目的 调查围产期丧失女性感知的二元应对现状，并分析其影响因素。方法 便利抽样法选取南京市某三级甲等医院产科住院的围产期丧失女性为研究对象，采用二元应对量表、积极心理资本问卷、领悟社会支持量表等对其进行调查。结果 围产期丧失女性感知的二元应对总分为（131.97±17.45）分。多元线性回归分析显示，文化程度、生育压力、感知配偶孕期参与度、积极心理资本和领悟社会支持是围产期丧失女性感知的二元应对影响因素（均P＜0.05）。结论 围产期丧失女性感知的二元应对处于中等水平，医护人员应采取针对性措施，从积极心理资本和社会支持视角切入，从而提高其二元应对水平。

Objective To explore the status quo and influencing factors of dyadic coping in women with perinatal loss.Methods The convenience sampling method was used to select women with perinatal loss in a tertiary A hospital in Nanjing.The dyadic coping inventory,positive psychological capital questionnaire,and social support rating scale were adopted to collect data.Results The total score of dyadic coping scale among women with perinatal loss was 131.97±17.45.Multiple linear regression analyses showed that education background,fertility stress,perceived involvement of the spouse in pregnancy,positive psychological capital and perceived social support were the factors influencing dyadic coping in perinatal loss of women’s perceptions (all P＜0.05).Conclusions The dyadic coping of women with perinatal loss is in the middle level.Healthcare professionals should take certain measures to improve their dyadic coping through positive psychological capital and social support.

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中华医学会杂志社护理学科研究课题（CMAPH- NRP2022003）