住院早产儿母亲的创伤后应激障碍症状阳性率及影响因素分析

Positive Rate and Risk Factors of Post-Traumatic Stress Disorder Symptoms Among Mothers with Hospitalized Preterm Infant

目的:评估创伤后应激障碍(PTSD)症状在新生儿重症监护病房(NICU)住院早产儿母亲中的阳性率,并确定高危人群。方法:采用围产期创伤后应激障碍问卷、广泛焦虑问卷以及爱丁堡产后抑郁量表对湖北省武汉市三家NICU住院早产儿母亲进行问卷调查,共有124名产妇参与调查。结果:NICU住院早产儿母亲的创伤后应激障碍阳性率为33.1%。Logistic回归分析显示产后抑郁、对患儿照护知识的需求以及患儿医疗费用的支付方式为产后创伤后应激症状发生的预测因素(P<0.05)。多元线性回归分析显示,影响围产期创伤后应激障碍问卷(PPQ)分数的因素有产后的心理(产后抑郁)以及分娩方式。结论:NICU住院早产儿母亲的PTSD症状阳性率相对较高,其影响因素包括自身心理健康水平如抑郁、分娩的方式、患儿医疗费用的支付方式以及相关知识需求。

Objective:To investigate the positive rate of the post-traumatic stress disorder(PTSD)symptoms among mothers with neonatal intensive care unit(NICU)hospitalized preterm infant,and to identify high-risk populations.Methods:A total of 124 mothers with NICU hospitalized preterm infant in Wuhan completed three self-report measures,the Perinatal PTSD questionnaire(PPQ),the Generalized Anxiety Disorder Scale(GAD-7)and the Edinburgh Postpartum Depression Scale(EPDS).Results:The positive rate of the PTSD symptom in mothers of NICU hospitalized preterm infants was 33.1%.Logistic regression analysis showed that postpartum depression,the need for knowledge on children’s care and the payment of medical expenses were the predictors of PTSD symptoms(P<0.05).Multiple linear regression analysis indicated that factors influencing PPQ scores were postpartum psychological(postpartum depression)and mode of delivery.Conclusion:The positive rate of PTSDin mothers with NICU hospitalized preterm infants is relatively high.Influencing factors include mothers’ mental health level such as depression,the way of childbirth,the payment of infant’s medical expenses and the knowledge needs.