重度子痫前期孕妇创伤后应激障碍与家庭关怀度分析

Analysis of Post-traumatic Stress Disorder and Family Care in Pregnant Women with Severe Preeclampsia

目的分析重度子痫前期孕妇创伤后应激障碍(PTSD)与家庭关怀度的关系。方法选择2019年4月至2021年2月于鹿邑县人民医院接受产检并确诊的85例重度子痫前期孕妇作为研究对象。分娩前1周,采用创伤后应激障碍诊断量表(PCL-C)评估孕妇PTSD水平,采用家庭关怀度指数问卷(APGAR)评估家庭关怀度,调查并记录孕妇相关资料,并分析孕妇PTSD与家庭关怀度的关系。结果85例孕妇中,49例为PTSD组,占57.65%,APGAR评分平均(2.56±0.27)分;36例为无PTSD组,占42.35%,APGAR评分平均(5.13±0.41)分;PTSD组孕妇初中及以下受教育程度、家庭关怀度低占比高于无PTSD组孕妇,差异有统计学意义(P<0.05);两组其他资料比较,差异无统计学意义(P>0.05);经logistic回归分析结果显示,初中及以下受教育程度、家庭关怀度低与重度子痫前期孕妇PTSD水平高有关(P<0.05)。结论重度子痫前期孕妇PTSD与家庭关怀度有关,较高的家庭关怀度可降低孕妇PTSD水平。

Objective To analyze the relationship between post-traumatic stress disorder(PTSD)and family care in pregnant women with severe preeclampsia.Methods A total of 85 pregnant women with severe preeclampsia who underwent prenatal examination and diagnosed in the People’s Hospital of Luyi from April 2019 to February 2021 were selected as the research subjects,one week before delivery,the PTSD level of pregnant women was assessed by the PTSD checklist-civilian version(PCL-C),family care index questionnaire(APGAR)was used to evaluate family care,the data of pregnant women were investigated and recorded,and the relationship between PTSD and family care of pregnant women was analyzed.Results Among 85 pregnant women,49 cases were in PTSD group,accounting for 57.65%,the average APGAR score was(2.56±0.27);36 cases were in non PTSD group,accounting for 42.35%,the average APGAR score was(5.13±0.41).The proportion of pregnant women with lower education level and family care of PTSD group was higher than that of non PTSD group,the differences were statistically significant(P<0.05).There was no statistical significant difference in other data between the two groups(P>0.05).The logistic regression analysis results showed that the higher PTSD level of pregnant women with severe preeclampsia was associated with lower education level in junior high school or below and lower family care(P<0.05).Conclusion PTSD of pregnant women with severe preeclampsia is related to family care,higher family care can reduce the PTSD level of pregnant women.