胆道闭锁患儿家属心身健康状况调查  

Investigations of psychosomatic health status of family mem-bers of child with biliary atresia

作　　者：葛军涛[1] 葛汝刚 乔国梁[1] 张震[1] 魏延栋[1] 王琛[1] 刘树利[1] 张军[1] 李龙[1] 

机构地区：[1]首都儿科研究所,中国北京100020 [2]寿光市稻田中心卫生院,山东潍坊262706

出　　处：《临床心身疾病杂志》2014年第5期47-49,共3页Journal of Clinical Psychosomatic Diseases

基　　金：国家自然科学基金项目（编号81170335）

摘　　要：目的：了解胆道闭锁患儿家属的心身健康状况。方法对255名胆道闭锁患儿家属采用症状自评量表、抑郁自评量表进行测评分析。结果胆道闭锁患儿家属症状自评量表抑郁、焦虑及恐怖因子分均显著高于全国常模（P＜0．01）；抑郁自评量表总分显著高于全国常模（P＜0．01），其中女性家属显著高于男性（P＜0．05）；年龄≤3个月患儿生存率显著高于＞3个月的患儿，其家属焦虑、抑郁、恐怖情绪检出率显著低于年龄＞3个月的患儿家属（P＜0．01）。结论胆道闭锁患儿家属存在不同程度的心理问题，女性家属心理问题更为突出，应对其予以有针对性的心理干预提高其心身健康水平。Objective To investigate the psychosomatic health status of family members of child with bili-ary atresia （BA） .Methods Assessments were conducted with the Symptom Checklist-90 （SCL-90） and Self-rating Depression Scale （SDS ） among 255 family members of BA children .Results Depression ,anxi-ety and phobia score of the SCL-90 （P〈0 .01） as well as the total score of the SDS （P〈0 .01） were signif-icantly higher in BA family members compared with national norm ,so were those in the female than the male （P〈0 .05）;the survival rate was significantly higher in children aged ≤ 3 months than ones 〉 3 , the detection rate of anxiety ,depression and phobia were significantly lower in former family members than latter national norms （P〈0 .01） .Conclusion Family members of BA patients have psycho-problems in varying degrees ,especially the female ,to them purposeful psychological intervention should be given in order to improve their psychosomatic health levels .

关 键 词：胆道闭锁 家属 心理健康 症状自评量表 抑郁自评量表 常模 抑郁 焦虑 

分 类 号：R657.44[医药卫生—外科学]