高危儿父母亲的健康状况及相关因素研究  

The Health States and Related Risk Factors of the High-risk Infants′ Parents

作　　者：陈晓绒 高永嘉[2,3] 罗澄燕 裴晶[5] 黄涨波 李春波[7,8] 

机构地区：[1]宁波市江北区妇幼保健院儿保科,315020 [2]宁波市妇女儿童医院 [3]宁波市妇幼保健院儿保科,315012 [4]宁波市镇海区妇幼保健院儿保科,315200 [5]慈溪市妇幼保健院儿保科,315300 [6]余姚市妇幼保健所儿保科,315400 [7]上海交通大学医学院精神卫生系 [8]上海市精神卫生中心生化研究室,200030

出　　处：《医学研究杂志》2013年第4期103-107,共5页Journal of Medical Research

摘　　要：目的了解高危儿父母亲躯体、焦虑抑郁症状等健康状况及相关危险因素,为进行早期干预提供依据。方法通过截断面调查方法,选择2010年11月1日～12月31日宁波市妇幼保健院高危儿门诊就诊及按经济条件分层随机抽取慈溪、余姚、镇海、江北4个县级市、区,知情同意、年龄在18～45周岁,智力正常,愿意配合进行相应的心理测试,具有围生期脑损伤高危因素的婴儿(高危儿)的父母亲299名,同期无高危因素,分娩健康足月单胎婴儿的父母亲157名为正常对照组,于产后1个月进行躯体症状量表(PHQ-15)、抑郁量表(PHQ-9)、广泛性焦虑量表(GAD-7)及一般情况调查。采用单因素分析、Logistic回归分析影响高危儿父母亲健康状况的相关危险因素。结果 (1)高危儿母亲组健康状况问题阳性检出率为40.1%,正常对照组为24.8%,高危儿父亲组健康状况问题阳性检出率为26.4%,正常对照组为12.1%,差异有统计学意义;(2)影响高危儿父母亲健康状况的危险因素分析:单因素分析发现高危儿母亲出现健康状况问题的主要相关因素有家庭类型,母亲宗教信仰,母亲健康状况,父亲健康状况,孩子出生胎龄,孩子出生体重等12个因素,而高危儿父亲与家庭类型、母亲月收入、父亲年龄等9个因素相关。多因素Logistic回归分析表明家庭类型,母亲宗教信仰,母亲长期用药,母亲孕产史,父亲健康状况,家庭成员关系,孩子出生体重可能是高危儿母亲出现健康状况问题的主要相关因素,母亲长期用药,家庭成员关系,父亲年龄,家庭类型与高危儿父亲的健康状况问题密切相关。结论高危儿父母亲易出现躯体和(或)焦虑抑郁症状,母亲更甚。高危儿父母亲是否出现健康状况问题与临床多因素和社会环境因素关系密切相关。Objective To investigate the health states and related risk factors of the high - risk infants＇ parents （HRI） , so as to provide the basis for early interventions. Methods Through cross - sectional investigation method, from 11 november,2010 to 31 decem- ber, subjects were selected from HRI hospital clinic in Cixi, Yuyao, Zhenhai, Jiangbei four counties and stratified at random by economic conditions. Informed consents were obtained from subjects. All subjects（299 parents） were 18 -45 years old, with normal intelligence, willing to cooperate with the appropriate psychological tests, with risk factors for perinatal brain injury in infants （ high - risk infants）. With no risk factors during the same period, single - child birth healthy infants＇ parents of 157 were collected as the normal control group. At 1 month postpartum,Physical Symptom Scale （PHQ -15）, Depression Scale （PHQ- 9）, and Generalized Anxiety Scale （GAD- 7） and other related questions were investigated. Related risk factors of the health states of HRI were identified through single factor analysis and logistic regression analysis, etc. Results Positive rate of mother＇s health problem in HRI group was 40. 1%, in normal control group was 24.8%. Positive rate of father＇s health problem in HRI group was 26.4% , in normal control group was 12.1%. The differences had statistical significanee. By single factor analysis, the main factors of health problems in HRI mothers were related to 12 factors in eluding family type, mother＇s religious beliefs,mother＇s health status, father＇s health status, infant＇s gestational age, birth weight and. And 9 fac- tors inoluding family type, mother＇s monthly ineome, paternal age were related to HRI fathers＇ health problem. By multivariate logistic re- gression analysis, family type, mother＇s religious beliefs, mother＇s long- term drug use, mother＇s history of pregnancy and delivery, fa- ther＇s health status, family relationship, infant＇s birth weight may be the main heal

关 键 词：高危儿 父亲 母亲 父母亲 健康状况 

分 类 号：R64[医药卫生—外科学]