家庭亲密度适应性与先天性心脏病术后患儿父母焦虑、抑郁的相关性分析  

The relationship between the anxiety and depression of parents of children with congenital heart disease after surgery and family cohesion and adaptation

作　　者：周彩峰[1] 谢俊房[1] 武恒双 周志南[1] 利民[1] 

机构地区：[1]郑州大学第三附属医院科研办,450052

出　　处：《中国实用护理杂志》2014年第11期32-35,共4页Chinese Journal of Practical Nursing

基　　金：河南省医学科技攻关基金资助项目（201203052）

摘　　要：目的探讨先天性心脏病（CHD）术后患儿父母的焦虑、抑郁状况与家庭亲密度适应性的关系。方法便利抽取我院CHD科室332名CHD术后患儿父母及同期在儿童保健门诊就诊的333名患儿父母。采用综合医院焦虑抑郁量表分别对患儿父母进行问卷调查，并运用家庭亲密度适应性量表对CHD术后患儿的父母进行问卷调查，对调查结果进行分析。结果CHD术后患儿父母的焦虑、抑郁得分均高于儿童保健门诊患儿父母的得分，差异有统计学意义。CHD术后患儿父母的焦虑、抑郁得分与实际亲密度、实际适应性水平呈显著负相关；与亲密度不满意度、适应性不满意度呈显著正相关。回归分析显示，家庭实际适应性、适应性不满意度是CHD术后患儿父母焦虑的重要影响因素；适应性不满意度又是患儿父母抑郁的重要影响因素。结论CHD术后患儿父母的焦虑、抑郁处于较高水平，值得关注，要充分发挥CHD术后患儿的家庭功能，以改善患儿父母的焦虑抑郁状况。Objective To investigate the relationship between family cohesion and adaptation and the anxiety and depression level of parents of children with congenital heart disease after surgery. Methods 302 parents of children with congenital heart disease and 330 parents in child health care clinic were conve- niently selected and investigated with Hospital Anxiety and Depression Scale （HADS）. And Family Cohe- sion and Adaptation Questionnaire （FACES ]l -CV） was applied to investigate the former. Results The mean score of the anxiety and depression level of parents of children with congenital heart disease was high- er than that of the parents in child health care clinic. The difference was significant. The score of anxiety and depression of parents of children with congenital heart disease was significantly correlated with dissatis- faction of family coherence and adaptation; while negatively correlated with real family cohesion and adap- tation. Multiple linear regression showed that real family adaptation, dissatisfaction of family adaptation were influential important factors of parents＂ anxiety. Dissatisfaction of family adaptation was also the influ- ential important factors of the parents＂ depression. Conclusions The anxiety and depression of parents was above the average level, we must pay more attention to improve it,make full use of the function of fami- lies, and to improve their anxiety and depression condition.

关 键 词：先天性心脏病 焦虑 抑郁 家庭亲密度 家庭适应性 

分 类 号：R473.72[医药卫生—护理学]