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目的探讨欧美地区胎儿畸形终止妊娠(TOPFA)对孕产妇心理的影响。方法以妊娠、引产/流产、畸形/缺陷、心理/精神为关键词,搜索2005-01/10在CINAHL,Medline,EMBASE,Psychoinfo,Pubmed,Web of Science6个数据库的相关英文文献。结果共搜索到1 135篇文献,经文献筛选,共得到13篇目标文献,其中10篇为量性研究,3篇为质性研究。大多数妇女因TOPFA后会经历负面心理体验,包括悲伤、创伤后应激障碍、抑郁、后悔、自责、焦虑、孤独等,且持续时间较长。而文化程度、家庭支持尤其是来自配偶或者伴侣的支持、妊娠年龄、婚姻的亲密度等可影响其心理体验。结论TOPFA后孕产妇以负面心理体验为主,且持续时间较长,提示应加强对TOPFA孕产妇人群的关注,为其提供及时的评估及干预。
Objective To investigate the effect of TOPFA on maternal psychology in Europe and America. Methods The relevant English articles of 6 databases of CINAHL, Medline, EMBASE, Psychoinfo, Pubmed and Web of Science were searched by using keywords of pregnancy, induction of labor / miscarriage, deformity / defect and psychology / psychology. Results A total of 1 135 articles were searched and screened through literatures. Thirteen articles were obtained, of which 10 were quantitative studies and 3 were qualitative studies. Most women experience negative psychological experiences after TOPFA, including sadness, post-traumatic stress disorder, depression, regret, self-blame, anxiety, loneliness, etc., and last longer. The educational level, family support, especially from the spouse or partner’s support, gestational age, marital intimacy, etc. can affect their psychological experience. Conclusion After the TOPFA postpartum mothers with negative psychological experience mainly long duration, suggesting that attention should be strengthened on the TOPFA maternal population, to provide timely assessment and intervention.