剖宫产术后产妇分娩心理创伤调查及影响因素分析  

Investigation of the delivery psychological trauma of puerperas after cesarean section and its influence factors

作　　者：李涛 郭晓霞 韩婷 李艳[1] LI Tao;GUO Xiaoxia;HAN Ting;LI Yan(People's Hospital of Linfen,Shanxi Province,041081)

机构地区：[1]山西省临汾市人民医院,041081

出　　处：《中国计划生育学杂志》2024年第5期995-1001,共7页Chinese Journal of Family Planning

摘　　要：目的:探讨剖宫产术后产妇分娩心理创伤现状并分析其影响因素。方法:采用便利抽样法选取2021年10月-2023年10月本院产科行剖宫产术分娩的产妇112例为研究对象,采用一般资料调查问卷、城市分娩创伤量表(City BiTS)、社会支持评定量表(SSRS)、视觉模拟评分法(VAS)、心理弹性量表(CD-RISC)对产妇进行调查。利用单因素分析与利用多因素logistic回归模型分析探究剖宫产术后分娩心理创伤的影响因素。结果:本次调查共发放112份问卷,有效回收108份,有效回收率96.4%。108例产妇中33例符合分娩心理创伤阳性症状标准,阳性率30.6%,分娩相关总体症状评分为(49.0±4.6)分(43~55分)。阳性症状组与阴性症状组对不确定事件产生恐惧、创伤性分娩史、孩子性别与期盼是否符合、医护人员不恰当的护理、分娩环境陌生、产后母婴关系缺失、社会支持评分(32.6±4.2分比37.4±4.2分)、剖宫产术后疼痛评分(6.1±1.5分比4.7±1.6)、心理弹性评分(54.0±5.3分比59.8±4.7分)等存在差异(P<0.05)。多因素logistic回归分析,对不确定事件产生恐惧、创伤性分娩史、孩子性别与期盼不符合、医护人员不恰当的护理、分娩环境陌生、产后母婴关系缺失、低社会支持评分、高剖宫产术后疼痛评分、低心理弹性评分是产妇剖宫术后分娩心理创伤的影响因素(均P<0.05)。结论:剖宫产术后产妇分娩心理创伤较为普遍,影响因素多样,应加强防控干预,减少分娩心理创伤发生。Objective:To investigate the delivery psychological trauma status of puerperas after cesarean section,and to analyze its influencing factors.Methods:Convenience sampling method was used to select 112puerperas after cesarean section between October 2021and October 2023in this study.All puerperas were investigated by the general information questionnaire,the city birth trauma scale(City BiTS),the social support rating scale(SSRS),the visual analogue scale(VAS)and the connor davidson resilience scale(CD-RISC).Then the influencing factors of the delivery psychological trauma of the puerperas after cesarean section were identified by univariate and multivariate logistic regression analysis.Results:A total of 112questionnaires were distributed and 108questionnaires were valid,with an effective recovery rate of 96.4%.In 108puerperas,33puerperas met the criteria of delivery psychological trauma positive symptoms,with the positive rate of 30.6%.The overall score of delivery related symptoms of the puerperas was 49.0±4.6(43-55)points.The scores of the fear of uncertain events,the delivery traumatic history,whether the gender of the child consistented with the expectation,the inappropriate nursing by medical staff,the unfamiliar delivery environment,the lack of postpartum mother-infant relationship and the social support(32.6±4.2points),the pain score after cesarean section(6.1±1.5points)and the resilience score(54.0±5.3points)of the puerperas with delivery psychological trauma positive symptoms were significantly higher than those(37.4±4.2points,4.7±1points and 59.8±4.7 points)of the puerperas with delivery psychological trauma negative symptoms(P<0.05).Multivariate logistic regression analysis showed that the fear of uncertain events,the history of traumatic delivery,the gender of the child without meeting the expectations,the inappropriate nursing by medical staff,the unfamiliar delivery environment,the lack of postpartum mother-infant relationship,the low social support score,the high postoperative pain score aft

关 键 词：剖宫产术 分娩心理创伤 社会支持 心理弹性 影响因素 

分 类 号：R473.71[医药卫生—护理学]