非自愿终止妊娠妇女悲伤反应影响因素研究  

Influencing factors of grief reaction in women with involuntary pregnancy loss

作　　者：张琴 曾白兰[2] 涂素华 巨婷 周霜 杨敏 傅静 ZHANG Qin;ZENG Bai-lan;TU Su-hua;JU Ting;ZHOU Shuang;YANG Min;FU Jing(School of Nursing,Southwest Medical University,Luzhou,Sichuan 646000,China)

机构地区：[1]西南医科大学护理学院,四川泸州646000 [2]宜宾市第二人民医院,四川宜宾644000 [3]西南医科大学附属医院,四川泸州646000 [4]西南医科大学附属中医医院,四川泸州646000 [5]西南医科大学国际教育学院,四川泸州646000

出　　处：《现代预防医学》2019年第15期2761-2766,共6页Modern Preventive Medicine

基　　金：四川省心理健康教育研究中心立项课题(XLJKJY1809B)

摘　　要：目的探讨非自愿终止妊娠妇女悲伤反应影响因素,为预防复杂悲伤的发生提供依据。方法以便利抽样法选取四川省3所三级甲等医院符合纳入标准的256名终止妊娠妇女,采用一般资料调查问卷及围产期悲伤量表进行问卷调查。结果复杂悲伤的检出率为30.1%。logistic回归分析表明,文化程度(OR=0.606)、怀孕周数(OR=2.982)、目前有无子女(OR=0.275)、丧失胎儿原因(OR=0.182)为发生复杂悲伤反应的影响因素(P<0.05)。结论文化程度低、怀孕周数大、目前无子女、丧失胎儿原因为死胎者是复杂悲伤的高危人群。临床护理人员应学会识别复杂悲伤的危险因素并制定个性化干预措施,积极助力以提升围产期照护品质。Objective To investigate the influencing factors of grief reaction in women with involuntary pregnancy loss,so as to provide evidence for preventing the occurrence of complicated grief.Methods 256 terminated pregnant women who met the inclusion criteria from three tertiary hospitals in Sichuan Province were selected by the sampling method.General information questionnaire and the Perinatal Grief Scale were used to carry out the questionnaire survey.Results The rate of complicated grief was 30.1%.Logistic regression analysis showed that education level(OR=0.606),gestational weeks(OR=2.982),having children or not(OR=0.275)and causes of pregnancy loss(OR=0.182)were influencing factors of complicated grief(P<0.05).Conclusion Those women with low educational level,large gestational weeks,no children at present or stillbirth are at higher risks of complicated grief.Clinical nurses should identify the risk factors of complicated grief and develop personalized interventions to actively help improve the quality of perinatal care.

关 键 词：非自愿终止妊娠 悲伤 影响因素 

分 类 号：R17[医药卫生—妇幼卫生保健]