先天性心脏病患儿照顾者焦虑状况影响因素调查分析  

Investigation and analysis of anxiety status and influencing factors of caregivers in children with congenital heart disease

作　　者：范邵蒙 刘青梅 王瑞玲[1] FAN Shao-meng;LIU Qing-mei;WANG Rui-ling(Department of Thoracic and Cardiovascular Surgery,Children's Hospital of Zhengzhou University,Henan Children's Hospital,Zhengzhou Children's Hospital,Zhengzhou 450000,P.R.China)

机构地区：[1]郑州大学附属儿童医院·河南省儿童医院·郑州儿童医院胸心外科,河南郑州450000

出　　处：《社区医学杂志》2020年第2期81-83,共3页Journal Of Community Medicine

摘　　要：目的照顾者往往在先天性心脏病患儿手术前过于焦虑,对自身及患儿均造成一定影响。本研究分析先天性心脏病患儿照顾者焦虑状况及影响因素,为今后护理工作提供依据。方法选取2016-11-10-2018-10-21郑州大学附属儿童医院收治的120名先天性心脏病患儿照顾者作为研究对象。采用焦虑自评量表(self-rating anxiety scale,SAS)对患儿照顾者进行评价,并分析焦虑影响因素。结果先天性心脏病患儿照顾者SAS评分为(46.83±13.54)分,高于国内常模的(28.80±10.22)分,差异有统计学意义,t=17.264,P<0.001。父亲SAS得分为(43.75±9.70)分,低于母亲的(49.53±15.75)分,t=2.379,P=0.019;年龄≥40岁的照顾者SAS得分为(50.44±8.06)分,高于<40岁照顾者的(44.67±15.60)分,t=2.303,P=0.023;大专及以上文化程度的照顾者SAS得分为(42.43±14.92)分,低于大专以下照顾者的(53.00±8.08)分,t=4.553,P<0.001;家庭年收入≥50000元的照顾者SAS得分为(44.78±14.31)分,低于<50000元照顾者的(53.00±8.45)分,t=2.974,P=0.004;来自城市的照顾者SAS得分为(43.04±15.15)分,低于来自农村市照顾者的(52.52±7.89)分,t=3.985,P<0.001。结论照顾者为母亲、年龄≥40岁、文化程度大专以下、家庭年收入<50000元及来自农村的照顾者焦虑心理较为严重。OBJECTIVE Caregivers are often too anxious before surgery for children with congenital heart disease,which can have an impact on themselves and their children.This study analyzes the anxiety status and influencing factors of caregivers for children with congenital heart disease,and provides basis for future nursing work.METHODS A total of120 caregivers of children with congenital heart disease admitted to Zhengzhou University Children’s Hospital from November 10,2016 to October 21,2018 were selected as the research subjects.Self-rating anxiety scale(SAS)was used to evaluate the caregivers of children,and the influencing factors of anxiety were analyzed.RESULTS The SAS score of caregivers for children with congenital heart disease was(46.83±13.54)points,which was higher than the domestic norm(28.80±10.22)points,the difference was statistically significant,t=17.264,P<0.001.The SAS score of the father was(43.75±9.70)points,which was lower than the mother’s(49.53±15.75)points,t=2.379,P=0.019;the SAS score of caregivers≥40 years old was(50.44±8.06)points,which was higher than 40-year-old caregivers(44.67±15.60)points,t=2.303,P=0.023;SAS scores for caregivers with college education or above was(42.43±14.92)points,which was lower than the caregivers below college(53.00±8.08)points,t=4.553,P<0.001;the SAS score for caregivers with annual household income≥50000 yuan is(44.78±14.31)points,which was lower than caregivers with<50000 yuan(53.00±8.45)points,t=2.974,P=0.004;the SAS score of carers from the city was(43.04±15.15)points,which was lower than that of carers from the rural city(52.52±7.89)points,t=3.985,P<0.001.CONCLUSION The caregivers are mothers,aged≥40 years old,below junior college education,annual family income<50000 yuan,and caregivers from rural areas are more serious.

关 键 词：先天性心脏病 照顾者 焦虑状况 家庭收入 

分 类 号：R72[医药卫生—儿科]