手指离断伤再植手术患儿家属精神和情绪改变及影响因素分析  

Analysis of mental state and emotion changes of family members of children with replantation of severed fingers and their influencing factors

作　　者：高飞[1] 曹建华 胡永梅 GAO Fei;CAO Jianhua;HU Yongmei(Department of Hand Surgery,Beijing Jishuitan Hospital,Capital Medical University,Beijing 100035,China)

机构地区：[1]首都医科大学北京积水潭医院手外科,北京市100035

出　　处：《河北医药》2024年第7期1095-1098,共4页Hebei Medical Journal

摘　　要：目的分析手指离断伤再植手术患儿家属精神状态和情绪改变及影响因素。方法选取2012年5月至2022年12月手指离断伤再植手术患儿家属80例作为调查对象,收集患儿及其家属人口学特征,采用症状自评量表(SCL-90)和心理弹性量表(CD-RISC)对患儿家属进行调查,采用多因素Logistic回归模型分析患儿家属不良心理状况影响因素。结果剔除量表及问卷填写内容缺失的手指离断伤再植手术患儿家属6名,其余74名家属中精神、情绪良好者31名,精神、情绪不良者43名;患儿家属抑郁、焦虑、敌对、恐惧各维度评分及总评分均高于中国常模(P<0.05);患儿是否独生子女及家属学历、婚姻状况、心理坚韧性、心理乐观性、家庭人均月收入与患儿家属精神、情绪有关(P<0.05);经二元Logistic回归分析结果显示:患儿独生子女及家属中专及以下学历、再婚/离婚单亲均是患儿家属精神、情绪不良的危险因素(P<0.05),家庭人均月收入>5000元、心理坚韧性>39分及心理乐观性>12分是患儿家属精神、情绪变化的保护因素(P<0.05)。结论精神不佳及负面情绪水平较高是手指离断伤再植手术患儿家属常见问题,临床需给予足够重视,并根据相关影响因素采取相应措施,及时缓解患儿家属的不良情绪,改善其精神状态。Objective To analyze the mental state and emotion changes of family members of children with replantation of severed fingers and their influencing factors.Methods Eighty family members of children with replantation of severed fingers in our hospital were selected From May 2012 to December 2022 were as subjects for collecting their demographic characteristics.The questionnaire survey were performed in the family members by using the Symptom Checklist-90(SCL-90)scale and Connor-Davidson Resilience Scale(CD-RISC).Multivariate Logistic regression model was used to analyze the influencing factors for adverse psychological reactions.Results After excluding 6 subjects with incomplete information,there were 31 of good mental mood and 43 of poor mental mood among the remaining 74 family members.The each dimension score and total score of depression,anxiety,hostility,and fear of family members of children were significantly higher than those of the Chinese norms(P<0.05).Whether only child,education background,marital status,mental toughness,psychological optimism and monthly income per person were correlated with the mental emotion of family members(P<0.05).Binary Logistic regression analysis showed the only child,family members with special secondary or below educational background,single/divorced families were risk factors for poor mental emotion(P<0.05).While Monthly income per person>5000 yuan,mental toughness>39 points and psychological optimism>12 points were protective factors for mental emotion of family members(P<0.05).Conclusion Poor mental mood and high negative emotions are relatively common in family members of children with replantation of severed fingers.Clinically,it is necessary to pay enough attention to them and take corresponding measures focusing on relevant influencing factors,for timely alleviating negative emotions and improving their mental status.

关 键 词：手指离断伤再植手术 患儿 家属 精神 情绪 影响因素 

分 类 号：R61[医药卫生—外科学]