心理弹性理论干预在预防早产儿母亲产后创伤后应激障碍中的作用  

Psychological resilience theory intervention in prevention of posttraumatic stress disorder in mothers of preterm infants

作　　者：李雪 程相红 Li Xue;Cheng Xianghong(Department of Gynecology and Obstetrics,Henan Provincial People's Hospital,Key Laboratory of Nursing Medicine of Henan Province,People's Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]河南省人民医院产科、河南省护理医学重点实验室、郑州大学人民医院,郑州450000

出　　处：《国际医药卫生导报》2025年第8期1385-1389,共5页International Medicine and Health Guidance News

基　　金：河南省医学科技攻关计划(LHGJ20200017)。

摘　　要：目的分析心理弹性理论干预在预防早产儿母亲产后创伤后应激障碍(PTSD)中的作用。方法前瞻性研究,选取2022年2月至2024年2月河南省人民医院收治的120例早产儿母亲作为研究对象,采取随机数字表法分为对照组和试验组,每组各60例。对照组年龄(28.34±3.52)岁,分娩孕周(30.12±5.26)周,给予常规护理;试验组年龄(28.76±3.16)岁,分娩孕周(30.58±5.02)周,在常规护理基础上实施心理弹性理论干预。采用心理弹性量表(CD-RISC)、创伤后应激障碍自评量表(PCL-C)、社会支持评定量表(SSRS)、症状自评量表(SCL-90)比较两组产妇的心理弹性、PTSD症状严重程度、社会支持情况及心理健康水平。统计学方法采用t检验。结果对照组PTSD产妇有17例,发生率为28.3%;试验组PTSD产妇有16例,发生率为26.7%。干预后,试验组CD-RISC及SSRS总评分均高于对照组[(56.47±6.82)分比(49.41±6.74)分、(30.56±2.31)分比(26.41±2.67)分],PCL-C及SCL-90总评分均低于对照组[(42.86±5.14)分比(49.89±5.23)分、(14.38±2.68)分比(16.15±2.74)分],差异均有统计学意义(t=5.703、9.105、7.426、3.577,均P<0.05)。结论心理弹性理论干预能有效提高早产儿母亲的心理弹性,降低产后PTSD的发生风险,改善社会支持情况和心理健康水平。Objective To analyze the effect of psychological resilience theory intervention in the prevention of post-traumatic stress disorder(PTSD)in mothers of preterm infants.Methods This was a prospective study.One hundred and twenty mothers of preterm infants treated at Henan Provincial People's Hospital from February 2022 to February 2024 were selected as the research objects,and were divided into a control group and an experimental group by the random number table method,with 60 cases in each group.The control group were(28.34±3.52)years old and were(30.12±5.26)weeks pregnant when they delivered.The experimental group were(28.76±3.16)years old and were(30.58±5.02)weeks pregnant when they delivered.The control group took routine nursing,and the experimental group took routine nursing and psychological resilience theoretical intervention.Follow-up was conducted one month later.The psychological resilience Scale(CD-RISC),PTSD Scale(PCL-C),Social Support Rating Scale(SSRS),and Symptom Self-Rating Scale(SCL-90)were used to evaluate their mental resilience,PTSD symptom severity,social support,and mental health.t test was used for the statistical analysis.Results Seventeen cases(28.3%)had PTSD in the control group,and 16 cases(26.7%)in the experimental group.The total scores of CD-RISC,SSRS,PCL-C,and SCL-90 in the experimental group were better than those in the control group(56.47±6.82 vs.49.41±6.74,30.56±2.31 vs.26.41±2.67,42.86±5.14 vs.49.89±5.23,and 14.38±2.68 vs.16.15±2.74),with statistical differences(t=5.703,9.105,7.426,and 3.577;all P<0.05).Conclusion Psychological resilience theory intervention can effectively improve the psychological resilience of mothers of preterm infants,reduce the risk of postpartum PTSD,and improve their social support and mental health.

关 键 词：心理弹性理论干预 早产儿母亲 产后创伤后应激障碍 

分 类 号：R473.71[医药卫生—护理学] R749.5[医药卫生—临床医学]