癫痫患儿主要照顾者心理状态调查及相关性分析  

Psychosocinl state and its associated factors in caregivers of children with epilepsy

作　　者：张大华[1] 秦炯[1] 张凡[1] 韩颖[1] 

机构地区：[1]北京大学第一医院儿科,100034

出　　处：《中华现代护理杂志》2012年第9期1005-1008,共4页Chinese Journal of Modern Nursing

摘　　要：目的分析癫痫患儿主要照顾者的心理状态及其影响因素。方法采用焦虑自评量表及抑郁自评量表对108例癫痫患儿主要照顾者的心理状况进行评价，并对影响其心理状况的相关因素进行分析。结果（1）108例癫痫患儿主要照顾者中焦虑阳性12例（占11．1％），抑郁阳性33例（占30．6％），照顾者焦虑、抑郁分值分别为（38．30±9．97），（46．93±12．18），高于常模的（33．80±5．90）、（41．88±10．57），差异有显著统计学意义（t分别为6．93，4．64；P均〈0．001）。（2）受教育程度越高者，抑郁、焦虑的分值越高，差异有统计学意义（F分别为20．97，116．73；P均〈0．001）；城市的比农村的焦虑、抑郁分值高，焦虑方面差异有统计学意义（t=-4．687，P〈0．001）。（3）癫痫患儿主要照顾者心理情况与照顾者的文化程度、癫痫患儿癫痫的发作频率、居住地有关。结论癫痫患儿主要照顾者的心理状态存在较严重的问题，不同类型、不同教育程度、不同居住地的癫痫患儿主要照顾者的心理状况不同，因此，应针对性地对照顾者进行治疗和心理干预，以减少其心理问题。Objective To investigate the psychosocial state and its associated factors in caregivers of children with epilepsy. Methods 108 caregivers were enrolled in this study. The psychosocial state of them was evaluated with Self-rating Anxiety Scale （SAS） and Self-rating Depression Scale （SDS）. Results Of 108 subjects, 12 （11. 1% ） and 33 （30.6%） were positive results for anxiety and depression in caregivers of children with epilepsy, respectively. The scores of anxiety and depression were （ 38.30 ：t： 9.97 ）, （46.93 ＋ 12.18） in caregivers group which were higher than those in control group （33.80 ＋ 5.90, 41.88 ~ 10.57, respectively）, and the differences were statistically significant （t = 6. 93, 4. 64; P 〈 0. 001 ）. There were statistically significant differences in the score of anxiety and depression depending on the educational level in caregivers of children with epilepsy （P 〈 0. 001 ）. It presented higher scores of anxiety and depression in higher educational level（F =20. 97, 116. 73, respectively;P 〈 0. 001）. The scores of anxiety and depression in caregivers group of children with epilepsy living in urban area were higher than those in rural area. There was statistically significant difference in the score of anxiety between two groups （t = - 4. 687, P 〈 0. 001 ）. There were associations between psychosocial state and educational level, incidence of epileptic children, and living place in caregivers of children with epilepsy. Conclusions Psychosocial problems existe in a majority of caregivers of epileptic children. It is different depending on their tyi^es of anxiety and depression, educational level, and living place in caregivers of children with epilepsy. We should pay more attention to the caregivers of children with epilepsy andprovide critical treatment and psychological intervention for them in order to solute their psychological problems and enhance the life quality of epileptic children as well as their family.

关 键 词：因素分析 统计学 心理过程 癫痫 主要照顾者 

分 类 号：R473.74[医药卫生—护理学]