Risk Management and Healthcare Policy (Jan 2024)

The Moderating Effect of Self-Efficacy on Pregnancy Stress and Smartphone Addiction of Pregnant Women in Late Pregnancy: A Longitudinal Study

  • Ma D,
  • Li B,
  • Liu X,
  • Sun Y,
  • Sun J

Journal volume & issue
Vol. Volume 17
pp. 41 – 48

Abstract

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Di Ma, Bingfen Li, Xiaoyan Liu, Ying Sun, Jingli Sun Department of Gynaecology and Obstetrics, General Hospital of the Northern Theater Command, Shenyang, People’s Republic of ChinaCorrespondence: Jingli Sun, Department of Gynaecology and Obstetrics, General Hospital of the Northern Theater Command, Shenyang, People’s Republic of China, Email [email protected]: We aimed to understand the current situation of smartphone addiction in pregnant women, and explored the moderating effect of self-efficacy between pregnancy stress and smartphone addiction.Patients and Methods: This study adopted a longitudinal design to collect pregnant women from the obstetrics and gynecology department of a tertiary hospital in Shenyang in 2020 from early pregnancy (T1) to their late pregnancy (T2). A total of 342 questionnaires were collected, including the Smartphone Addiction Scale-Short Version (SAS-SV), the Pregnancy Pressure Scale (PPS), and the Chinese version of the General Self-Efficacy Scale (GSES). Multiple hierarchical regression and simple slope test were used to test the moderating effect of self-efficacy.Results: Smartphone addiction in T2 (44.74) was more sever than in T1 (33.11). The interaction item of T1 pregnancy stress and T2 self-efficacy was positively correlated with smartphone addiction (β=0.205, P< 0.01) and explained an additional 3.2% variance (ΔR2=0.032, P< 0.01). The influence of pregnancy stress on smartphone addiction was gradually decreased in the low, mean, and high groups of self-efficacy.Conclusion: Smartphone addiction in late pregnancy was more severe than that in early pregnancy, possibly due to increased pregnancy stress. The self-efficacy of pregnant women could reduce the impact of pregnancy stress on smartphone addiction. Medical staff can alleviate the bad behavior by improving their self-efficacy.Keywords: late pregnancy, pregnancy stress, smartphone addiction, self-efficacy, moderating effect

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