[1]吴 琴,祝 艳,周翠华.产妇产后创伤后应激障碍影响因素分析[J].医学信息,2020,33(14):129-130,139.[doi:10.3969/j.issn.1006-1959.2020.14.039]
　WU Qin,ZHU Yan,ZHOU Cui-hua.Analysis of Influencing Factors of Postpartum Post-traumatic Stress Disorder in Women[J].Medical Information,2020,33(14):129-130,139.[doi:10.3969/j.issn.1006-1959.2020.14.039]
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产妇产后创伤后应激障碍影响因素分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年14期
页码:
129-130,139
栏目:
调查分析
出版日期:
2020-07-15

文章信息/Info

Title:
Analysis of Influencing Factors of Postpartum Post-traumatic Stress Disorder in Women
文章编号:
1006-1959（2020）14-0129-03
作者:
吴 琴; 祝 艳; 周翠华
（南充市中心医院产科，四川 南充 637000）
Author(s):
WU Qin; ZHU Yan; ZHOU Cui-hua
(Department of Obstetrics,Nanchong Central Hospital,Nanchong 637000,Sichuan,China)
关键词:
产妇; 产后; 创伤后应激障碍
Keywords:
Maternal; Postpartum; Post-traumatic stress disorder
分类号:
R714.6
DOI:
10.3969/j.issn.1006-1959.2020.14.039
文献标志码:
A
摘要:
目的 了解产妇产后创伤后应激障碍的现况，分析其影响因素。方法 随机抽取2019年9~12月在南充市中心医院产科产后7 d（出院前）的产妇进行问卷调查，采用创伤后应激障碍量表（PCL-C），爱丁堡产后抑郁表（EPDS）评估产妇的心理状况。结果 共调查424名产妇，调查对象PCL-C得分为（34.85±11.71）分，产后创伤后应激障碍（PTSD）阳性检出者55名（12.97%）； EPDS得分为（8.85±3.77）分，PTSD阳性检出者171名（40.33%）。不同生活满意度、家庭经济状况、创伤史、分娩次数、产时及产后疼痛程度、妊娠期合并症、分娩期并发症、新生儿并发症、产后抑郁情况和住院期间医护支持的产妇发生PTSD比较，差异有统计学意义（P＜0.05）；Logistic回归分析显示，PTSD发生的影响因素为创伤史、分娩次数、分娩期并发症、新生儿并发症、产时及产后疼痛、住院期间医护支持和产后抑郁情况（P＜0.05）。结论 产妇产后创伤后应激障碍发生率较高，临床应用重视产妇分娩创伤应激状况，及早发现高危人群，及时介入保护，促进产妇健康心理调适，保障母婴健康。
Abstract:
Objective To understand the current status of postpartum post-traumatic stress disorder in women and analyze the influencing factors. Methods From September to December 2019, the women in the obstetrics department of Nanchong Central Hospital were selected for questionnaire survey 7 d after delivery (pre-discharge). The post-traumatic stress disorder scale (PCL-C) and Edinburgh postpartum depression scale (EPDS) were used for evaluation maternal psychological status.Results A total of 424 pregnant women were surveyed. The PCL-C score of the surveyed subjects was (34.85±11.71) points, and 55 patients (12.97%) with positive post-traumatic stress disorder (PTSD) detection; EPDS score was (8.85±3.77) points. There were 171 positive PTSD detections (40.33%). Comparison of PTSD among women with different life satisfaction, family economic status, trauma history, number of deliveries, pain during and after childbirth, complications during pregnancy, delivery complications, neonatal complications, postpartum depression, and medical support during hospitalization,the difference was statistically significant (P<0.05); Logistic regression analysis showed that the influencing factors of PTSD were trauma history, number of births, complications during delivery, neonatal complications, pain during and after childbirth, medical support during hospitalization and postpartum depression (P<0.05).Conclusion The incidence of postpartum post-traumatic stress disorder in women is high. Clinical application pays attention to the trauma stress status of women in delivery, early detection of high-risk groups, timely intervention and protection, promotion of maternal health and psychological adjustment, and protection of maternal and infant health.

参考文献/References:

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更新日期/Last Update: 1900-01-01