高危妊娠孕妇创伤后应激障碍与家庭复原力的相关性研究  

Correlation between post-traumatic stress disorder and family resilience in high-risk pregnant women

作　　者：付文君[1] 张连琴[1] 崔海霞[1] Fu Wenjun;Zhang Lianqin;Cui Haixia(Department of Obstetrics,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院产科,郑州450000

出　　处：《中华现代护理杂志》2021年第2期219-222,共4页Chinese Journal of Modern Nursing

摘　　要：目的了解高危妊娠孕妇创伤后应激障碍及家庭复原力的现状,分析两者之间的关系。方法采用方便抽样法于2019年3—12月选取郑州市某三级甲等综合医院的400名高危妊娠孕妇为研究对象,在孕妇至产科门诊复查时采用一般资料调查表、创伤后应激障碍平民版量表(PCL-C)、家庭复原力评定量表进行调查,分析产妇创伤后应激障碍水平与家庭复原力之间的关系。共发放问卷400份,回收有效问卷378份,有效回收率为94.5%。结果378名高危妊娠孕妇的PCL-C总分为(31.53±7.54)分,家庭复原力总分为(76.85±12.74)分;创伤后应激障碍水平与家庭复原力呈负相关(r=-0.287,P=0.003);分层回归分析结果显示,家庭复原力中坚毅性、支持性可解释高危妊娠孕妇PTSD总变异的38.3%。结论高危妊娠孕妇家庭复原力对创伤后应激障碍具有负向预测作用,医护人员应从家庭复原力的角度出发降低高危妊娠孕妇创伤后应激障碍水平。Objective To explore the current status of post-traumatic stress disorder(PTSD)and family resilience in high-risk pregnant women,and analyze the correlation between them.Methods From March to December 2019,convenience sampling was used to select 400 high-risk pregnant women from a ClassⅢGrade A hospital in Zhengzhou as the research object.The General Information Questionnaire,PTSD Checklist-Civilian Version(PCL-C)and Family Resilience Questionnaire were used to investigation when pregnant women went to the Obstetric Clinic for review to analyze the relationship between PTSD and family resilience of delivery women.A total of 400 questionnaires were issued,and 378 valid questionnaires were returned with the effective response rate of 94.5%.Results The total PCL-C score of 378 pregnant women with high-risk pregnancy was(31.53±7.54)and the total family resilience score was(76.85±12.74).The level of PTSD was negatively correlated with family resilience with a statistical difference(r=-0.287,P=0.003).The results of hierarchical regression analysis showed that the firmness and support of family resilience could explain 38.3%of the total variability of PTSD in high-risk pregnancy women.Conclusions Family resilience of high-risk pregnant women has a negative predictive effect on PTSD.Medical and nursing staff should reduce the level of PTSD in high-risk pregnant women from the perspective of family resilience.

关 键 词：妊娠 高危 创伤后应激障碍 家庭复原力 孕妇 

分 类 号：R749.5[医药卫生—神经病学与精神病学]