Trajectory of postpartum post-traumatic stress disorder in women of advanced maternal age based on latent growth mixture model
10.3760/cma.j.cn115682-20240605-03165
- VernacularTitle:基于潜变量增长混合模型的高龄产妇产后创伤后应激障碍发展轨迹的研究
- Author:
Qunli WU
1
;
Furong JIN
;
Xuezhen WANG
;
Lidan GUO
Author Information
1. 浙江省台州医院妇产科，台州 318000
- Keywords:
Parturient;
Aged;
Postpartum;
Post-traumatic stress disorder;
Latent growth mixture model;
Trajectory
- From:
Chinese Journal of Modern Nursing
2024;30(31):4281-4287
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the trajectory of postpartum post-traumatic stress disorder (PP-PTSD) in women of advanced maternal age and its influencing factors.Methods:From September 2021 to March 2023, convenience sampling was used to select women of advanced maternal age in the Department of Gynecology and Obstetrics at Taizhou Hospital of Zhejiang Province as participants. Parturients were surveyed at one week, one month, six months, and 12 months after delivering using General Information Questionnaire, Post-traumatic Stress Disorder Check-list-civilian Version, Social Capital Scale, and 10-item Connor-Davidson Resilience Scale. The latent growth mixture model was used to analyze the trajectory of PP-PTSD.Results:A total of 467 questionnaires were distributed, and 456 valid questionnaires were collected, with a valid rate of 97.64%. There were four types of PP-PTSD trajectories in women of advanced maternal age, namely non PP-PTSD type (71.27%, 325/456), early onset-gradual recovery type (12.06%, 55/456), early onset-prolonged type (9.21%, 42/456), and late onset-risk type (7.46%, 34/456). Univariate analysis showed that delivery mode, pregnancy complications, social capital, and psychological resilience were potential categories of influencing factors for the trajectory of PP-PTSD in women of advanced maternal age ( P<0.05) . Conclusions:There is population heterogeneity in the trajectory of PP-PTSD among women of advanced maternal age. It is recommended that medical and nursing staff dynamically monitor the PP-PTSD of women of advanced maternal age, identify their trajectory types early, and develop precise intervention measures based on classification.
