婴儿肝炎综合征患儿家长焦虑、抑郁现状调查分析  

Investigation and analysis of anxiety and depression in parents of children with infantile hepatitis syndrome

作　　者：王程 陆青梅[2] 班义承 梁立婷 陈玉科[3] 梁英 罗秀状[3] 农美艳 WANG Cheng;LU Qingmei;BAN Yicheng;LIANG Liting;CHEN Yuke;LIANG Ying;LUO Xiuzhuang;NONG Meiyan(Medicine Graduate School,Youjiang Medical University for Nationalities,Guangxi Zhuang Autonomous Region,Baise533000,China;Department of Pediatrics,Nursing College,Youjiang Medical College for Nationalities,Guangxi Zhuang Autonomous Region,Baise533000,China;Department of Pediatrics,Affiliated Hospital of Youjiang Medical College for Nationalities,Guangxi Zhuang Autonomous Region,Baise533000,China;Department of Pediatrics,Jingxi People′s Hospital,Guangxi Zhuang Autonomous Region,Jingxi533800,China)

机构地区：[1]右江民族医学院研究生学院,广西百色533000 [2]右江民族医学院护理学院儿科教研室,广西百色533000 [3]右江民族医学院附属医院儿内科,广西百色533000 [4]广西壮族自治区靖西市人民医院儿科,广西靖西533800

出　　处：《中国当代医药》2022年第1期162-166,共5页China Modern Medicine

基　　金：广西肝胆疾病临床医学研究中心研究课题(桂科AD17129025-37);广西壮族自治区百色市科学研究与技术开发计划课题(百科字[2018]42号-2)。

摘　　要：目的了解婴儿肝炎综合征(IHS)患儿家长焦虑、抑郁情况,分析其相关影响因素,为实施干预措施提供依据。方法选取2018年8月至2020年7月在右江民族医学院附属医院住院治疗的72例IHS患儿家长作为研究对象,采用自制一般资料调查问卷、焦虑自评量表(SAS)及抑郁自评量表(SDS)进行评价。结果72名IHS患儿家长的SAS评分为(60.52±5.67)分,SDS评分为(59.64±5.69)分,69名(95.80%)有不同程度的焦虑,64名(88.90%)有不同程度的抑郁。单因素分析结果提示,不同性别、学历、职业、家庭月收入、付费方式以及有无并发症的IHS患儿家长的SAS得分比较,差异有统计学意义(P<0.05);不同学历、职业、家庭月收入、付费方式以及有无并发症的IHS患儿家长的SDS得分比较,差异有统计学意义(P<0.05)。多元线性回归分析结果提示:低学历家庭是影响IHS患儿家长SAS评分的独立危险因素(P<0.05),男性照顾者、患儿无并发症是影响SAS评分的保护性因素(P<0.05)。低收入家庭、家长无业或务农是影响SDS评分的独立危险因素(P<0.05),付费方式为医保、患儿无并发症是影响SDS评分的保护性因素(P<0.05)。结论IHS患儿家长焦虑、抑郁水平较高,心理压力较大,尤其是文化程度较低、家庭经济条件较差、患儿预后较差者尤为明显。重点关注此类人群,对存在的心理问题进行针对性、个性化的心理疏导,改善其焦虑抑郁状况,提高心理健康水平从而减少其心理负担。Objectives To investigate the anxiety and depression of the parents of children with infantile hepatitis syndrome(IHS),and to analyze the related factors,so as to provide the basis for the intervention measures.Methods From August 2018 to July 2020,a total of 72 parents of infants with infantile hepatitis syndrome were selected as the research subjects.Self-made general information questionnaire,self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used.Results The SAS and SDS scores of 72 IHS children parents were(60.52±5.67)point and(59.64±5.69)point,69(95.80%)had different degrees of anxiety and 64(88.90%)had different degrees of depression.Univariate analysis showed that there were statistically significant differences in SAS scores among parents of IHS children with different gender,education background,occupation,monthly family income,payment method and with or without complications(P<0.05).The SDS scores of the parents of IHS children with different educational backgrounds,occupations,monthly family income,payment methods and without complications had statistical significance(P<0.05).Multiple linear regression analysis indicated that low educational background was an independent risk factor for SAS score of IHS children′s parents(P<0.05),while male caregivers and no complications were protective factors of SAS score(P<0.05).Low income family,parents unemployed or farming were independent risk factors for SDS score(P<0.05).Health insurance and no complications were protective factors for SDS score(P<0.05).Conclusion Parents of children with IHS have higher levels of anxiety and depression,as well as greater psychological stress,especially those with lower educational level,poor family economic conditions and poor prognosis.Focusing on such people,the existing psychological problems of targeted,personalized psychological counseling,improve their anxiety and depression,improve their mental health level so as to reduce their psychological burden.

关 键 词：婴儿肝炎综合征 焦虑 抑郁 焦虑自评量表 抑郁自评量表 

分 类 号：R725[医药卫生—儿科]