产后创伤后应激障碍危险因素的调查分析

Risk factors of postpartum posttraumatic stress disorder

目的探讨产后创伤后应激障碍的危险因素,为产妇创伤后应激障碍的早发现、早诊断、早治疗提供依据。方法在产妇住院期间,收集其人口社会学资料和产科资料,产后42 d在产科门诊采用创伤后应激障碍清单-平民版对其进行评估。结果714例产妇完成调查,创伤后应激障碍发生率为9.52%。Logistic回归分析显示,初次分娩、害怕分娩、剖宫产是产后创伤后应激障碍的独立危险因素(P<0.05,P<0.01)。结论产后创伤后应激障碍发生率较高,医护人员应重点关注初产妇、害怕分娩产妇及剖宫产产妇的心理状态,及时进行预防干预。

Objective To identify risk factors of posttraumatic stress disorder(PTSD)following childbirth and to provide evidence for early detection,diagnosis,and treatment of postpartum PTSD.Methods The pregnant women who hospitalized for delivery of a baby were invited to participate in this study.Data were collected on socio-demographic and obstetric variables,and on newborns during hospitalization,then PTSD was assessed using the PTSD Checklist-Civilian version at 42 days postpartum in the obstetric clinic.Results A total of 714 women completed the study,and the prevalence of postpartum PTSD was 9.52%.Multivariate logistic regression indicated that first childbirth,fear of childbirth,caesarean section were risk factors of postpartum PTSD(P<0.05,P<0.01).Conclusion The prevalence of PTSD at six weeks postpartum is slightly high.Medical personnel should pay more attention to primipara mothers,women with fear of childbirth,and women undergoing caesarean section,assess their mental state and take preventive intervention as early as possible.