中国全科医学2025，Vol.28Issue(20)：2555-2561,2569,8.DOI:10.12114/j.issn.1007-9572.2024.0291
孕产妇分娩心理创伤评估工具的系统评价
A Systematic Review of the Assessment Tools for Maternal Psychological Birth Trauma
摘要
Abstract
Background Psychological birth trauma is closely related to maternal mental health,so identifying and evaluating the effectiveness of interventions are extremely important.There are many assessment tools for psychological birth trauma,but there is a lack of research evaluating the quality for them.Objective To systematically review the methodological quality and measurement properties of assessment tools of psychological birth trauma,so as to provide a reference for subsequent research.Methods PubMed,Web of Science,CINAHL,APA psycArticles,Embase,CNKI,Wanfang,VIP and CBM databases were searched on assessment tools of psychological birth trauma from the date of library construction to November 6,2023.Literature screening,extraction and evaluation were conducted independently by 2 researchers and cross-checked.Results Six literature involving six assessment tools for psychological birth trauma were included:the Birth Trauma Perception Assessment Scale(BTPS),the Maternal Childbirth Trauma Scale(MCTS),the Chinese version of the Traumatic Childbirth Perception Scale(TCPS-C),the Birth Trauma Scale(BTS),the Traumatic Childbirth Perception Scale(TCPS),and the Childbirth Trauma Index(CTI).None of assessment tools reported measurement error,cross-cultural validity,hypothesis testing,and responsiveness;In terms of content validity was"adequate"for the MCTS,TCPS-C,BTS,and TCPS,"uncertain"for the BTPS,and not reported for the"CTI";In terms of structural validity,TCPS-C was"adequate",the remaining scales were"uncertain";In terms of internal consistency,MCTS was"inadequate",the remaining scales were"adequate";In terms of stability,BTPS,MCTS,and TCPS-C were"adequate",the remaining scales were"not mentioned".Ultimately,the recommendation grade for TCPS-C,BTS,and TCPS were A,and for BTPS,MCTS,and CTI were B.Conclusion TCPS-C,BTS and TCPS are valid assessment tools and can be provisionally recommended.However,their measurement properties and methodological quality are still inadequate,and this aspect can be further studied and continuously optimized in the future to improve the scientific and accuracy of the assessment tools and promote the development of related fields.关键词
分娩心理创伤/孕产妇/评估工具/测量属性/系统评价Key words
Psychological birth trauma/Maternal/Assessment tools/Measurement properties/Systematic review分类
临床医学引用本文复制引用
文永霞,孙海,陈小菊,蔡婉静,李淑妮,郭洪花..孕产妇分娩心理创伤评估工具的系统评价[J].中国全科医学,2025,28(20):2555-2561,2569,8.基金项目
海南省自然科学基金资助(825QN535) （825QN535）
