阴法强
YIN Faqiang

• 1:枣庄矿业集团枣庄医院儿科

摘要(Abstract)：

目的:探讨枣庄市住院新生儿父母焦虑与抑郁状况,并分析影响因素。方法:选取枣庄市住院新生儿的父母500例,采用自制《陪伴住院新生儿父母临床资料调查表》收集新生儿及其父母的一般情况,对患儿父母进行焦虑自评量表(SAS)、抑郁自评量表(SDS)评分,并作单因素分析和独立影响因素的logistic回归性分析影响患儿父母的焦虑、抑郁情绪的因素;通过住院新生儿父母不良心理状态原因调查表调查父母焦虑和抑郁情绪的产生的原因。结果:500例父母的SAS和SDS量表评分分别为(66.75±13.05)分和(59.46±12.58)分;单因素分析显示,住院新生儿父母的SAS和SDS评分与新生儿入院时日龄、病情、入院时体重、呼吸机使用情况和父母的性别及人均月收入、新生儿住院经历以及医保报销有关(P<0.05),logistic回归性分析显示,上述因素是住院新生儿父母焦虑与抑郁状况的独立危险因素(P<0.05),住院新生儿父母焦虑和抑郁情绪产生的原因有差异(P<0.05)。结论:枣庄市住院新生儿父母易产生焦虑和抑郁情绪,影响情绪和产生情绪的因素不同,应采取相应的个性化心理加以干预。
Objective: To investigate the anxiety and depression status and influencing factors of neonatal parents in Zaozhuang City. Methods: 500 hospitalized neonatal parents were selected,general information of all parents and neonate were collected with self-made Survey on Clinical Information of Neonatal Parents; SAS and SDS of neonatal parents were evaluated; Logistic Regression Analysis was carried out to analyze anxiety and depression of neonatal parents through single factor analysis and independent influencing factor. Unhealthy psychological state of neonatal parents reasons were analyzed for the origins of anxiety and depression. Results: SAS and SDS scale scores of 500 parents were( 66. 75 ± 13. 05) and( 59. 46 ± 12. 58). Single factor analysis showed that neonatal parents' anxiety and depression were related with neonates hospitalized days of age,condition of illness,weight on admission,breathing machine use and parents' gender,monthly income per-capita,neonates hospital experience,insurance reimbursement( P < 0. 05); Logistic Regression analysis showed that,above mentioned factors were the independent risk factors of neonatal parents ' anxiety and depression( P <0. 05); the causes of neonatal parents anxiety and depression were different( P < 0. 05). Conclusions:Hospitalized neonatal parents are prone to have anxiety and depression,and the reasons are different.It is suggested that individualized psychological intervention should be adopted according to individual cases.

关键词(KeyWords)： 婴儿,新生;住院;父亲;母亲;焦虑;抑郁
baby,newborn;hospitalization;father;mother;anxiety;depression

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 阴法强
YIN Faqiang

DOI: 10.19367/j.cnki.1000-2707.2018.07.025

参考文献(References)：

• [1]杨晓莹,杨松,厉红,等.心理干预对缓解PICU先天性心脏病患儿家属焦虑的作用[J].中国妇幼保健,2015,30(3):446-448.
• [2]何利,谭彦娟,黑明燕.新生儿重症监护病房实施家庭参与式综合管理对住院早产儿母亲紧张焦虑情绪影响的自身前后对照研究[J].中国循证儿科杂志,2015,10(6):409-413.
• [3]夏建新,胡娟娟,朱晓丽.NICU中患儿家属焦虑状况分析与对策[J].基层医学论坛,2015,19(25):3461-3463.
• [4]张林,林晓明,刘堃,等.社区慢性病老年人的健康状况及居家护理需求调查[J].现代预防医学,2015,42(14):2561-2563.
• [5]王丽,何君礼,费淑兰.住院足月新生儿父母心理需求及影响因素研究[J].护理研究:中旬版,2015,29(12):4442-4444.
• [6]李丽娜,吕少博,王晓燕,等.农村留守妇女心理健康服务需求量表的编制[J].现代预防医学,2016,43(15):2739-2743.
• [7]沈丽华,周凤亚,陆建洪,等.阿尔茨海默病与冠心病患者住院期间家属心理状况调查[J].中国乡村医药,2016,23(10):62-63.
• [8]刘力允,谢洪映,李静娟,等.贵阳市云岩区中学生健康素养现状及影响因素分析[J].贵州医科大学学报,2017,42(2):190-193.
• [9]李雪云,王红球,李燕媚.ABC—X理论模型在改善急危重症患者家属心身健康中的应用[J].临床心身疾病杂志,2016,22(5):72-74.
• [10]周丹,唐梦琳,罗玉兰,等.重症监护病房新生先天畸形儿的父母焦虑与抑郁状况及影响因素分析[J].华西医学,2015,30(3):522-526.
• [11]刘淑丽,王仲兰,王爱芳,等.唇腭裂患儿围手术期父母护理需求的评估研究[J].西部中医药,2016,29(6):39-41.
• [12]KALTENBAUGH D J,KLEM M LHU L,et al.Using Web-based interventions to support caregivers of patients with cancer:A systematic review[J].Oncol Nurs Forum,2015,42(2):156-164.

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