基于倾向得分匹配法的住院患儿家属焦虑影响因素分析  

Analysis of influencing factors of anxiety in family members of hospitalized children based on propensity score matching method

作　　者：蔡金慧 孙亮[1] 吕风景 夏丽 朱冬慧 CAI Jinhui;SUN Liang;LYU Fengjing;XIA Li;ZHU Donghui(College of Public Health Zhengzhou University,Zhengzhou 450001,China;Nanchong Fourth People's Hospital,Nanchong 637000,China)

机构地区：[1]郑州大学公共卫生学院,河南郑州450001 [2]南充市第四人民医院,四川南充637000

出　　处：《心理月刊》2025年第6期56-58,77,共4页

摘　　要：目的调查儿科住院患儿家属焦虑的影响因素,为实施个性化的干预措施提供临床依据。方法以问卷的形式,于2023年8月~11月在南充市第四人民医院进行问卷调查,符合调查对象共208名。运用倾向性评分匹配法进行1∶1匹配和二元Logistic回归进行分析。结果调查对象208名的焦虑自评量表(SAS)标准得分为46.25±10.79,倾向得分匹配后,调查对象的焦虑SAS标准得分为45.78±10.39,单因素分析显示,患儿家属的文化程度、居住地(城镇和农村)、家庭人口数、相关症状表现(发热、流涕、鼻塞、呕吐、大便异常和食欲差)以及患儿是否有疾病并发症,均对患儿家属焦虑发生的差异具有统计学意义(P<0.05);Logistic回归分析显示,文化程度是影响患者家属焦虑的保护因素,而居住地、发热、鼻塞、呕吐、大便异常和食欲差是其危险因素。结论住院患儿家属焦虑现状仍然突出,其中疾病的表现形式是影响焦虑的主要来源,以上疾病的表现形式可为临床医务工作者在服务儿科患儿时,为家属制定个性化的建议及帮助提供借鉴意义。Objective To investigate the influencing factors of family anxiety of pediatric hospitalized children and provide clinical data for implementing individualized intervention measures.Methods In the form of questionnaire,a questionnaire survey was conducted in Nanchong Fourth People's Hospital from June to August 2023,with a total of 208 respondents,and propensity score matching method and binary Logistic regression were used for analysis.Results In Nanchong fourth People's Hospital pediatrics survey data analysis shows that the self-rating anxiety scale(SAS)SAS standard score of 208 subjects was 46.25±10.79,and the SAS standard score of the subjects was 45.78±10.39 after matching propensity score.Univariate analysis showed that,The incidence of anxiety in the family members of the children was statistically significant in their education level,residence,family size,disease complications,fever,runny nose,blocked nose,vomiting,abnormal stool and poor appetite(P<0.05).Logistic regression analysis showed that the degree of education was the protective factor,while the place of residence,fever,nasal obstruction,vomiting,abnormal stool and poor appetite were the risk factors.Conclusion The anxiety status of family members of hospitalized children is still prominent,and the manifestation of the disease is the main source of anxiety.The manifestations of the above diseases can provide reference for clinical workers to formulate personalized suggestions and offer assistance to the families of pediatric patients during their service.

关 键 词：儿科 患儿 家属 焦虑 疾病形式 倾向得分匹配 

分 类 号：R47[医药卫生—护理学]