孕產(chǎn)婦分娩心理創(chuàng)傷評(píng)估工具的系統(tǒng)評(píng)價(jià)

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【中圖分類(lèi)號(hào)】R714.3【文獻(xiàn)標(biāo)識(shí)碼】A DOI：10.12114/j.issn.1007-9572.2024.0291

【Abstract】BackgroundPsychological birth trauma isclosely related to maternal mental health，soidentifying andevaluatingtheefectivenessofintervenionsareextremelyimportant.Therearemanyasssmenttolsforpsycologicalbirth trauma，butthereisalackofresearchevaluating thequalityforthem.ObjectiveTosystematicalyreview themethodological qualityandmeasurementpropertiesofaesmenttolsofpsyhlogicalbirthtraua，sostoprovideareferenceforsubseuent research.MethodsPubMed，Web of Science，CINAHL，APA psycArticles，Embase，CNKI，Wanfang，VIP and CBM databasesweresearchedonassessmenttoolsofpsychologicalbirth traumafromthedateoflibraryconstruction toNovember 6，2023.Literature screning，extractionand evaluationwereconducted independentlyby2researchersandcrosschecked. ResultsSixliteratureinvolvingsixasessmenttolsforpsychologicalbirthtraumawereincluded：theBirthTraumaPerceptionAssessmentScale（BTPS），theMaternal ChildbirthTraumaScale（MCTS），theChineseversionof theTraumaticChildbirth Perception Scale（TCPS-C），the Birth Trauma Scale（BTS），the Traumatic Childbirth Perception Scale（TCPS）， and the Childbirth Trauma Index（CTI）.None of assessment tols reported measurement eror，cross-cultural validity， hypothesis testing，and responsiveness；Interms of content validity was "adequate"forthe MCTS，TCPS-C，BTS，and TCPS，"uncertain"fortheBTPS，and notreported forthe"CTI"；Intermsof structuralvalidity，TCPS-Cwas "adequate"， theremaining scales were "uncertain"；Interms of internal consistency，MCTSwas "inadequate"，theremaining scales were "adequate"；In termsof stability，BTPS，MCTS，and TCPS-C were"adequate"，theremaining scales were "not mentioned". Ultimately，the recommendation grade for TCPS-C，BTS，and TCPS were A，and for BTPS，MCTS，and CTI were B. ConclusionTCPS-C，BTS and TCPS are valid assessment tols and can be provisionall recommended. However，their measurementpropertiesand methodologicalqualityarestlliadequate，andthisaspectcanbefurtherstudiedandcontinuously optimizedinthefuuretoimproveteientificndaccuracyofteaessmenttolsndpromotetheevelopmentofrelateields.

【Key words】 Psychological birth trauma；Maternal；Assessment tools；Measurement properties；Systematic review

分娩心理創(chuàng)傷（psychologicalbirthtrauma，PBT）是指由分娩或與分娩相關(guān)的事件（伴有或不伴有生理傷害）所導(dǎo)致的一種持久性的痛苦情緒體驗(yàn)或負(fù)面心理反應(yīng)[1]。（剩余15187字）