摘要
目的 分析妊娠期高血压疾病(HDCP)患者剖宫产术后社会支持评定量表(SSRS)评分与其创伤后应激障碍的相关性。方法 选取舞阳县中心医院2019年10月至2021年4月收治的115例HDCP患者,通过一般资料、SSRS、创伤后应激障碍检查表(PCL-C)进行调查分析,以明确SSRS评分与创伤后应激障碍的相关性。结果 115例HDCP患者SSRS评分为(18.56±3.02)分[客观支持(6.72±1.02)分,主观支持(6.85±1.48)分,对社会支持的利用度(4.99±0.76)分]、PCL-C评分为(31.04±6.85)分;PCL-C评分阳性例数为15例,阳性率为13.04%(15/115);Spearman相关性分析发现,HDCP患者SSRS评分与PCL-C评分呈负相关(r=-0.469,P=0.031);单因素分析发现,独生女、精神创伤史、睡眠差、意外怀孕、产后抑郁、心理一致感水平低、SSRS评分低为HDCP患者创伤后应激障碍的影响因素(P<0.05);logistic多元回归方程分析发现,精神创伤史、产后抑郁、心理一致感水平低、SSRS评分低均为HDCP患者创伤后应激障碍的独立危险因素(P<0.05)。结论 HDCP患者剖宫产术后社会支持水平较低,并存在一定的创伤后应激障碍发生风险,精神创伤史、产后抑郁、心理一致感水平低、SSRS评分低均为HDCP患者创伤后应激障碍的独立危险因素,临床应针对以上因素进行干预。
Objective To analyze the correlation between the social support rating scale(SSRS) score and post-traumatic stress disorder in patients with hypertensive disorders of pregnancy(HDCP) after cesarean section.Methods A total of 115 HDCP patients in Wuyang County Central Hospital from October 2019 to April 2021 were selected for investigation and analysis through general information,SSRS,and post-traumatic stress disorder checklist(PCL-C) to clarify the relationship between SSRS score and the post-traumatic stress disorder.Results The SSRS score of 115 HDCP patients was(18.56±3.02) points [objective support(6.72±1.02) points,subjective support(6.85±1.48) points,and utilization of social support(4.99±0.76) points],PCL-C score was(31.04±6.85) points.The number of positive cases with PCL-C score was 15 cases,and the positive rate was 13.04%(15/115).Spearman correlation analysis found that the SSRS score of HDCP patients was negatively correlated with the PCL-C score(r=-0.469,P=0.031).Univariate analysis found that only child,history of mental trauma,poor sleep,unintended pregnancy,postpartum depression,low level of psychological coherence,and low SSRS score were the influencing factors of post-traumatic stress disorder in HDCP patients(P<0.05).Logistic multiple regression equation analysis found that history of mental trauma,postpartum depression,low level of psychological coherence and low SSRS score were all independent risk factors for post-traumatic stress disorder in HDCP patients(P<0.05).Conclusion The level of social support in HDCP patients after cesarean section is low,and there is a certain risk of post-traumatic stress disorder.Among them,the history of mental trauma,postpartum depression,low level of psychological coherence and low SSRS score are all Independent risk factors for post-traumatic stress disorder of HDCP patients,and clinical intervention should be carried out based on the above factors.
作者
王黎明
王慧霞
杨乐
WANG Liming;WANG Huixia;YANG Le(Department of Obstetrics and Gynecology,Wuyang County Central Hospital,Luohe 462400,China;Department of Obstetrics and Gynecology,the First People’s Hospital of Luohe City,Luohe 462000,China)
出处
《河南医学研究》
CAS
2022年第19期3557-3560,共4页
Henan Medical Research
关键词
妊娠期高血压疾病
剖宫产
社会支持评定量表
创伤后应激障碍
相关性
hypertensive disorders of pregnancy
cesarean section
social support rating scale
post-traumatic stress disorder
correlation
