高危妊娠妇女产后抑郁、睡眠问题、心理分娩创伤与生活质量的网络分析

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-05-29 DOI:10.1016/j.midw.2025.104476

Zhang Jiayuan , Luo Xiaoxi , Chen Dan , Zhou Yuqiu

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引用次数: 0

摘要

高危妊娠妇女通常会经历产后抑郁、分娩创伤和睡眠障碍，这些都会严重影响她们的生活质量。了解这些问题之间的联系对于制定有效的干预措施以改善产后健康结果至关重要。目的探讨高危妊娠妇女产后抑郁、分娩心理创伤和睡眠障碍的关系及其对生活质量的影响。方法对769例高危妊娠妇女进行横断面研究。采用爱丁堡产后抑郁量表（EPDS）、匹兹堡睡眠质量指数（PSQI）、心理分娩创伤量表（PBTS）和SF-12量表收集数据，评估抑郁症状、睡眠质量、心理分娩创伤和生活质量。网络分析用于识别中心症状和桥梁症状及其与生活质量的关系。网络分析显示，“白天功能障碍”是最主要的症状，其次是“主观睡眠质量”、“享受活动”和“被忽视”。确定了五种桥症状：“白天功能障碍”、“生理情绪反应”、“被忽视”、“焦虑”和“睡眠时间长”。在心理分娩创伤症状中，“生理情绪反应”与生活质量的直接相关性最强。本研究强调了产后抑郁、心理分娩创伤和睡眠障碍如何共同影响高危妊娠妇女的生活质量（QOL）。这些发现强调需要采取干预措施，解决身体和情绪症状，以改善产后健康结果。结论针对“日间功能障碍”、“生理情绪反应”等关键症状，进行针对性干预，可显著改善高危妊娠妇女的产后健康结局，提高生活质量。

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Network analysis of postpartum depression, sleep problems, psychological birth trauma, and quality of life in women with high-risk pregnancy

Background

Women with high-risk pregnancies often experience postpartum depression, birth trauma, and sleep disturbances, which can significantly affect their quality of life (QOL). Understanding the links between these issues is crucial for developing effective interventions to improve postpartum health outcomes.

Objective

The aim of this study was to explore the relationship of postpartum depression, psychological birth trauma, and sleep disturbances, and their impact on QOL in women with high-risk pregnancies.

Methods

A cross-sectional study was conducted with 769 women who had high-risk pregnancies. Data was collected using the Edinburgh Postnatal Depression Scale (EPDS), Pittsburgh Sleep Quality Index (PSQI), Psychological Birth Trauma Scale (PBTS), and Short Form-12 (SF-12) to assess depressive symptoms, sleep quality, psychological birth trauma, and QOL. Network analysis was employed to identify central and bridge symptoms and their relationships with QOL.

Findings

The network analysis revealed that “Daytime dysfunction” was the most central symptom, followed by “Subjective sleep quality,” “Enjoyment of activities,” and “Being neglected.” Five bridge symptoms were identified: “Daytime dysfunction,” “Physiological emotional response,” “Being neglected,” “Anxiety,” and “Sleep duration.” Among the psychological birth trauma symptoms, “Physiological emotional response” showed the strongest direct correlation with QOL.

Discussion

This study highlights how postpartum depression, psychological birth trauma, and sleep disturbances collectively affect quality of life (QOL) in women with high-risk pregnancies. These findings underscore the need for interventions that address both physical and emotional symptoms to improve postpartum health outcomes.

Conclusion

Targeting key symptoms, such as “Daytime dysfunction” and “Physiological emotional response,” with tailored interventions could significantly improve postpartum health outcomes and enhance QOL for women with high-risk pregnancies.

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.