脑性瘫痪儿童主要照顾者心理状况对疾病家庭管理的影响

发布时间：2018-03-28 23:33

本文选题：脑性瘫痪　切入点：照顾者　出处：《中国康复理论与实践》2017年11期

【摘要】：目的探讨主要照顾者心理状况对脑瘫儿童家庭疾病管理状况的影响。方法 2013年8月至2014年8月,采用一般情况调查表、家庭管理测量量表、心理弹性量表、焦虑自评量表、抑郁自评量表、幸福指数量表对222例脑瘫儿童的主要照顾者进行问卷调查。结果脑瘫儿童家庭管理测量量表中父母疾病管理能力、父母对患儿疾病担心、父母管理困难、父母疾病精力消耗、父母相互支持评分均显著高于中间值(t8.866,P0.001),心理弹性量表、焦虑自评量表、抑郁自评量表评分显著低于国内常模(t5.523,P0.001),幸福指数为(7.63±2.96)分。回归分析显示,家庭疾病管理各维度的影响因素包括患儿住院次数、家长康复预期、家长心理状态(包括焦虑、心理弹性),以及幸福指数(P0.05)。结论脑瘫儿童主要照顾者心理状况及疾病家庭管理整体状况不容乐观,照顾者心理状况影响疾病管理。
[Abstract]:Objective to investigate the effect of psychological status of primary caregivers on the management of cerebral palsy children's family diseases. Methods General situation questionnaire, Family Management scale, Psychological elasticity scale and Self-Rating anxiety scale were used from August 2013 to August 2014. The self-rating depression scale and the happiness index scale were used to investigate 222 children with cerebral palsy. Results the parents' disease management ability was measured in the family management scale of cerebral palsy children, the parents were worried about the children's disease, and the parents' management was difficult. The scores of mental energy consumption and mutual support of parents were significantly higher than those of the median value of 8.866P 0.001, the scores of psychological elasticity scale, self-rating anxiety scale and self-rating depression scale were significantly lower than those of the national norm (t 5.523 P 0.001), and the happiness index was 7.63 卤2.96. Regression analysis showed that there were significant differences between the two groups. The influencing factors of each dimension of family disease management include the times of hospitalization, the expectation of parents' rehabilitation, and the psychological state of parents (including anxiety). Conclusion the psychological status of the main caregivers and the overall condition of the disease family management in children with cerebral palsy are not optimistic, and the psychological status of the caregivers affects the management of the disease.
【作者单位】：安徽医科大学护理学院;安徽医科大学附属第一医院儿科;
【基金】：安徽省高校省级自然科学研究项目(No.KJ2013Z136)
【分类号】：R473.74

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