先天性马蹄内翻足患儿Ponseti治疗期间母亲心理状况及影响因素分析  

Analysis of psychological status and influencing factors of mothers of children with congenital clubfoot during Ponseti treatment

作　　者：刘静 严亚波 任婧娟 裴磊磊[1] LIU Jing;YAN Yabo;REN Jingjuan;PEI Leilei(School of Public Health,Xi'an Jiaotong University,Xi'an 710061;Orthopedics Department,the First Affiliated Hospital of Air Force Medical University,Xi'an 710032,China)

机构地区：[1]西安交通大学公共卫生学院,陕西西安710061 [2]空军军医大学第一附属医院骨科,陕西西安710032

出　　处：《临床医学研究与实践》2025年第8期25-28,共4页Clinical Research and Practice

基　　金：空军军医大学第一附属医院临床研究类助推计划(No.XJZT19ML28)。

摘　　要：目的调查先天性马蹄内翻足(CCF)患儿Ponseti治疗不同阶段母亲的心理状态及其影响因素。方法利用便利抽样法选取CCF患儿及其母亲为调查对象,在发现胎儿足部畸形后孕期咨询时(T_(1))、首次治疗时(T_(2))、石膏矫形治疗结束时(T_(3))三个时间点向其发放基础资料调查问卷、焦虑自评量表(SAS)、爱丁堡产后抑郁量表(EPDS)进行调查,分析患儿Ponseti治疗期间母亲心理状况及影响因素。结果T_(1),CCF患儿母亲的SAS评分高于孕妇常模分(P=0.003);T_(2)和T_(3),CCF患儿母亲的SAS评分高于中国常模分(P<0.05);三次SAS评分比较,差异无统计学意义(P>0.05);患儿母亲三个治疗阶段的SAS评分呈下降趋势。CCF患儿母亲T_(1)、T_(2)、T_(3)的EPDS评分呈先上升后下降趋势;三次EPDS评分比较,差异无统计学意义(P>0.05);CCF患儿母亲T_(1)的抑郁检出率高于陕西地区孕产妇产前抑郁检出率,T_(2)、T_(3)的抑郁检出率高于陕西地区孕产妇产后抑郁检出率(P<0.05)。T_(2),学历为本科以下患儿母亲的SAS评分高于本科及以上的患儿母亲,家庭人均月收入<3000元患儿母亲的SAS评分高于家庭人均月收入≥3000元的患儿母亲,患儿非第一胎母亲的EPDS评分明显高于患儿为第一胎的母亲(P<0.05);T_(3),家庭人均月收入<3000元患儿母亲的SAS评分明显高于家庭人均月收入≥3000元的患儿母亲(P<0.05)。结论在Ponseti治疗的不同阶段,患儿母亲心理焦虑、抑郁状态均较明显,需引起重视并给予相应的干预和支持。Objective To investigate the psychological status and influencing factors of mothers of children with congenital clubfoot(CCF)at different stages of Ponseti treatment.Methods The children with CCF and their mothers were selected by convenience sampling method.The basic data questionnaire,Self-Rating Anxiety Scale(SAS)and Edinburgh Postnatal Depression Scale(EPDS)were distributed to the mothers at three time points:during pregnancy consultation after the discovery of fetal foot deformity(T_(1)),first treatment(T_(2))and the end of plaster orthopedic treatment(T_(3)).The psychological status and influencing factors of mothers of children during Ponseti treatment were analyzed.Results At T_(1),the SAS score of mothers of children with CCF was higher than that of pregnant women's norm score(P=0.003);at T_(2)and T_(3),the SAS score of mothers of children with CCF was higher than that of Chinese norm score(P<0.05);there was no significant difference in SAS score between the three times(P>0.05);the SAS score of the mothers of children in the three treatment stages showed a downward trend.At T_(1),T_(2)and T_(3),the EPDS score of mothers of children with CCF showed a trend of first increasing and then decreasing;there was no significant difference in EPDS score among the three times(P>0.05);the detection rate of depression in mothers of children with CCF at T_(1)was higher than that of detection rate of antenatal depression in pregnant women in Shaanxi region,and the detection rate of depression at T_(2)and T_(3)was higher than that of detection rate of postpartum depression in pregnant women in Shaanxi region(P<0.05).At T_(2),the SAS score of children's mothers with education below bachelor degree was higher than that of children's mothers with bachelor degree or above,the SAS score of children's mothers with family per capita monthly income<3000 yuan was higher than that of children's mothers with family per capita monthly income≥3000 yuan,and the EPDS score of mothers with non-first child was higher than that of mot

关 键 词：先天性马蹄内翻足 Ponseti治疗 母亲 焦虑 抑郁 

分 类 号：R682.16[医药卫生—骨科学]