分娩心理创伤研究热点的共词聚类分析

doi:10.3761/j.issn.1672-9234.2024.04.018

摘要/Abstract

摘要：

目的分析国内外孕产妇分娩心理创伤的研究热点及发展趋势，为后续研究提供参考。方法在中国知网、万方数据库、中国生物医学文献数据库、PubMed、Web of Science核心数据库中检索孕产妇分娩心理创伤的相关文献，检索时限为建库至2023年9月20日，用CiteSpace 6.2.4软件进行可视化分析。结果最终纳入国外文献412篇、国内文献82篇；国内外孕产妇分娩心理创伤研究的发文量整体呈上升趋势，其中发文量第一的国家是美国（n=98），中国位居第二位（n=82）；聚类结果显示孕产妇分娩心理创伤研究热点为影响因素的探讨和护理干预研究，国外研究的发展趋势为“影响因素—疾病表现—疾病干预”，侧重于探索创伤表现；国内研究则呈现出“多元化、具细化”的发展趋势，更关注于开发特异性评估工具。结论近年来孕产妇分娩心理创伤的研究逐渐增多，但干预性研究尚不足，国内外研究进展的差距较大，未来国内学者应加强本土化研究，拓展特异性评估工具的应用，开展高质量的干预研究，以促进该领域护理质量的高质量发展。

关键词: 分娩心理创伤, 研究热点, 研究趋势, 可视化分析, 文献计量学

Abstract:

Objective To analyze the research hotspots and development trend of maternal psychological birth trauma at home and abroad，and to provide references for subsequent research. Methods We searched the relevant literature on maternal psychological birth trauma in the CNKI，Wanfang Database，SinoMed，PubMed，and Web of Science Core database，with the search time limit from the establishment of the database to September 20，2023，and used CiteSpace 6.2.4 software to conduct the visualization analysis. Results A total of 412 articles of foreign and 82 articles of domestic were included in the search. The number of articles published on maternal psychological birth trauma at home and abroad showed an overall increasing trend，with the United States（n=98） in the first place and China（n=82） in the second place；the clustering results showed that the common research hotspots of scholars at home and abroad were influencing factors and intervention research，and the development trend of foreign research was "influencing factors-disease manifestation-disease intervention"，which focused on exploring the manifestation of trauma. The domestic research showed the development trend of "diversification and refinement"，which was more concerned with the development of specific assessment tools. Conclusion The research on maternal birth trauma has gradually increased，but the interventional research is still insufficient，and there is a big gap between domestic and foreign research progress. In the future，domestic scholars should strengthen localized research，expand the application of specific assessment tools，and carry out high-quality interventional research in order to promote the development of this field.

Key words: Psychological birth trauma, Research hotspots, Research trends, Visualization anlysis, Bibliometrics

文永霞, 孙海, 李彤, 王清华, 张彩虹, 郭洪花. 分娩心理创伤研究热点的共词聚类分析[J]. 中华护理教育, 2024, 21(4): 492-497.

WEN Yongxia, SUN Hai, LI Tong, WANG Qinghua, ZHANG Caihong, GUO Honghua. Co-word cluster analysis of research hotspots for maternal psychological birth trauma[J]. Chinese Journal of Nursing Education, 2024, 21(4): 492-497.

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参考文献 30

[1]	Pidd D, Newton M, Wilson I, et al. Optimising maternity care for a subsequent pregnancy after a psychologically traumatic birth:a scoping review[J]. Women Birth, 2023, 36(5):e471-e480. doi: 10.1016/j.wombi.2023.03.006
[2]	樊雪梅, 蒲丛珊, 张爱霞, 等. 孕产妇分娩心理创伤的研究进展[J]. 中华护理杂志, 2022, 57(10):1256-1262. doi: 10.3761/j.issn.0254-1769.2022.10.016
	Fan XM, Pu CS, Zhang AX, et al. Research progress of maternal psychological birth trauma[J]. Chin J Nurs, 2022, 57(10):1256-1262. doi: 10.3761/j.issn.0254-1769.2022.10.016
[3]	Sun XQ, Fan XM, Cong SN, et al. Psychological birth trauma:a concept analysis[J]. Front Psychol, 2022, 13:1065612.
[4]	Ertan D, Hingray C, Burlacu E, et al. Post-traumatic stress disor-der following childbirth[J]. BMC Psychiatry, 2021, 21(1):155. doi: 10.1186/s12888-021-03158-6
[5]	Barut S, Uçar T, Yılmaz AN. Comparison of pregnant women’s anxiety,depression and birth satisfaction based,on their traumatic childbirth perceptions[J]. J Obstet Gynaecol, 2022, 42(7):2729-2737. doi: 10.1080/01443615.2022.2106832
[6]	代玲, 曾铁英, 袁梦梅, 等. 女性分娩创伤的研究进展[J]. 中华护理杂志, 2019, 54(2):311-315. doi: 10.3761/j.issn.0254-1769.2019.02.030
	Dai L, Zeng TY, Yuan MM, et al. The hazards and countermea-sures of female traumatic birth:a review[J]. Chin J Nurs, 2019, 54(2):311-315. doi: 10.3761/j.issn.0254-1769.2019.02.030
[7]	Reshef S, Mouadeb D, Sela Y, et al. Childbirth,trauma and family relationships[J]. Eur J Psychotraumatol, 2023, 14(1):2157481. doi: 10.1080/20008066.2022.2157481
[8]	Lindstrom K. Postpartum depression vs. post birth trauma[J]. Birth Gaz, 1996, 12(3):12-13. pmid: 9015964
[9]	陈悦, 陈超美, 刘则渊, 等. CiteSpace知识图谱的方法论功能[J]. 科学学研究, 2015, 33(2):242-253.
	Chen Y, Chen CM, Liu ZY, et al. The methodology function of Cite Space mapping knowledge domains[J]. Stud Sci Sci, 2015, 33(2):242-253.
[10]	崔娜, 张勇勤, 蒋冠华, 等. 癌症患者尊严感研究现状及热点的可视化分析[J]. 军事护理, 2023, 40(1):5-9.
[11]	赵咪, 宋俐, 贯华, 等. 基于CiteSpace可视化分析催眠疗法研究现状[J]. 护理研究, 2023, 37(4):596-601.
	Zhao M, Song L, Guan H, et al. Visual analysis on research status quo of hypnotherapy based on CiteSpace[J]. Chin Nurs Res, 2023, 37(4):596-601.
[12]	Annborn A, Finnbogadóttir HR. Obstetric violence a qualita-tive interview study[J]. Midwifery, 2022, 105:103212.
[13]	王梅芳, 郑文凯, 杜娟, 等. 产妇产后不同时段创伤应激障碍与心理弹性变化及相关性分析[J]. 护理研究, 2022, 36(16):2992-2995.
	Wang MF, Zheng WK, Du J, et al. Changes and correlations between post-traumatic stress disorder and psychological resilience in different postpartum women[J]. Chin Nurs Res, 2022, 36(16):2992-2995.
[14]	梁欣, 高祖梅, 陈兰, 等. 创伤性分娩事件对助产士共情疲劳影响的研究进展[J]. 护理研究, 2020, 34(3):447-451.
[15]	de Graaff LF, Honig A, van Pampus MG, et al. Preventing post-traumatic stress disorder following childbirth and traumatic birth experiences:a systematic review[J]. Acta Obstet Gynecol Scand, 2018, 97(6):648-656. doi: 10.1111/aogs.2018.97.issue-6
[16]	Asadzadeh L, Jafari E, Kharaghani R, et al. Effectiveness of midwife-led brief counseling intervention on post-traumatic stress disorder,depression,and anxiety symptoms of women experiencing a traumatic childbirth:a randomized controlled trial[J]. BMC Pregnancy Childbirth, 2020, 20(1):142. doi: 10.1186/s12884-020-2826-1
[17]	Bahari S, Nourizadeh R, Esmailpour K, et al. The effect of supportive counseling on mother psychological reactions and mother-infant bonding following traumatic childbirth[J]. Issues Ment Health Nurs, 2022, 43(5):447-454. doi: 10.1080/01612840.2021.1993388
[18]	蒋国路, 李奉玲, 蒋莉, 等. 女性分娩心理创伤评估工具及干预的研究进展[J]. 中国计划生育学杂志, 2022, 30(10):2406-2414.
[19]	Taylor Miller PG, Sinclair M, Gillen P, et al. Early psycholo-gical interventions for prevention and treatment of post-traumatic stress disorder(PTSD) and post-traumatic stress symptoms in post-partum women:a systematic review and meta-analysis[J]. PLoS One, 2021, 16(11):e0258170. doi: 10.1371/journal.pone.0258170
[20]	de Bruijn L, Stramrood CA, Lambregtse-van den Berg MP, et al. Treatment of posttraumatic stress disorder following childbirth[J]. J Psychosom Obstet Gynaecol, 2020, 41(1):5-14. doi: 10.1080/0167482X.2019.1593961
[21]	Taghizadeh Z, Irajpour A, Nedjat S, et al. Iranian mothers’ perception of the psychological birth trauma:a qualitative study[J]. Iran J Psychiatry, 2014, 9(1):31-36. pmid: 25561946
[22]	Beck CT. Birth trauma:in the eye of the beholder[J]. Nurs Res, 2004, 53(1):28-35. doi: 10.1097/00006199-200401000-00005
[23]	Pop-Jordanova N. Childbirth-related psychological trauma[J]. Pril(Makedon Akad Nauk Umet Odd Med Nauki), 2022, 43(1):17-27.
[24]	Dekel S, Papadakis JE, Quagliarini B, et al. A systematic review of interventions for prevention and treatment of post-traumatic stress disorder following childbirth[J]. medRxiv, 2023:2023.08. 17.23294230.
[25]	Anderson C. Construct validity of the childbirth trauma index for adolescents[J]. J Perinat Educ, 2011, 20(2):78-90. doi: 10.1891/1058-1243.20.2.78 pmid: 22379356
[26]	王慧. 产妇分娩创伤量表的编制及信效度检验[D]. 合肥: 安徽医科大学, 2023.
[27]	连泽荣. 经阴道分娩产妇分娩创伤感知评估工具的研制与应用研究[D]. 南昌: 南昌大学, 2022.
[28]	Zhang K, Wu M, Zeng TY, et al. Development and psychome-tric testing of a scale for assessing the psychological birth trauma[J]. Front Psychol, 2023, 14:1071336.
[29]	罗浩月, 李秋芳. 基于CiteSpace的疼痛灾难化相关研究热点的可视化分析[J]. 军事护理, 2023, 40(7):77-81.
[30]	金微, 肖琦, 杨凌艳, 等. 紧急剖宫产术后产妇心理健康问题的研究进展[J]. 中华护理杂志, 2021, 56(9):1335-1339. doi: 10.3761/j.issn.0254-1769.2021.09.009