早产儿视网膜病变患儿家庭坚韧性调查及影响因素分析  

Investigation of Family Hardiness and Analysis of Influencing Factors in Children with Retinopathy of Prematurity

作　　者：詹昶 崔雯雯 刘芳 ZHAN Chang;CUI Wenwen;LIU Fang(Department of Ophthalmology,Jiujiang Maternal and Child Health Hospital,Jiujiang 332000,China)

机构地区：[1]九江市妇幼保健院眼科,江西九江332000

出　　处：《中国医学创新》2025年第11期161-165,共5页Medical Innovation of China

基　　金：九江市科技计划项目(S2023ZDYFN453)。

摘　　要：目的:分析早产儿视网膜病变(ROP)患儿家庭坚韧性及影响因素。方法:选取2023年9月—2024年1月就诊于九江市妇幼保健院的70例ROP患儿及患儿家属作为研究对象。根据患儿家属家庭坚韧性量表(FHI)评分,将其分为高分组(FHI评分>50分,n=47)和低分组(FHI评分≤50分,n=23)。比较两组心理状况、应对方式、自我效能感、一般资料,并分析家庭坚韧性的影响因素。结果:两组心理状况、应对方式、自我效能感评分、临床分期、家属年龄、家属文化水平、工作状况、人均月收入、是否合并慢性疾病、医疗费用支付方式比较,差异均有统计学意义(P<0.05)。多因素logistic回归分析结果显示,临床分期、家属文化水平、工作状况、医疗费用支付方式、人均月收入、合并慢性疾病为影响ROP患儿家庭坚韧性的独立危险因素(P<0.05)。结论:ROP患儿家庭坚韧性受到病情严重程度、家属文化水平、工作状况、人均月收入等因素影响。Objective:To investigate the family hardiness of children with retinopathy of prematurity(ROP)and its influencing factors.Method:A total of 70 children with ROP and their family members who were admitted to Jiujiang Maternal and Child Health Hospital from September 2023 to January 2024 were selected as the study objects.According to the family hardiness index(FHI)score,the children were divided into high group(FHI scores>50 points,n=47)and low group(FHI scores≤50 points,n=23).The psychological status,coping style,self-efficacy and general information of the two groups were compared,and the influencing factors of family hardiness were analyzed.Result:There were statistically significant differences in psychological status,coping style,self-efficacy score,clinical stage,family age,family education level,work status,per capita monthly income,whether chronic diseases were combined,and medical expense payment method between the two groups(P<0.05).The results of multivariate logistic regression analysis showed that clinical stage,family education level,work status,medical expense payment method,per capita monthly income,and combined chronic diseases were the independent risk factors affecting family hardiness of children with ROP(P<0.05).Conclusion:The family tenacity of children with ROP is affected by the severity of the disease,the family's education level,work status,per capita monthly income and other factors.

关 键 词：早产儿视网膜病变 家庭坚韧性 心理状况 影响因素 

分 类 号：R722.6[医药卫生—儿科]