557名产妇产后42天应激障碍状况及影响因素分析  

Study on Stress Disorder Status of 557 Delivery Women in 42 Days after Postpartum

作　　者：夏宏伟 

机构地区：[1]中国.北京疾控政策研究与健康传播中心,102206

出　　处：《中国健康心理学杂志》2012年第5期681-683,共3页China Journal of Health Psychology

基　　金：首都医学发展基金资助课题(2005-3127)

摘　　要：目的了解产妇产后应激障碍状况。方法应用症状自评量表(SCL-90)和应激评估量表平时版(PCL-C),对西城区助产机构产科557名孕(产)妇进行抽样测试研究。结果①产后42天产妇创伤后应激障碍筛查阳性率为2.87%,不同户籍、年龄、学历、不同孕期心理状态间阳性率差异有统计学意义(P<0.05);②Logistic回归分析显示,产妇年龄和孕期心理是产后应激障碍发生的预测因素(P<0.05);③多元线性回归分析显示,影响PCL-C分数的因素有产妇的户籍、年龄、孕期心理及学历(P<0.05)。结论低龄、低学历、外地、孕期心理不良的孕妇容易出现产后应激障碍。Objective To explore the state of stress disorder of delivery women.Methods A total of 557 delivery women from Xicheng district were tested with Symptom Checklist 90（SCL-90）during their pregnancy and the PTSD check list civilian version（PCL-C）was tested in 42 days after postpartum.Results ①The hit rate of PTSD in delivery women who were tested 42 days later after their postpartum was 2.87%,There were statistically significant differences in the women with different household,different educational backgrounds,different psychological state during pregnancy and different age paragraph（P〈0.05）.②The results of Logistic analysis indicated that age of the delivery women and in bad psychological state during pregnancy were predictive factors about PTSD development（P〈0.05）.③Multiple linear regression analysis indicated that the factors including age,household,educational backgrounds and psychological state during pregnancy had effects on the scores of PCL-C of the delivery women（P〈0.05）.Conclusion The delivery women who have features such as young age,low-education,outlander or in bad psychological state during pregnancy get PTSD easily after their postpartum.

关 键 词：健康心理学 症状自评量表 产妇 应激 

分 类 号：R641[医药卫生—外科学]