       目的   探讨阴道分娩后尿失禁患者疾病应对方式的影响因素。方法   选取2022年1月—2023年1月医院收治的阴道分娩后尿失禁患者78例，评估所有患者的应对方式，根据结果分为积极应对组与消极应对组，设计基线资料调查表，详细统计两组患者的基线资料并比较，重点分析阴道分娩后尿失禁患者疾病应对方式的影响因素。结果   经评估，78例阴道分娩后尿失禁患者疾病消极应对有40例，占比51.28%；积极应对组与消极应对组患者的产次（χ ² =4.110，P=0.043）、文化水平（Z=2.094，P=0.036）、家庭关怀度（Z=2.069，P=0.040）与自我效能（Z=2.249，P=0.025）比较差异有统计学意义，组间年龄（t=0.096，P=0.924）、孕次（t=1.257，P=0.212）、体质指数（BMI）（t=0.125，P=0.901）、工作（χ ² =0.778，P=0.378）、家庭月人均收入（χ ² =0.044，P=0.834）、漏尿（χ ² =0.040，P=0.842）比较差异无统计学意义；经回归分析发现，家庭关怀度低（OR=1.799，P=0.041）、自我效能低（OR=1.942，P=0.026）、经产妇（OR=2.554，P=0.045）及文化水平低（OR=1.837，P=0.038）均是阴道分娩后尿失禁患者疾病应对方式的影响因素。结论   阴道分娩后尿失禁患者疾病消极应对风险高，可能与产次、文化水平、家庭关怀度及自我效能有关。

       Objective To explore the influencing factors of disease coping strategies in patients with urinary incontinence after vaginal delivery．Methods A total of 78 patients with urinary incontinence after vaginal delivery admitted to the hospital from January 2022 to January 2023 were selected．The coping strategies of all patients were evaluated，and they were divided into a positive coping group and a negative coping group based on the results．A baseline data questionnaire was designed，and the baseline data of the two groups of patients were compared in detail．The focus was on analyzing the factors influencing the disease coping strategies of patients with urinary incontinence after vaginal delivery．Results After evaluation，40 out of 78 patients with urinary incontinence after vaginal delivery had negative coping strategies，accounting for 51.28%．The parity of patients in the positive and negative coping groups（χ ² =4.110，P=0.043），educational level（Z=2.094，P=0.036），family care（Z=2.069，P=0.040），and self-efficacy（Z=2.249，P=0.025）among the groups were different．Age between groups（t=0.096，P=0.924），gestational age（t=1.257，P=0.212），body mass index（t=0.125，P=0.901），and work experience（χ ² =0.778，P=0.378），monthly per capita income of households（χ ² =0.044，P=0.834），urinary leakage（χ 2 =0.040，P=0.842）had no statistically significant difference in comparison．Through regression analysis，it was found that low family care（OR=1.799，P=0.041），low self-efficacy（OR=1.942，P=0.026），postpartum women（OR=2.554，P=0.045），and low educational level（OR=1.837，P=0.038）were all influencing factors on the disease coping strategies of patients with urinary incontinence after vaginal delivery．Conclusions  Patients with urinary incontinence after vaginal delivery have a higher risk of negative coping with the disease，which may be related to parity，educational level，family care and self-efficacy．