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已发表论文
妊娠期高血压中二元应对和健康行为的妊娠期变化：一项三阶段二元交叉滞后行动者-伴侣相互依赖模型研究
Authors Yu SH, Chen GH, Sheng XM, Li RL, Wang CL, Liang XH, Gan XN
Received 21 January 2026
Accepted for publication 14 April 2026
Published 21 April 2026 Volume 2026:20 597849
DOI https://doi.org/10.2147/PPA.S597849
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Johnny Chen
Shao-Hong Yu,1 Gui-Hua Chen,1 Xiao-Min Sheng,1 Ren-Lan Li,2 Cheng-Lin Wang,2 Xiao-Hong Liang,3 Xiu-Ni Gan1
1Department of Nursing, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, People’s Republic of China; 2Department of Obstetrics, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, People’s Republic of China; 3Department of Gynecology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, People’s Republic of China
Correspondence: Xiu-Ni Gan, Department of Nursing, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400000, People’s Republic of China, Email ganxn@163.com
Objective: Based on the Actor-Partner Interdependence Model, this study longitudinally explores the dynamic interactions between dyadic coping and health behaviors among patients with gestational hypertension and their spouses, providing a basis for promoting health behaviors in both partners.
Methods: Using the convenience sampling method, 260 cases of patients with gestational hypertension were selected. Dyadic Coping Inventory (DCI) and the Health Promoting Lifestyle Profile (HPLP) were used to conduct investigations at 20– 21+6 weeks of gestation (T1), 28 weeks of gestation (T2), and 36 weeks of gestation (T3).
Results: The actor effects of dyadic coping between patients with gestational hypertension and their spouses on health behaviors were significant. That is, the dyadic coping of both patients (T1→T2: β = 0.11, T2→T3: β = 0.10, all p < 0.01) and spouses (T1→T2: β = 0.09, T2→T3: β = 0.08, all p < 0.01) could be positively and prospectively associated with their own health behaviors at the next time point. The actor effects of health behaviors of patients and spouses on dyadic coping were also significant. Specifically, the health behaviors of both patients (T1→T2: β = 0.14, T2→T3: β = 0.11, all p < 0.001) and spouses (T1→T2: β = 0.12, P < 0.001; T2→T3: β = 0.10, p < 0.01) could be positively and prospectively associated with their own dyadic coping at the next time point. Furthermore, significant partner effects of health behaviors were found: the health behaviors of both patients (T1→T2: β = 0.13, T2→T3: β = 0.12, all p < 0.001) and spouses (T1→T2: β = 0.09, T2→T3: β = 0.07, all p < 0.01) could be positively and prospectively associated with the other’s health behaviors at the next time point.
Conclusion: Dyadic coping and health behaviors interact between patients with gestational hypertension and their spouses.
Keywords: hypertension, pregnancy-induced, patients, spouses, actor-partner interdependence model, dyadic coping, health behavior, longitudinal studies, cross-lagged analysis, clinical nursing research
1Department of Nursing, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, People’s Republic of China; 2Department of Obstetrics, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, People’s Republic of China; 3Department of Gynecology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, People’s Republic of China
Correspondence: Xiu-Ni Gan, Department of Nursing, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, 400000, People’s Republic of China, Email ganxn@163.com
Objective: Based on the Actor-Partner Interdependence Model, this study longitudinally explores the dynamic interactions between dyadic coping and health behaviors among patients with gestational hypertension and their spouses, providing a basis for promoting health behaviors in both partners.
Methods: Using the convenience sampling method, 260 cases of patients with gestational hypertension were selected. Dyadic Coping Inventory (DCI) and the Health Promoting Lifestyle Profile (HPLP) were used to conduct investigations at 20– 21+6 weeks of gestation (T1), 28 weeks of gestation (T2), and 36 weeks of gestation (T3).
Results: The actor effects of dyadic coping between patients with gestational hypertension and their spouses on health behaviors were significant. That is, the dyadic coping of both patients (T1→T2: β = 0.11, T2→T3: β = 0.10, all p < 0.01) and spouses (T1→T2: β = 0.09, T2→T3: β = 0.08, all p < 0.01) could be positively and prospectively associated with their own health behaviors at the next time point. The actor effects of health behaviors of patients and spouses on dyadic coping were also significant. Specifically, the health behaviors of both patients (T1→T2: β = 0.14, T2→T3: β = 0.11, all p < 0.001) and spouses (T1→T2: β = 0.12, P < 0.001; T2→T3: β = 0.10, p < 0.01) could be positively and prospectively associated with their own dyadic coping at the next time point. Furthermore, significant partner effects of health behaviors were found: the health behaviors of both patients (T1→T2: β = 0.13, T2→T3: β = 0.12, all p < 0.001) and spouses (T1→T2: β = 0.09, T2→T3: β = 0.07, all p < 0.01) could be positively and prospectively associated with the other’s health behaviors at the next time point.
Conclusion: Dyadic coping and health behaviors interact between patients with gestational hypertension and their spouses.
Keywords: hypertension, pregnancy-induced, patients, spouses, actor-partner interdependence model, dyadic coping, health behavior, longitudinal studies, cross-lagged analysis, clinical nursing research