心理弹性理论干预在预防早产儿母亲产后创伤后应激障碍中的作用

doi:10.3760/cma.j.cn441417-20241011-08032

国际医药卫生导报 ›› 2025, Vol. 31 ›› Issue (8): 1385-1389.DOI: 10.3760/cma.j.cn441417-20241011-08032

心理弹性理论干预在预防早产儿母亲产后创伤后应激障碍中的作用

李雪程相红

河南省人民医院产科河南省护理医学重点实验室郑州大学人民医院，郑州 450000

收稿日期:2024-10-11 出版日期:2025-04-15 发布日期:2025-04-21
通讯作者: 程相红，Email：chengxianghong666@163.com
基金资助:
河南省医学科技攻关计划（LHGJ20200017）

Psychological resilience theory intervention in prevention of posttraumatic stress disorder in mothers of preterm infants

Li Xue, Cheng Xianghong

Department of Gynecology and Obstetrics, Henan Provincial People's Hospital, Key Laboratory of Nursing Medicine of Henan Province, People's Hospital of Zhengzhou University, Zhengzhou 450000, China

Received:2024-10-11 Online:2025-04-15 Published:2025-04-21
Contact: Cheng Xianghong, Email: chengxh1986305@163.com
Supported by:
Problem-tackling Plan of Medical Science and Technology in Henan (LHGJ20200017)

摘要/Abstract

摘要：

目的　分析心理弹性理论干预在预防早产儿母亲产后创伤后应激障碍（PTSD）中的作用。方法　前瞻性研究，选取2022年2月至2024年2月河南省人民医院收治的120例早产儿母亲作为研究对象，采取随机数字表法分为对照组和试验组，每组各60例。对照组年龄（28.34±3.52）岁，分娩孕周（30.12±5.26）周，给予常规护理；试验组年龄（28.76±3.16）岁，分娩孕周（30.58±5.02）周，在常规护理基础上实施心理弹性理论干预。采用心理弹性量表（CD-RISC）、创伤后应激障碍自评量表（PCL-C）、社会支持评定量表（SSRS）、症状自评量表（SCL-90）比较两组产妇的心理弹性、PTSD症状严重程度、社会支持情况及心理健康水平。统计学方法采用t检验。结果　对照组PTSD产妇有17例，发生率为28.3%；试验组PTSD产妇有16例，发生率为26.7%。干预后，试验组CD-RISC及SSRS总评分均高于对照组［（56.47±6.82）分比（49.41±6.74）分、（30.56±2.31）分比（26.41±2.67）分］，PCL-C及SCL-90总评分均低于对照组［（42.86±5.14）分比（49.89±5.23）分、（14.38±2.68）分比（16.15±2.74）分］，差异均有统计学意义（t=5.703、9.105、7.426、3.577，均P<0.05）。结论　心理弹性理论干预能有效提高早产儿母亲的心理弹性，降低产后PTSD的发生风险，改善社会支持情况和心理健康水平。

关键词:

心理弹性理论干预, 早产儿母亲, 产后创伤后应激障碍

Abstract:

Objective　To analyze the effect of psychological resilience theory intervention in the prevention of post-traumatic stress disorder (PTSD) in mothers of preterm infants. Methods　This was a prospective study. One hundred and twenty mothers of preterm infants treated at Henan Provincial People's Hospital from February 2022 to February 2024 were selected as the research objects, and were divided into a control group and an experimental group by the random number table method, with 60 cases in each group. The control group were (28.34±3.52) years old and were (30.12±5.26) weeks pregnant when they delivered. The experimental group were (28.76±3.16) years old and were (30.58±5.02) weeks pregnant when they delivered. The control group took routine nursing, and the experimental group took routine nursing and psychological resilience theoretical intervention. Follow-up was conducted one month later. The psychological resilience Scale (CD-RISC), PTSD Scale (PCL-C), Social Support Rating Scale (SSRS), and Symptom Self-Rating Scale (SCL-90) were used to evaluate their mental resilience, PTSD symptom severity, social support, and mental health. t test was used for the statistical analysis. Results　Seventeen cases (28.3%) had PTSD in the control group, and 16 cases (26.7%) in the experimental group. The total scores of CD-RISC, SSRS, PCL-C, and SCL-90 in the experimental group were better than those in the control group (56.47±6.82 vs. 49.41±6.74, 30.56±2.31 vs. 26.41±2.67, 42.86±5.14 vs. 49.89±5.23, and 14.38±2.68 vs. 16.15±2.74), with statistical differences (t=5.703, 9.105, 7.426, and 3.577; all P<0.05). Conclusion　Psychological resilience theory intervention can effectively improve the psychological resilience of mothers of preterm infants, reduce the risk of postpartum PTSD, and improve their social support and mental health.

Key words:

Psychological resilience theory intervention, Mothers of preterm infants, Postpartum post-traumatic stress disorder

李雪程相红.

心理弹性理论干预在预防早产儿母亲产后创伤后应激障碍中的作用 [J]. 国际医药卫生导报, 2025, 31(8): 1385-1389.

Li Xue, Cheng Xianghong.

Psychological resilience theory intervention in prevention of posttraumatic stress disorder in mothers of preterm infants [J]. International Medicine and Health Guidance News, 2025, 31(8): 1385-1389.

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心理弹性理论干预在预防早产儿母亲产后创伤后应激障碍中的作用

Psychological resilience theory intervention in prevention of posttraumatic stress disorder in mothers of preterm infants

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