先天性心脏病患儿父母疾病不确定感与焦虑、抑郁的关系

发布时间：2018-07-22 20:12

【摘要】：目的:探讨先天性心脏病(CHD)患儿父母疾病不确定感与焦虑、抑郁的关系。方法:采用问卷调查法,应用中文版疾病不确定感父母量表(PPUS)和医院焦虑、抑郁量表(HADS)对113例CHD患儿父母进行测评。结果:CHD患儿父母的疾病不确定感总分为(82.62±11.02)分,焦虑总分为(11.48±3.67)分,抑郁总分为(10.35±4.23)分,疾病不确定感总分及不明确性、信息缺乏性、不可预测维度与焦虑呈正相关;疾病不确定感总分及不明确性、复杂性、不可预测性维度与抑郁呈正相关(P0.05)。回归分析显示,不明确性、家庭人均月收入和信息缺乏性是患儿父母焦虑的影响因素(β=0.596、-0.240和0.193,P0.05);不明确性、家长性别是抑郁的影响因素(β=0.274和0.226,P0.05)。结论:CHD患儿父母存在较高程度的疾病不确定感、焦虑和抑郁,临床工作中应对患儿父母的疾病不确定感进行评估并给予个体化干预,通过降低疾病不确定感,缓解焦虑和抑郁情绪。
[Abstract]:Objective: to investigate the relationship between uncertainty and anxiety and depression in children with congenital heart disease (CHD). Methods: 113 parents of children with CHD were assessed with the Chinese version of the parents scale of uncertainty (PPUS) and Hospital anxiety and Depression scale (Hads). Results the total score of disease uncertainty, anxiety and depression were (82.62 卤11.02), (11.48 卤3.67) and (10.35 卤4.23), respectively. The total score, uncertainty, complexity and unpredictability of disease uncertainty were positively correlated with depression (P0.05). Regression analysis showed that uncertainty, monthly income per family and lack of information were the influencing factors of parents' anxiety (P < 0. 596- 0.240 and 0. 193 P 0.05), while the gender of parents was the influencing factor of depression (P < 0. 274 and 0. 226 P 0.05). Conclusion there is a high degree of disease uncertainty, anxiety and depression in the parents of children with CHD. The disease uncertainty of parents should be evaluated and individual intervention should be given in clinical work to reduce the sense of disease uncertainty. Relieve anxiety and depression.
【作者单位】：郑州大学第二临床学院护理部;
【基金】：河南省重点科技攻关项目132102310397;142102310352
【分类号】：R725.4;R749.7

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