肾病综合征患儿父母心理健康状况与心理干预  

Analysis on psychological health state of parents of nephrotic syndrome children and psychological intervention for them

作　　者：陈海燕[1] 李菊芳[1] 张庆荣[2] 庄丹雯[2] 

机构地区：[1]温州医学院护理学院 [2]温州医学院附属第一人民医院

出　　处：《护理研究（上旬版）》2008年第6期1438-1439,共2页Chinese Nursing Researsh

基　　金：校级课题

摘　　要：[目的]探讨肾病综合征(NS)患儿父母心理健康状况及干预效果。[方法]对54例NS患儿父母采用认知干预以及倾听、鼓励、安慰等方式进行心理干预,应用焦虑自评量表(SAS)、抑郁自评量表(SDS)及自编一般项目调查表分别对NS患儿父母于患儿入院时(干预前)、入院14d(干预后)进行调查。[结果]NS患儿父母SAS和SDS评分明显高于国内常模(P<0.01);患儿父母SAS评分与经济收入、文化程度以及患儿病情相关,患儿父母SDS评分与文化程度和患儿是否复发相关;干预后SAS和SDS评分均较干预前显著下降(P<0.01或P<0.05)。[结论]焦虑和抑郁情绪在NS患儿父母中普遍存在,心理干预是有效和必要的,同时对于家庭经济困难、文化程度较高、复发患儿的父母应予以更多关注。Objective： To probe into the psychological health state of parents of nephrotic syndrome （NS） children and intervention effect. Methods： Cognition intervention and psychological intervention including listening, encouragement and comfort were carried out for parents of 54 children with nephrotic syndrome. All parents were investigated respectively at admission （before in- tervention） and 14 days after hospitalization （after intervention） by filling out self- rating anxiety scale （SAS）, self - rating depression scale （SD8） and self - made general item inventory. Results： Both the scores of SAS and SDS of parents of NS children were much higher than the norm in China （P 〈 0.01 ）. The scores of SAS of parents of NS children were related with their economic income, education level and NS relapse or not. The score of SDS of NS parents was correlated with their education level and NS relapse or not. The scores of SAS and SDS of NS parents after intervention were lowered than that of before intervention （P 〈 0.01 or P 〈 0.05）. Conclusion： Parents of NS children generally have anxiety and depression emotion. And psychological intervention is effective and essential for them. At the same time, one should pay more attention to parents who had some family financial difficulties or higher education level, and whose children had relapses of NS.

关 键 词：肾病综合征 患儿父母 焦虑 抑郁 心理干预 

分 类 号：R473.72[医药卫生—护理学]