人工流产患者创伤后应激障碍及其影响因素

Post-traumatic Stress Disorder in Patients with Induced Abortion and Its Influencing Factors

目的了解人流患者创伤后应激障碍现况,分析其影响因素.方法抽取昆明三家医疗机构妇产科2016年6月至2017年3月期间进行复查(术后1个月)或手术(2 a内有过人工流产史)的人流患者进行问卷调查,采用创伤后应激障碍量表(PCL-C),医院抑郁焦虑量表(HADS)测评人流患者的心理状况,应用SPSS进行统计描述和分析.结果 159名调查对象PCL-C得分范围在17~62分,平均分(34.84±11.72),PTSD阳性检出者共计25人(15.7%),Logistic回归分析显示,PTSD发生的影响因素为婚姻状况,户口所在地,生活满意度,创伤史,家庭经济状况,焦虑状况(P<0.05).结论流产人群年龄偏低;流产患者心理状况堪忧,焦虑抑郁普遍存在;人流术后PTSD的患病风险是否增高目前尚为达成共识,创伤史在本研究中可能是一个混杂因素,夸大了流产对PTSD的贡献,继续相关队列研究十分有必要.

Objective To investigate the status of stress disorder in patients with induced abortion and to analyze the influencing factors.Methods Abortion patients who received review(one month after surgery)or surgery(two years had a history of abortion)from department of Obstetrics and Gynecology in three medical institutions in Kunming from June2016to March2017were selected to conduct a questionnaire survey.The posttraumatic stress disorder scale(PCL-C),hospital depression and anxiety scale(HADS)were used to measure the psychological status of the patients,application of spss22.0for statistical description and analysis.Results For159respondents,PCL-C score was17-62points,the average score(34.84±11.72),PTSD positive detection of a total of25(15.7%),Logistic regression analysis showed that Influencing factors of PTSD were marital status,account location,life satisfaction,trauma history,family economic status,anxiety status(P<0.05).Conclusions The age of the abortion population is low.Induced abortion in patients with psychological difficulties,anxiety and depression are ubiquitous.Whether the increased risk of PTSD after induced abortion is still no consensus,traumatic history in this study may be a confounding factor,exaggerated the contribution of abortion to PTSD,to continue the relevant cohort study is necessary.