白血病儿童心理行为特征及其对父母情绪的影响  

Study on mental health of children with leukemia and their parents

作　　者：王惠梅[1] 李庆鳞 王晓晖[1] 崔玉清[1] 何淑贞[1] 

机构地区：[1]山西省妇幼保健院儿童医院,山西太原030013

出　　处：《中国实用儿科杂志》2007年第11期847-849,共3页Chinese Journal of Practical Pediatrics

摘　　要：目的探讨白血病儿童心理行为特征及其对父母情绪的影响。方法2004—2005于山西省妇幼保健院儿童医院采用Piers-Harris儿童自我意识量表(PHSCS)、少儿主观生活质量问卷和少儿艾森克个性问卷(EPQ)对白血病组(20例)和非白血病组(51例)2组患儿的自我意识水平、主观生活质量以及个性特征调查比较;采用医院焦虑抑郁量表(HAD),对2组儿童的父亲和(或)母亲的抑郁和焦虑情绪进行调查和比较。结果白血病组与非白血病组儿童在自我意识水平、主观生活质量以及个性特征方面的差异无显著的统计学意义(P>0.05),白血病组儿童的父母在焦虑[A分值,(10.25±3.34)分]、抑郁[D分值,(9.44±3.92)分]和总分[T分值,(19.69±6.61)分]均显著高于非白血病组父母得分[(8.06±4.36)、(6.48±4.57)、(14.54±7.98)分,P<0.01]。结论儿童期白血病与非白血病患儿在心理行为特征方面差异无显著性,白血病儿童父母较非白血病儿童父母有更多的抑郁和焦虑情绪。因此,在治疗儿童躯体疾病的同时,对白血病儿童及其家庭进行社会心理干预非常必要。Objective To study the psychosocial features of children with leukemia and their parents. Methods With the Piers-Harris Children＇s Self-Concept Scale（PHSCS）, the Children＇s Subjective Quality of Life Questionnaire and the Eysenck Personality Questionnaire （EPQ） , 20 children with leukemia were studied, and 51 children with non-leukemia chronic illness as the control group were also studied and compared. With the Hospital Anxiety and Depression Scale （HAD） , the emotional characteristics of children＇s parents were evaluated and compared between the two groups. Results There were no statistically significant differences between two groups in self-concept level, subjective quality of life and personality types. The scores of anxiety sub-scale, depression sub-scale and total scale of parents in the leukemia group were significantly higher than those of the control group respectively[ （ 8.06 ± 4. 36 ）, （ 6.48 ± 4. 57 ）, （ 14. 54 ± 7.98 ）, P 〈0. 01 ）. Conclusion Children with leukemia have no more negative mental condition than the no-leukemia children. But their parents have more mental problems than those of the no-leukemia children. Therefore,it＇s vitally important to provide patients and their family with psychosocial intervention.

关 键 词：白血病 慢性病 儿童 父母 心理卫生 

分 类 号：R72[医药卫生—儿科]