产妇分娩后成长与心理弹性的关系:基于交叉滞后模型的纵向分析  

The relationship between postpartum growth and psychological resilience in postpartum women:a longitudinal analysis based on cross-lagged model

作　　者：张敏[1] 李露露 钱佳微 汪利萍[1] Zhang Min;Li Lulu;Qian Jiawei;Wang Liping(The First Affiliated Hospital Zhejiang University School of Medicine,Hangzhou Zhejiang 310003,China)

机构地区：[1]浙江大学医学院附属第一医院,浙江杭州310003

出　　处：《护理与康复》2025年第2期8-12,共5页Journal of Nursing and Rehabilitation

摘　　要：目的探讨产妇产后1年内分娩后成长与心理弹性的变化趋势,分析二者间的因果关系。方法采用便利抽样法,选取在浙江大学医学院附属第一医院产科病房分娩的产妇(n=268)作为研究对象。采用一般资料调查表于产妇出院时调查产妇一般资料,采用创伤后成长评定量表、心理弹性量表分别于产后1~3个月、产后4~6个月、产后7~12个月调查产妇的分娩后成长及心理弹性情况,并采用Amos 21.0软件对数据进行交叉滞后建模。结果产妇产后1~3个月、产后4~6个月、产后7~12个月的分娩后成长得分分别为(45.60±9.47)分、(43.03±8.29)分、(48.43±9.39)分,心理弹性得分分别为(63.69±10.01)分、(58.61±12.99)分、(68.46±9.44)分,3个阶段得分比较差异有统计学意义(P<0.01)。交叉滞后模型显示,产妇心理弹性与分娩后成长相互预测,差异有统计学意义(P均<0.01)。结论产妇分娩后成长与心理弹性随着产后时间迁移呈现先下降后升高变化,两者互为因果,相互交织。医护人员应以提高心理弹性、促进分娩后成长为切入点,对产妇实施综合性心理干预,改善产妇产后心理健康状况。Objective To explore the trend of postpartum growth and psychological resilience in postpartum women within 1 year after delivery,and analyze the causal relationship between them.Methods A convenience sampling method was used to select 268 postpartum women who delivered in the obstetrics ward of the First Affiliated Hospital Zhejiang University School of Medicine as the research subjects.A general information questionnaire was used to investigate the ge-neral information of the postpartum women at the time of discharge.The Posttraumatic Growth Inventory(PTGI)and Connor-Davidson Resilience Scale(CD-RISC)were used to investigate the postpartum growth and psychological resilience of the postpartum women at 1-3 months,4-6 months,and 7-12 months postpartum,respectively.The data were analyzed using the cross-lagged model in Amos 21.0 software.Results The scores of postpartum growth of the postpartum women at 1-3 months,4-6 months,and 7-12 months postpartum were(45.60±9.47)points,(43.03±8.29)points,and(48.43±9.39)points,respectively.The scores of psychological resilience were(63.69±10.01)points,(58.61±12.99)points,and(68.46±9.44)points,respectively.There were statistically significant differences in scores among the three stages(P<0.01).The cross-lagged model showed that psychological resilience and postpartum growth were mutually predictive,with statistically significant differences(P<0.01).Conclusion The postpartum growth and psychological resilience of postpartum women show a change of first declining and then increasing with the passage of time after delivery.They are mutually causal and intertwined.Medical staff should focus on improving psychological resilience and promoting postpartum growth as entry points for comprehensive psychological interventions to improve the psychological health status of postpartum women.

关 键 词：产妇 分娩后成长 心理弹性 纵向研究 交叉滞后模型 

分 类 号：R473.71[医药卫生—护理学]