农村地区出生缺陷患儿陪护人精神压力状况调查研究  

Mental pressure of accompanying people of children with birth defects in rural areas

作　　者：孙海娅[1] 高立[2] 

机构地区：[1]济宁医学院护理学院,山东济宁272067 [2]济宁医学院生物科学系,山东济宁272067

出　　处：《中国农村卫生事业管理》2012年第8期830-832,共3页Chinese Rural Health Service Administration

基　　金：2011-2012年度山东省医药卫生科技发展项目<农村地区出生缺陷患儿致家庭负担的相关性研究>(课题编号:2011QW005)

摘　　要：目的:了解农村地区各种出生缺陷患儿对陪护人精神健康的影响。方法:采用Beck-Srivastava压力量表(BSSI)对424名陪护人的压力源、压力强度进行检测,同时结合症状自评量表(SCL-90)对其心理健康情况进行综合评定。结果:出生缺陷患儿陪护人BSSI得分最小值51分,最大值118分,平均(78.17±10.54)分,明显高于临界值;陪护人在SCL-90量表的所有因子的得分均高于普通农村人口,且在强迫、抑郁、焦虑和恐怖4个因子,差别有统计学意义(P<0.01);男性在SCL-90量表各因子得分普遍高于女性,且在强迫、抑郁、焦虑、恐怖和精神病性5个因子得分差别有统计学意义(P<0.01)。结论:出生缺陷患儿不仅会给家庭带来经济负担,更会在很大程度上影响其陪护人尤其是男性陪护人的精神健康。Objective To understand the impact of birth defects on the mantal health of the accompanying people in rural areas. Methods A total of 424 accompanying people were assessed with BSSI to detect the pressure source and pressure level, and SCL-90 was used to evaluate their mental health. Results The scores of BSSI of accompanying peo- ple were obviously higher than the critical value. The SCL 90 scores of accompanying people in compulsion,depression,anxiety and fear were higher than those in the normal group,with a significant difference （P〈0.01）. The SCL 90 scores of male accompanying people in compulsion, depression, anxiety, fear and psychosis-like symptoms were higher than those of the females, with a significant difference （P〈0.01）. Conclusion Children with birth defects not only bring families the economic burden, but also greatly influence the accompanying people＇s mental health.

关 键 词：农村地区 出生缺陷 陪护人 精神压力 

分 类 号：R174.7[医药卫生—妇幼卫生保健]