恶性肿瘤患儿及家长心理状态调查及影响因素分析

发布时间：2018-09-10 16:26

【摘要】：目的:通过问卷调查的方式对恶性肿瘤患儿及患儿家长的心理状况进行全面评估,并对其可能的影响因素及影响因素间的相互作用结果进行分析。方法:采用Achenbach儿童行为评定量表对75例住院恶性肿瘤患儿进行评估测试,对患儿家长使用Zung焦虑自评量表(SAS)和抑郁自评量表(SDS)进行调查,收集调查数据,并对结果进行统计分析。同时对民族、住院天数、家长与患儿心理情况相互作用等因素进行分析。结果:恶性肿瘤患儿心理行为问题检出率高于国内常模(P0.05),结果显示男孩行为问题主要表现在违纪、交往不良、多动,女孩行为问题主要表现为抑郁、体诉,其中抑郁问题明显突出。恶性肿瘤患儿父母抑郁及焦虑的发生率也高于常模(P0.05)。分析原因发现住院天数及家长心理状况等影响患儿心理行为状态。对于家长而言,住院天数增加时,家长焦虑及抑郁得分呈上升趋势。住院天数一致时维吾尔族家长焦虑及抑郁得分较汉族高,差异有统计学意义。结论:恶性的肿瘤患儿及家长的心理问题不容忽视,在治疗身体疾病的同时,重视一个肿瘤患儿家庭的心理状态,针对其可能原因及时进行心理干预,可以给这个家庭更圆满的未来。
[Abstract]:Objective: to evaluate the psychological status of children with malignant tumor and their parents by questionnaire, and to analyze the possible influencing factors and the results of interaction between them. Methods: 75 hospitalized children with malignant tumor were assessed by Achenbach Child behavior rating scale (Achenbach). The parents were investigated with Zung anxiety scale (SAS) and self rating Depression scale (SDS), and the data were collected. The results were statistically analyzed. At the same time, the factors such as nationality, length of stay in hospital and the interaction between parents and children were analyzed. Results: the detection rate of mental behavior problems in children with malignant tumors was higher than that in the domestic norm (P0.05). The results showed that the behavior problems of boys were mainly manifested in violation of discipline, poor communication, hyperactivity, and the behavior problems of girls were mainly manifested as depression and body complaints. Among them, the problem of depression is obviously prominent. The incidence of depression and anxiety of parents in children with malignant tumor was also higher than that of norm (P0.05). It was found that the days of hospitalization and parents' psychological status affected the psychological behavior of the children. For parents, the scores of anxiety and depression increased with the increase of hospitalization days. The scores of anxiety and depression of Uygur parents were significantly higher than that of Han nationality. Conclusion: the psychological problems of malignant tumor children and their parents can not be ignored. While treating body diseases, we should pay attention to the psychological state of a tumor child's family, and carry out psychological intervention in time according to the possible causes. It can give the family a better future.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.73

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