住院高危妊娠患者创伤后应激障碍发生现状及影响因素分析

Status and influencing factors of post-traumatic stress disorder in hospitalized high-risk pregnant patients

目的调查住院高危妊娠患者创伤后应激障碍(PTSD)发生状况及其影响因素。方法本研究为横断面研究。采用便利抽样法,选取2020年5—12月郑州大学第一附属医院产科住院的503例高危妊娠患者为研究对象。使用创伤后应激障碍检查表-普通版(PCL-C)、社会支持量表、心理弹性量表(CD-RISC)对其进行调查,采用多重线性回归分析探讨住院高危妊娠患者PTSD的影响因素。结果共发放问卷503份,回收503份,剔除无效问卷32份,有效问卷471份。471例高危妊娠患者PCL-C得分为(30.52±10.29)分;孕期PTSD阳性患者87例。高危妊娠患者的社会支持得分、CD-RISC得分与PCL-C总分和3个维度得分呈负相关(P<0.05)。多重线性回归分析结果显示,社会支持、心理弹性和妊娠风险级别是住院高危妊娠患者PTSD的影响因素(P<0.05)。结论妊娠风险级别、心理弹性和社会支持是高危妊娠患者发生PTSD的影响因素。

Objective To investigate the incidence of post-traumatic stress disorder(PTSD)in hospitalized high-risk pregnancy patients and its related influencing factors.Methods This study was a cross-sectional study.A total of 503 high-risk pregnancy patients who were hospitalized in Department of Obstetrics of the First Affiliated Hospital of Zhengzhou University from May to December 2020 were selected as the research objects by the convenient sampling method.Post-Traumatic Stress Checklist-Civilian Version(PCL-C),Social Support Scale and Connor-Davidson Resilience Scale(CD-RISC)were used to investigate.Multiple linear regression analysis was used to analyze the influencing factors of PTSD in hospitalized high-risk pregnant patients.Results A total of 503 questionnaires were sent out,503 were recovered,32 invalid questionnaires were excluded and 471 valid questionnaires were valid.The PCL-C score of 471 high-risk pregnant patients was(30.52±10.29)and 87 cases were PTSD positive during pregnancy.The social support score and CD-RISC score of pregnant patients with high-risk pregnancy were negatively correlated with total score of PCL-C and scores of 3 dimensions(P<0.05).The results of multiple linear regression analysis showed that social support,psychological resilience and pregnancy risk level were influencing factors of PTSD in hospitalized high-risk pregnant patients(P<0.05).Conclusions Pregnancy risk level,psychological resilience and social support are the influencing factors of PTSD in pregnant patients with high-risk pregnancy.