产妇产后创伤后应激障碍现状及其影响因素分析  

Status quo and influencing factors of postpartum posttraumatic stress disorder in parturient

作　　者：郑文凯 王梅芳[2] 杜娟 刘晓梅[4] ZHENG Wenkai;WANG Meifang;DU Juan;LIU Xiaomei(School of Basic Medicine,Inner Mongolia Medical University,Inner Mongolia 010110 China)

机构地区：[1]内蒙古医科大学基础医学院,010110 [2]西安交通大学城市学院护理系,710018 [3]空军军医大学护理系,710032 [4]陕西省人民医院,710068

出　　处：《全科护理》2022年第35期4897-4901,共5页Chinese General Practice Nursing

基　　金：陕西省教育厅专项科研计划项目,编号:19JK0494。

摘　　要：目的:探讨产妇产后创伤后应激障碍(PTSD)现状、影响因素以及与心理弹性和社会资本的关系。方法:采用一般情况调查表、创伤后应激障碍平民版量表、社会资本量表及心理弹性量表对312例产妇进行调查,分析影响产妇产后PTSD的影响因素。结果:产妇PTSD得分为(26.82±10.23)分,PTSD症状阳性41例,阳性率为13.14%;心理弹性得分为(91.56±25.56)分,社会资本得分为(193.14±55.67)分;单因素分析显示,丈夫参与度程度、孕期并发症、不同分娩方式、产程情况、婴儿健康状况、新生儿性别期望吻合度、产妇目前健康状况、社会信任、坚韧性、力量性、乐观性和心理弹性对产后产妇PTSD发生有影响(P<0.05);Logistic回归分析显示,丈夫参与程度高(OR=0.197)、一般(OR=0.345)、新生儿性别期望吻合(OR=0.241)、产妇自评目前健康状况好(OR=0.157)是产妇产后PTSD发生的保护因素,有孕期并发症(OR=3.997)是产妇产后PTSD发生的危险因素。结论:丈夫参与度、孕期并发症、新生儿性别吻合度和产妇目前健康状况可能是产妇产后发生PTSD的影响因素,应针对影响因素采取针对性的措施,预防产妇PTSD的发生。Objective:To explore the status quo and influencing factors of post-traumatic stress disorder(PTSD)in parturients,and analyze the relationship among PTSD and psychological resilience and social capital.Methods:A total of 312 parturients were investigated by General Information Questionnaire,The PTSD Cheek list-CivilianVersion(PCL-C),Social Capital Assessement Tool(SCAT)and Connor-Davidson Resilience(CD-RISC).Results:The score of PTSD was(26.82±10.23),41 parturients had positive PTSD symptoms,the positive rate was 13.14%.The scores of resilience and social capital were(91.56±25.56)and(193.14±55.67)respectively.Univariate analysis showed that the degree of husband′s participation,pregnancy complications,different delivery modes,conditions of labor,infant health status,the coincidence of newborn gender expectations,social trust,tenacity,strength,optimism and resilience had an impact on the occurrence of postpartum PTSD(P<0.05).Logistic regression analysis showed that high participation of husband(OR=0.197),general(OR=0.345),consistent gender expectation of newborn(OR=0.241),and good maternal health status(OR=0.157)were protective factors for postpartum PTSD,and complications during pregnancy(OR=3.997)were risk factors for postpartum PTSD.Conclusion:Husband participation,pregnancy complications,newborn sex coincidence and maternal status may be the influencing factors of PTSD in postpartum women.Targeted measures should be taken to prevent the occurrence of PTSD in postpartum women.

关 键 词：产后 创伤后应激障碍 心理弹性 社会资本 影响因素 

分 类 号：R473.74[医药卫生—护理学]