Current status and influencing factors of post-traumatic stress disorder among 2 552 parturients in Shanghai
10.3760/cma.j.cn115682-20210412-01615
- VernacularTitle:上海市2 552名产妇产后创伤后应激障碍现状及影响因素分析
- Author:
Lan ZHANG
1
;
Ying LIU
;
Junying LI
;
Nafei GUO
Author Information
1. 同济大学附属第一妇婴保健院护理部，上海 201204
- Keywords:
Postpartum period;
Stress disorders, post-traumatic;
Status survey;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2021;27(31):4298-4303
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the status of postpartum post-traumatic stress disorder and its influencing factors in parturients, so as to provide a theoretical basis for formulation of early intervention measures.Methods:This study was a cross-sectional study. From May 2020 to March 2021, convenience sampling was used to select 2 584 parturients who attended the Postpartum Outpatient Clinic of a ClassⅢ Grade A hospital in Shanghai as the research subject. The General Information Questionnaire and the Chinese version of the Perinatal Post-Traumatic Stress Disorder Questionnaire (PPQ-C) were used for investigation.χ 2 test or Fisher exact probability was used for univariate analysis, and binomial Logistic regression was used for multivariate analysis. A total of 2 584 questionnaires were distributed and 2 552 valid questionnaires were returned with the effective response rate of 98.76%. Results:Among 2 552 parturients, The positive detection rate of post-traumatic stress disorder was 5.8% (148/2 552) . The results of binomial Logistic regression analysis showed that no Shanghai household registration ( OR=2.066) , feeling of average sleep quality during pregnancy ( OR=1.913) , feeling dissatisfied with sleep quality during pregnancy ( OR=10.946) , unplanned pregnancy ( OR=1.568) , primiparas ( OR=1.800) , Apgar scores of 0-7 5 minutes after delivery of the newborn ( OR=5.994) , and fetal growth retardation diagnosed during pregnancy ( OR=3.631) were risk factors for post-traumatic stress disorder after delivery, and the difference was statistically significant ( P<0.05) . Conclusions:There are many influencing factors of postpartum post-traumatic stress disorder in parturients. Medical and nursing staff can take intervention measures as soon as possible according to its influencing factors to reduce the incidence of postpartum post-traumatic stress disorder.
