前置胎盘孕妇创伤后应激障碍与乐观倾向分析

Analysis of Post-Traumatic Stress Disorder and Optimistic Tendency in Pregnant Women with Placenta Previa

目的分析前置胎盘(PP)孕妇创伤后应激障碍(PTSD)与乐观倾向的关系。方法选择2019年1月至2021年2月于商丘市第一人民医院产检并确诊的113例PP孕妇作为研究对象,确诊后1周,采用PTSD诊断量表(PCL-C)评估孕妇PTSD水平,采用生活定向测验修订版(LOT-R)评估其乐观倾向水平;询问并记录孕妇相关资料,分析PP孕妇PTSD与乐观倾向的关系。结果确诊后1周,113例孕妇中59例PTSD症状较重,占52.21%(59/113);PTSD组与无PTSD组PP孕妇基线资料比较,差异无统计学意义(P>0.05);确诊后1周,113例孕妇LOT-R评分平均为(14.79±1.68)分,PCL-C评分平均为(54.29±3.36)分;双变量Pearson直线相关性检验结果显示,PP孕妇PTSD与乐观倾向水平呈负相关(r=-0.967,P<0.001)。结论PP孕妇PTSD与乐观倾向呈负相关,较高的乐观倾向水平有利于减轻孕妇PTSD程度。

Objective To analyze the relationship between post-traumatic stress disorder(PTSD)and optimistic tendency in pregnant women with placenta previa(PP).Methods A total of 113 pregnant women with PP who underwent prenatal examination and were diagnosed in Shangqiu First People’s Hospital from January 2019 to February 2021 were selected as the research subjects,one week after diagnosis,the PTSD level of pregnant women was evaluated by PTSD checklist-civilian version(PCL-C),the life orientation test revised(LOT-R)was used to evaluate the level of optimistic tendency,asked and recorded information about pregnant women,the relationship between PTSD and optimistic tendency in PP pregnant women was analyzed.Results One week after diagnosis,59 of 113 pregnant women had severe symptoms of PTSD,accounting for 52.21%(59/113);there was no statistical difference in comparison of baseline data of PP pregnant women between PTSD group and non PTSD group(P>0.05).One week after diagnosis,the average LOT-R score and PCL-C score of 113 pregnant women were(14.79±1.68)and(54.29±3.36).The bivariate pearson linear correlation test showed that there was a negative correlation between PTSD and optimistic tendency in PP pregnant women(r=-0.967,P<0.001).Conclusion PTSD is negatively correlated with optimistic tendency in PP pregnant women,a higher level of optimistic tendency is conducive to reducing the degree of PTSD in pregnant women.