产后创伤后应激障碍的相关因素分析

中华行为医学与脑科学杂志 Pub Date : 2019-11-20 DOI:10.3760/CMA.J.ISSN.1674-6554.2019.11.013

Quan Gan, Dong Zhou, Ruoqin Cheng

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引用次数: 0

摘要

目的探讨产后创伤后应激障碍的相关因素。方法采用围产期创伤后应激障碍问卷中文版（PPQ-C）对湖北省妇幼保健院1 160名产妇进行症状测量。卡方检验用于评估阳性和阴性症状组在生活地区（城市或农村）、就业状况（就业或失业）、医疗保险状况（有或没有医疗保险）、产次（初产或多胎）、分娩方式（顺产或剖宫产）方面的差异。采用Logistic回归分析方法探讨产后PTSD的影响因素。结果160例产妇中，符合产后PTSD阳性标准者188例（16.2%），PPQ-C平均分为（25.71±6.22），失业妇女（OR=0.64，95%CI:0.46～0.89，P=0.01），无医疗保险妇女（OR0.60，95%CI:0.43～0.82，P<0.01），剖宫产者（OR=1.47，95%CI:1.06-2.03，P=0.02）和有妊娠并发症者（OR=1.47，95%CI:1.06-2.03，P=0.03）发生产后创伤后应激障碍的风险较高。结论医疗保险状况和就业状况是影响产后PTSD的重要因素。分娩方式和妊娠并发症是影响产后PTSD症状发生和发展的重要因素，与妊娠并发症相关的妊娠检查结果异常是产后PTSD的重要应激源。关键词：产后；创伤后应激障碍；相关因素

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Analysis of related factors of postpartum post-traumatic stress disorder

Objective To study the related factors of postpartum posttraumatic stress disorder. Methods Perinatal posttraumatic stress disorder questionnaire-Chinese edition(PPQ-C) was used to measure the symptoms of 1 160 puerpera in maternal and child health hospital of Hubei Province.Chi-square test was used to evaluate the differences of positive and negative symptom group in living area (urban or rural), employment status (employment or unemployment), medical insurance status (with or without medical insurance), parity (primiparity or multiparity), mode of delivery (natural labor or cesarean section). Logistic regression analysis was used to discuss the influencing factors of postpartum PTSD. Results In all 1 160, there were 188 puerpera meet the positive standard postpartum PTSD(16.2%), and the average score of PPQ-C of this 188 puerpera was (25.71±6.22). Women who were unemployed(OR=0.64, 95%CI: 0.46-0.89, P=0.01), who had no medical insurance (OR=0.60, 95%CI: 0.43-0.82, P<0.01), who gave birth by cesarean section(OR=1.47, 95%CI: 1.06-2.03, P=0.02) and who had pregnancy complications (OR=1.47, 95%CI: 1.06-2.03, P=0.03) were at higher risk of postpartum PTSD. Conclusion Medical insurance status and employment status were important factors affecting postpartum PTSD.Delivery mode and pregnancy complications are important factors affecting the occurrence and development of postpartum PTSD symptoms, and abnormal results of pregnancy examination which related to pregnancy complications are important stressor for postpartum PTSD symptoms. Key words: Postpartum; Posttraumatic stress disorder; Related factors

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来源期刊

中华行为医学与脑科学杂志

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发文量

8131

期刊介绍： "Chinese Journal of Behavioral Medicine and Brain Science" (CN 37-1468/R, ISSN 1674-6554) is a national academic journal under the supervision of the National Health Commission, sponsored by the Chinese Medical Association and Jining Medical College. The journal was founded in June 1992 and was formerly known as "Chinese Journal of Behavioral Medicine" (1992-1993) and "Chinese Behavioral Medical Science" (1994-2008). In 2009, it was renamed "Chinese Journal of Behavioral Medicine and Brain Science" with the approval of the State Administration of Press, Publication, Radio, Film and Television. The purpose of "Chinese Journal of Behavioral Medicine and Brain Science" is to implement the health and health policies of the Party and the State, implement the principle of combining theory with practice and popularization and improvement, and reflect the major progress in the theory and practical application of behavioral medicine and brain science in my country. It publishes academic papers and scientific research results in the field of behavioral medicine and brain science in my country, and has columns such as monographs/reviews, basic research, clinical research, health prevention, methods and techniques, psychological behavior and evaluation, and systematic evaluation.