曾涛 梁小娟 李敏 刘天萍

【摘要】目的：探讨稽留流产患者的创伤后成长轨迹及现状水平，分析影响因素，并提出相应的心理干预建议。方法：采用量化和质性的方法，对242例稽留流产患者进行了问卷调查和访谈，收集其人口学资料、稽留流产相关信息和心理状况数据，运用描述性统计、相关分析和多元回归分析等方法进行数据处理和分析。结果：稽留流产患者的创伤后成长总分为（53.21±12.34）分，高于中国正常人群水平；创伤后应激障碍总分为（44.67±10.56）分。质性访谈结果显示，稽留流产患者对稽留流产事件的认知、情感、应对和成长等方面都有不同阶段的变化，主要表现在对生活的感激、对自己的力量、对新的可能性、与他人关系和自我转变等方面。结论：本研究为临床实践提供了一些心理干预建议，包括加强对稽留流产患者的心理评估和干预，培养其创伤后成长意识和动机，促进其积极应对创伤并实现更好的心理适应。本研究还存在一些局限性，需要在未来的研究中进行改进和完善。

【关键词】稽留流产；创伤后成长；创伤后应激障碍；社会支持

A study on the posttraumatic growth trajectory and current status of missed abortion patients

ZENG Tao， LIANG Xiaojuan， LI Min， LIU Tianping

Zhongshan Boai Hospital， Zhongshan， Guangdong 528403， China

【Abstract】Objective： To explore the post-traumatic growth trajectory and current level of patients with missed abortion， to analyze the influencing factors， and to provide suggestions for psychological intervention. Methods： A quantitative and qualitative method was used to conduct a questionnaire survey and interview on 242 patients with missed abortion， collecting their demographic data， missed abortionrelated information and psychological status data. Descriptive statistics， correlation analysis and multiple regression analysis were used to process and analyze the data. Results： The total score of post-traumatic growth of patients with missed abortion was （53.21±12.34） points， which was higher than that of normal population in China； the total score of post-traumatic stress disorder was （44.67±10.56） points. Qualitative interview results showed that patients with missed abortion had different stages of change in their cognition， emotion， coping and growth regarding the missed abortion event， mainly manifested in gratitude for life， personal strength， new possibilities， relationships with others and self-transformation. Conclusion： This study provided some psychological intervention suggestions for clinical practice， including strengthening the psychological assessment and intervention for patients with missed abortion， cultivating their post-traumatic growth awareness and motivation， improving their social support perception， promoting their positive coping with trauma and achieving better psychological adaptation. This study also had some limitations that need to be improved and perfected in future research.

【Key Words】Missed abortion； Post-traumatic growth； Post-traumatic stress disorder； Social support

稽留流產是指胚胎停止发育后滞留在子宫内未能自然排出的一种妊娠并发症，我国的发病率约为 13.4%，是导致不孕不育的重要原因之一[1]。稽留流产不仅会给患者带来生理上的损害，还会造成心理上的创伤，影响患者的生活质量和心理健康。目前，关于稽留流产患者的创伤后成长的研究较少，对于稽留流产患者的创伤后成长轨迹及现状水平，以及影响其创伤后成长的因素，尚缺乏系统的研究[2]。……