摘要
目的:探讨产妇产后1年内创伤后应激障碍(PTSD)的变化轨迹,分析心理弹性等因素对轨迹类别的预测作用。方法:2019年10月—2021年4月,选取西安市8所社区卫生服务站符合抽样标准的产妇332例作为研究对象,分别在产后1~3个月、产后4~6个月、产后7~12个月3个时间段调查其PTSD水平。使用潜类别增长模型识别轨迹类别,采用Logistic回归分析识别轨迹类别的预测因素。结果:本研究识别出两条不同的产后PTSD轨迹,分别命名为PTSD迟发型高危组(8.4%)和无PTSD组(91.6%)。Logistic回归分析显示,无业、低收入、非初次分娩和低力量性的产妇属于PTSD迟发型高危组的概率高(P<0.05)。结论:产妇产后1年内PTSD发展呈现异质性,有两种不同发展轨迹,大多数产妇能维持精神行为和社会功能的稳定。职业、家庭人均收入、是否初次分娩、力量性是产后PTSD轨迹的预测因素。
Objective:To explore the development trajectory of post-traumatic stress disorder(PTSD) in puerpera within one year after delivery and to analyze the predictive effect of resilience and other factors on trajectory classes. Methods:From October 2019 to April 2021,a total of 332 cases of parturient women who met the sampling standards in 8 community health service stations in Xi′an were selected as the research subjects. The PTSD levels were investigated in three periods after delivery:1-3 months,4-6 months,and 7-12 months. Trajectory classes were identified using a latent class growth model(LCGM). The logistic regression analysis was used to identify predictors of trajectory classes. Results:This study identified two distinct postpartum PTSD trajectories:the high-risk group with delayed onset of PTSD(8. 4%) and the non-PTSD group(91. 6%). Logistic regression analysis showed that unemployed,low-income,non-first-time childbirth,and low-strength puerpera had a high probability of belonging to the high-risk group of late-onset post-traumatic stress disorder(P<0. 05). Conclusions:The development of PTSD in puerpera within 1 year after delivery was heterogeneous,with two different development trajectories. Most puerpera could maintain the stability of cognitive behavior and social function. Occupation,family income per capita, first childbirth or not, and strength were predictors of postpartum PTSD trajectory.
作者
王梅芳
杜娟
郑文凯
WANG Meifang;DU Juan;ZHENG Wenkai(City College,Xi′an Jiaotong University,Shaanxi 710018 China)
出处
《护理研究》
北大核心
2023年第4期584-589,共6页
Chinese Nursing Research
基金
陕西省教育厅专项科研计划项目,编号:19JK0494
西安交通大学城市学院校级重点项目,编号:2021Z04。
关键词
产妇
创伤后应激障碍
心理弹性
纵向研究
护理
puerpera
posttraumatic stress disorder
resilience
longitudinal study
nursing
