先天性尿道下裂患儿照顾者焦虑抑郁状况及心理干预效果  

Anxiety and depression of caregivers of children with congenital hypospadias and the effect of psychological intervention

作　　者：魏佳丽 苟丽[1] 豆秀娟 Wei Jiali;Gou Li;Dou Xiujuan(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,Henan,China)

机构地区：[1]郑州大学第一附属医院,河南郑州450052

出　　处：《临床心身疾病杂志》2022年第6期98-102,共5页Journal of Clinical Psychosomatic Diseases

摘　　要：目的 探讨先天性尿道下裂患儿照顾者的焦虑抑郁状况及心理干预效果。方法 将116例先天性尿道下裂患儿和223名照顾者按随机数字表法分为观察组(患儿58例,照顾者113名)和对照组(患儿58例,照顾者110名)。两组照顾者均予以常规干预,观察组在此基础上予以心理干预,观察6个月。干预前及干预3个月、6个月,采用汉密顿焦虑量表、汉密顿抑郁量表评估照顾者的焦虑抑郁状况,采用家属照顾者照顾能力测评量表评估照顾者的照顾能力,统计两组患儿并发症发生率。结果 干预3个月、6个月两组照顾者汉密顿焦虑量表、汉密顿抑郁量表评分均较干预前显著降低(P<0.01),观察组显著低于对照组(P<0.01)。干预3个月、6个月两组家属照顾者照顾能力测评量表总分及适应照顾角色、应变及提供协助、处理个人情绪需要、评估家人及社区资源、调整个人及照顾需求维度评分均较干预前显著降低(P<0.01),观察组显著低于对照组(P<0.01)。观察组并发症发生率为24.14%,对照组为44.83%,观察组显著低于对照组(P<0.05)。结论 先天性尿道下裂患儿照顾者存在不同程度的焦虑抑郁情绪,常规护理干预联合心理干预可有效缓解照顾者的焦虑抑郁情绪,提高其照顾能力,降低患儿并发症发生率。Objective To investigate the anxiety and depression of caregivers of children with congenital hypospadias and the effect of psychological intervention. Methods A total of 116 children with congenital hypospadias and 223 caregivers were divided into observation group(58 children, 113 caregivers) and control group(58 children, 110 caregivers) according to the random number table method. The caregivers of the two groups were given routine intervention, and the observation group was given psychological intervention on this basis for 6 months. Before the intervention and 3 and 6 months after the intervention, Hamilton anxiety scale(HAMA) and Hamilton depression scale(HAMD) were used to evaluate the anxiety and depression status of caregivers, and family caregiver nursing ability scale(FCNAS) was used to evaluate the care ability of the caregivers. The incidence of complications in the two groups was calculated. Results After 3 and 6 months of intervention, the scores of HAMA and HAMD of caregivers in the two groups were significantly lower than those before intervention(P<0.01), and those in the observation group were significantly lower than those in the control group(P<0.01). After 3 and 6 months of intervention, the total score of FCNAS and the scores of adapting to care role, responding to strain and providing assistance, dealing with personal emotional needs, assessing family and community resources, adjusting personal and care needs of caregivers in the two groups were significantly lower than those before intervention(P<0.01), and those in the observation group were significantly lower than those in the control group(P<0.01). The incidence of complications was 24.14% in the observation group and 44.83% in the control group,which was significantly lower than that in the control group(P<0.0 5).Conclusions Caregivers of children with congenital hypospadias have different degrees of anxiety and depression.Routine nursing intervention combined with psychological intervention can effectively improve the anxiety and d

关 键 词：先天性尿道下裂 儿童 照顾者 焦虑 抑郁 心理干预 

分 类 号：R695[医药卫生—泌尿科学] R4493[医药卫生—外科学]