【摘要】 目的 调查NICU早产儿父亲创伤后应激障碍(PTSD)发生现况及其影响因素。方法 本研究为横断面研究。选取2021年9月至2022年3月在广西百色市、玉林市及柳州市3所三级甲等医院NICU住院治疗的240例早产儿的父亲作为研究对象。使用创伤后应激障碍检查表-普通版(PCL-C)、爱丁堡产后抑郁量表(EPDS)、领悟社会支持量表(PSSS)及认知情绪调节量表(CERQ)进行调查，采用多元逐步线性回归分析早产儿父亲患PTSD的影响因素。结果 共发放问卷240份，回收240份，剔除无效问卷8份，有效问卷232份。232例早产儿父亲PCL-C得分为(37.38±16.23)分，早产儿父亲PTSD阳性患者96例，其PCL-C总分为(54.04±8.50)分。抑郁得分为(9.63±5.57)分，社会支持得分为(61.89±15.64)分，认知情绪调节能力中积极情绪调节策略得分为(52.97±15.62)分，消极情绪调节策略得分为(53.40±17.04)分。早产儿父亲的社会支持得分、积极情绪调节策略得分与PCL-C总分呈负相关(P<0.05);抑郁得分、消极情绪调节策略得分与PCL-C总分呈正相关(P<0.05)。多元逐步线性回归分析结果显示，早产儿出生体重、住院时间、父亲育儿经验、文化程度、职业、抑郁、社会支持和认知情绪调节策略是早产儿父亲PTSD的影响因素(P<0.05)。结论 医护人员可从影响早产儿父亲PTSD的主要因素着手，引导其正确认知并应对早产事件，给予早产儿父亲足够的社会支持，加强以家庭为中心的赋权、赋能策略，调动积极的伴侣效应，从而提高父亲的自我效能感，降低PTSD的发生率。更多还原

【Abstract】 Objective To investigate the current status of occurrence and factors influencing post-traumatic stress disorder(PTSD) among fathers of premature infants in the NICU. Methods This study was a cross-sectional study which selected a total of 240 fathers of premature infants who were hospitalized in the NICU from September 2021 to March 2022 as study objects. Posttraumatic Stress Disorder Checklist(PCL-C), Edinburgh Postnatal Depression Scale(EPDS), Perceived Social Support Scale(PSSS) and Cognitive Emotion Regulation Scale(CERQ) were used in this investigation. The multiple linear stepwise regression was used to analyze the factors influencing PTSD in fathers of premature infants. Results A total of 240 questionnaires were sent out and received. There were 232 valid questionnaires, with 8 invalid questionnaires excluded. In these 232 fathers of premature infants, the PCL-C score was(37.38±16.23), with PTSD positive in 96 fathers, and their total PCL-C score was(54.04±8.50).The score of depression was(9.63±5.57); the score of social support(61.89±15.64); the score of positive emotion regulation strategy in cognitive emotion regulation ability(52.97±15.62); the score of negative emotion regulation strategy(53.40±17.04). The score of social support and that of positive emotion regulation strategy were negatively correlated with the total score of PCL-C(P<0.05). The score of depression and the score of negative emotion regulation strategy were positively correlated with the total score of PCL-C(P<0.05). The results of multiple linear stepwise regression showed that the premature infant’s birth weight, length of stay, the father’s parenting experience, literacy, depression, social support, and cognitive emotion regulation strategies were factors influencing PTSD in fathers of premature infants(P<0.05). Conclusion Medical staff can guide fathers to correctly recognize and respond to the events of preterm birth in respect with main factors affecting fathers of preterm infants with PTSD. Adequate social supports should be provided to fathers of premature infants. It is necessary to strengthen the strategies of family-centered empowerment and capacity and to mobilize the positive partner effects, so as to improve the sense of self-efficacy of fathers of premature infants and reduce the incidence of PTSD.更多还原