探讨孕晚期妇女婚姻适应现状。

选择2008年1月至2009年12月在成都市三所妇产儿童专科医院(部级、市级、区级各1所)进行产前检查的834例孕晚期妇女为研究对象。采用《一般情况调查表》(自行设计，包括孕妇年龄、文化程度、婚姻状况、婚龄等21项内容)，《婚姻适应量表(Dyadic Adjustment Scale, DAS)》[包含32项内容及4个细分子量表，如《情感表达子量表(Affectional Expression，AE)》，《婚姻一致性子量表(Dyadic Consensus，DC)》，《婚姻内聚性子量表(Dyadic Cohesion，AC)》和《婚姻满意度子量表(Dyadic Satisfaction，DS)》]，对受试者进行问卷调查。以《婚姻适应量表》总分≤107分为判断为婚姻适应不良标准(本研究遵循的程序符合四川大学华西第二医院人体试验委员会所制定的伦理学标准，得到该委员会批准，并与所有受试者签署临床研究知情同意书)。

本次调查对834例孕晚期妇女分别分发《一般情况调查表》、《婚姻适应量表》各1份，785例受试者两表同时填写合格，回收有效问卷785份，有效问卷回收率为94.12%。《婚姻适应量表》总分≤107分为212例(29.4%)。《婚姻一致性子量表》得分显示，分数最低的3个项目依次是"共同的业余爱好和活动" 、"共同的朋友" 、"共同的娱乐活动" ，而得分最高的3个项目依次是"宗教信仰" 、"家庭财政的处理" 、"作出重要的决定" 。《婚姻满意度子量表》得分显示，除23和31项外，得分最低的3个项目依次是"与配偶吵架的时间" 、"和配偶令人心烦的时间" 、"认为夫妻关系良好的时间" 。《情感表达子量表》得分显示，"性爱表示"和"性关系"得分都处于中位，"性爱想法"和"表达爱意"得分较高。《婚姻内聚性子量表》得分显示，5个项目得分处于中位。

孕晚期妇女婚姻适应不良率不占少数，医务人员应足够重视。在孕期保健指导中，应强调婚姻适应的重要性，让配偶双方学会适应的技巧，彼此理解、包容和支持，保持良好的夫妻关系，减少或避免不良事件发生。

To describe the current situation of marital adjustment in the third trimester of pregnancy.

A total of 834 women in the third trimester of pregnancy in three maternity Chengdu Childrens Hospital(ministerial, municipal, District each one) were recruited during January 2008 to December 2009. Using a General Survey(own design, including maternal age, education level, marital status, age of marriage and other 21 items) and a Dyadic Adjustment Scale(DAS) [(contains 32 items and four small molecular weight form, such as Affection Expression(AE), Dyadic Consensus(DC), Dyadic Cohedion(AC), Dyadic satisfaction(DS)]. The DAS score ≤107 is divided into the standard to judge the poor marital adjustment (procedure followed in this study was consistent with Sichuan University West China Second Hospital Institution Review Board Ethical Standards approved by the committee, and with all clinical study subjects signed informed consent).

A total of 834 cases of the third trimester women were distributed, General Survey, and Dyadic Adjustment Scale of the one, 785 subjects completed the two lists at the same pass, so the 785 valid questionnaires were valid questionnaires rate of 94.12%. The poor marital adjustment has 212 cases(29.4%) (DAS score≤107). In the dyadic consensus dimension, followed by the three lowest scoring item was common hobbies and activties, mutual friends, common recreational activity. And the highest scoring entries followed by religion, family finances, and to make important decisions. In the dyadic satisfaction dimension, followed by the three lowest scoring item was time to fight with your spouse, annoying time with spouse, the good time that spouses have, except the items 23 and 31. In the affectional expression dimension, love said, and sexual relationship scores those were in place, sex thoughts and affection scored higher.In the dyadic cohesion dimension, 5 items were also in the median scores.

In the third trimester of pregnancy, the proportion of women in poor marriage is not maladaptive in the minority, the medical staff should arouse sufficient attention. Marital adaption should be emphasized in the health guidance, so learn to adapt to the skills of the spouses, mutual understanding, tolerance, support, and maintain good husband and wife, to reduce or avoid adverse events.