首页|前置胎盘住院患者发生创伤后应激障碍的相关影响因素分析

前置胎盘住院患者发生创伤后应激障碍的相关影响因素分析

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目的:探讨前置胎盘住院患者发生创伤后应激障碍(PTSD)的相关影响因素.方法:选取2019年10月至2023年1月我院收治的110例前置胎盘住院患者,采用创伤后应激障碍量表平民版(PCL-C)评估患者住院期间PTSD的发生情况,并收集相关资料,采用多因素Logistic回归分析影响该类患者发生PTSD的因素.结果:110例患者中有41例发生PTSD,发生率为37.27%.单因素分析显示孕妇类型(初产妇)、乐观倾向水平、家庭支持度、心理弹性、人格特征与前置胎盘住院患者发生PTSD有关(P<0.05);年龄、孕周、产次、意外怀孕、文化程度等其他资料与前置胎盘住院患者发生PTSD无关,差异无统计学意义(P>0.05).经多因素Logistic回归分析显示,初产妇、人格特征为内向是前置胎盘住院患者发生PTSD的危险因素(OR>1,P<0.05),乐观倾向水平较高、家庭支持度较高、心理弹性较高为前置胎盘住院患者发生PTSD的保护因素(OR<1,P<0.05).结论:前置胎盘住院患者PTSD发生率较高,初产妇、乐观倾向水平较低、家庭支持度较低、心理弹性较低、人格特征为内向是该类患者发生PTSD的危险因素.
Analysis of influencing factors of post-traumatic stress disorder in hospitalized patients with placenta previa
Objective:To investigate the influencing factors of post-traumatic stress disorder(PTSD)in hospitalized patients with placenta previa.Methods:A total of 110 hospitalized patients with placenta previa admitted to our hospital from Oct 2019 to Jan 2023 were selected,and the occurrence of PTSD during hospitalization was evaluated by using Post-Traumatic Stress Disorder Checklist-Civilian Version(PCL-C),and relevant data were collected.Multivariable logistic regression analysis was used to analyze the influencing factors of PTSD in these patients.Results:Among 110 patients,41 cases developed PTSD(37.27% ).Univariable analysis showed that the type of pregnant women(primigravida),optimistic tendency,family support,psychological resilience and personality traits were associated with PTSD in hospitalized patients with placenta previa(P<0.05).Other information such as age,gestational age,parity,unplanned pregnancy and education level were not associated with PTSD(P>0.05).Multivariable logistic regression analysis showed that primiparas and introversion were risk factors for PTSD(OR>1,P<0.05),and higher optimism tendency,higher degree of family support and higher psychological resilience were protective factors for PTSD in hospitalized patients with placenta previa(OR<1,P<0.05).Conclusions:The incidence of PTSD is higher in hospitalized patients with placenta previa.The risk factors of PTSD are primiparas,low level of optimistic tendency,low degree of family support,low psychological resilience and introversion.

placenta previapost-traumatic stress disorderoptimistic tendencydegree of family supportpsychological

李亭亭、彭凌云、方铜

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江西省景德镇市乐平市妇幼保健院妇产科,江西 景德镇 333300

前置胎盘 创伤后应激障碍 乐观倾向 家庭支持度 心理弹性

2024

沈阳医学院学报
沈阳医学院

沈阳医学院学报

影响因子:0.591
ISSN:1008-2344
年,卷(期):2024.26(1)
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