意外妊娠终止女性创伤后 心理应激反应状况.

Objective: To investigate the post-traumatic stress response in women with unintended pregnancy termination and analyze its related factors. Methods: Totally 388 women with unintended pregnancy termination from two public hospitals in Fujian were selected as the research subjects. They were assessed with the Impact of Event Scale-Revised (IES-R), Hospital Anxiety and Depression Scale (HADS), Connor-Davidson Resilience Scale (CD-RISC) and Perinatal Grief Scale (PGS). The total score of IES-R≥35 was positive for post-traumatic stress disorder screening. Results: The total score of IES-R was (20.6 ± 12.4), and the positive rate of post-traumatic stress disorder screening was 16.5%. Multiple linear regression analysis showed that the IES-R total scores were higher in those who thought pregnancy timing was appropriate than those who thought pregnancy timing was wrong (β=0.13), and lower in women with moderate pain during termination than in those with severe pain (β = -0.09). The IES-R total scores were positively correlated with gestational weeks, depression scores of the HADS and grief scores of the PGS (B=0. 18, 0. 27, 0. 16), and negatively correlated with optimism scores of the CD-RISC (β-0. 12). Conclusion: The post-traumatic stress response of unintended termination of pregnancy is at a moderate level. Post-traumatic stress symptoms are more likely to occur in women who thought pregnancy timing is appropriate, and those with severe pain during pregnancy termination, large gestational weeks, high level of depression during pregnancy, and high level of grief after pregnancy termination. [ABSTRACT FROM AUTHOR]