上海市2552名产妇产后创伤后应激障碍现状及影响因素分析  

Current status and influencing factors of post-traumatic stress disorder among 2552 parturients in Shanghai

作　　者：张兰 刘颖 李俊英 郭娜菲 Zhang Lan;Liu Ying;Li Junying;Guo Nafei(Nursing Department,Shanghai First Maternity and Infant Hospital,Affiliated to Tongji University,Shanghai 201204,China;Department of Obstetrics,Shanghai First Maternity and Infant Hospital,Affiliated to Tongji University,Shanghai 201204,China)

机构地区：[1]同济大学附属第一妇婴保健院护理部,上海201204 [2]同济大学附属第一妇婴保健院产科,上海201204

出　　处：《中华现代护理杂志》2021年第31期4298-4303,共6页Chinese Journal of Modern Nursing

摘　　要：目的了解产妇产后创伤后应激障碍现状及其影响因素,为后续制订早期干预措施提供理论依据。方法本研究为横断面研究。采用便利抽样法,选取2020年5月—2021年3月于上海市某三级甲等专科医院产后检查门诊就诊的2584名产妇为研究对象。采用一般资料调查表和中文版围生期创伤后应激障碍问卷(PPQ-C)对其进行调查。采用χ^(2)检验或Fisher确切概率法进行单因素分析;二项Logistic回归分析进行多因素分析。本研究共发放问卷2584份,回收有效问卷2552份,有效回收率为98.76%。结果2552名产妇中,创伤后应激障碍的阳性检出率为5.8%(148/2552)。二项Logistic回归分析结果显示,无上海户籍(OR=2.066)、孕期睡眠质量感觉一般(OR=1.913)、孕期睡眠质量感觉不满意(OR=10.946)、非计划内怀孕(OR=1.568)、初产妇(OR=1.800)、新生儿娩出后5 min Apgar评分为0~7分(OR=5.994)、孕期诊断为胎儿生长发育迟缓(OR=3.631)是产妇发生产后创伤后应激障碍的危险因素(P<0.05)。结论产妇产后创伤后应激障碍的影响因素较多,医务人员可针对其影响因素尽早采取干预措施,以降低产后创伤后应激障碍的发生率。Objective To explore the status of postpartum post-traumatic stress disorder and its influencing factors in parturients,so as to provide a theoretical basis for formulation of early intervention measures.Methods This study was a cross-sectional study.From May 2020 to March 2021,convenience sampling was used to select 2584 parturients who attended the Postpartum Outpatient Clinic of a ClassⅢGrade A hospital in Shanghai as the research subject.The General Information Questionnaire and the Chinese version of the Perinatal Post-Traumatic Stress Disorder Questionnaire(PPQ-C)were used for investigation.χ^(2)test or Fisher exact probability was used for univariate analysis,and binomial Logistic regression was used for multivariate analysis.A total of 2584 questionnaires were distributed and 2552 valid questionnaires were returned with the effective response rate of 98.76%.Results Among 2552 parturients,The positive detection rate of post-traumatic stress disorder was 5.8%(148/2552).The results of binomial Logistic regression analysis showed that no Shanghai household registration(OR=2.066),feeling of average sleep quality during pregnancy(OR=1.913),feeling dissatisfied with sleep quality during pregnancy(OR=10.946),unplanned pregnancy(OR=1.568),primiparas(OR=1.800),Apgar scores of 0-75 minutes after delivery of the newborn(OR=5.994),and fetal growth retardation diagnosed during pregnancy(OR=3.631)were risk factors for post-traumatic stress disorder after delivery,and the difference was statistically significant(P<0.05).Conclusions There are many influencing factors of postpartum post-traumatic stress disorder in parturients.Medical and nursing staff can take intervention measures as soon as possible according to its influencing factors to reduce the incidence of postpartum post-traumatic stress disorder.

关 键 词：产后期 创伤后应激障碍 现状调查 影响因素 

分 类 号：R749.5[医药卫生—神经病学与精神病学]