[1]李贺琴,郑蔚#,张利霞,等.先天性心脏病患儿父母疾病不确定感与焦虑、抑郁的关系*[J].郑州大学学报(医学版),2015,(02):256.
 LI Heqin,ZHENG Wei,ZHANG Lixia,et al.Relationship between uncertainty in illness, anxiety, and depression in parents of children with congenital heart disease[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2015,(02):256.
点击复制

先天性心脏病患儿父母疾病不确定感与焦虑、抑郁的关系*
分享到:

《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2015年02期
页码:
256
栏目:
应用研究
出版日期:
2015-03-20

文章信息/Info

Title:
Relationship between uncertainty in illness, anxiety, and depression in parents of children with congenital heart disease
作者:
李贺琴郑蔚#张利霞张苇史艳萍孙萌王兆国纪玲霞
郑州大学第二临床学院护理部 郑州 450014
Author(s):
LI Heqin ZHENG Wei ZHANG Lixia ZHANG WeiSHI Yanping SUN MengWANG Zhaoguo JI Lingxia
Nursing Department,the Second Affiliated Hospital, Zhengzhou University, Zhengzhou 450014
关键词:
先天性心脏病父母疾病不确定感焦虑抑郁
Keywords:
congenital heart diseaseparentuncertainty in illnessanxietydepression
分类号:
R749.7;R725.4
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(P<0.05)。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,P<0.05);不明确性、家长性别是抑郁的影响因素(β=0.274和0.226,P<0.05)。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:
Aim: To explore the relationship between uncertainty in illness, anxiety, and depression in parents of children with congenital heart disease. Methods: A total of 113 parents of children with congenital heart disease were recruited for the investigation. A descriptive crosssectional study was conducted by using Parents' Perception of Uncertainty Scale (PPUS) and Hospital Anxiety and Depression Scale(HADS). Results: The total score of uncertainty in illness was (82.62±11.02),that of anxiety was (11.48±3.67),while that of depression was (10.35±4.23). Uncertainty in illness and the dimensions of ambiguity, lack of information and unpredictability were positively associated with anxiety(P<0.05); uncertainty in illness and the dimensions of ambiguity,complexity and unpredictability were positively associated with depression(P<0.05).Multiple linear regression showed that ambiguity, average monthly income and lack of information were influential factors of parents' anxiety(β=0.596,-0.240 and 0.193,P<0.05);ambiguity and parents' gender were influential factors of parents' depression(β=0.274 and 0.226,P<0.05).Conclusion: The uncertainty in illness,anxiety and depression in parents of children with congenital heart disease are at a higher level. It is necessary for medical staff to evaluate the uncertainty in illness and provide customerized intervention for parents in clinical practice so as to decrease the uncertainty in illness and relieve the anxiety as well as depression.

参考文献/References:

[1]李筱.第14届中国南方国际心血管病学术会议[C].广州:岭南心血管病杂志社,2012. [2]王惠平.先心病术前患儿父母的焦虑、抑郁、社会支持状况及相关性研究[D].长沙:中南大学,2010. [3]Soulvie MA,Priti PD,Carmel PW,et al.Psychological distress experienced by parents of young children with congenital heart defects:a comprehensive review of literature[J].J Soc Service Res,2012,38(1):484 [4]Mishel MH.Uncertainty in illness[J].Image J Nurs Sch,1988,20(4):225 [5]赵姜楠,郑蔚,孙萌,等.老年糖尿病前期人群疾病不确定感与应对方式的关系[J].郑州大学学报:医学版,2014,49(4):542 [6]单岩,史小艳,时秋英,等.诱导期血液透析患者疾病不确定感与身体症状困扰的相关性研究[J].护士进修杂志,2012,27(14):1252 [7]麦嘉轩,谢婉花,马春花,等.中文版疾病不确定感父母量表的初步修订[J].中国实用护理杂志,2013,29(28):46 [8]孙红,郭红.信息支持对乳腺癌根治术患者疾病不确定感的影响[J].中华护理杂志,2004,39(4):244 [9]张作记.行为医学量表手册[M].北京:中华医学电子音像出版社,2005. [10]Lan SF,Mu PF,Hsieh KS.Maternal experiences making a decision about heart surgery for their young children with congenital heart disease[J].J Clin Nurs,2007,16(12):2323 [11]周彩峰,谢俊房,武恒双,等.家庭亲密度适应性与先天性心脏病术后患儿父母焦虑、抑郁的相关性分析[J].中国实用护理杂志,2014,30(11):32 [12]李稼.体外循环术对先天性心脏病患儿手术前后神经系统发育障碍的影响[J].中华实用儿科临床杂志,2014,29(18):1368 [13]RojasCarrasco KE.Levels of statetrait anxiety between mothers and fathers who have children in an intensive care unit[J].Rev Med Inst Mex Seguro Soc,2013,51(6):606 [14]Ju HO,Mcelmurry BJ,Park CG,et al.Anxiety and uncertainty in Korean mothers of children with febrile convulsion: crosssectional survey[J].J Clin Nurs,2011,20(9/10):1490 [15]王文颖.中文版疾病不确定感家属量表的修订及在CCU患者家属的应用[D].天津:天津医科大学,2012. [16]张涛,高长青,王加利,等.复合超滤结合负压辅助静脉引流在婴儿心内直视术体外循环中的应用[J].解放军医学杂志,2014,39(1):57 [17]Mishel MH.Reconceptualization of the uncertainty in illness theory[J].Image J Nurs Sch,1990,22(4):256

相似文献/References:

[1]潘高峰),李斌).DiGeorge综合征3例诊治体会[J].郑州大学学报(医学版),2010,(01):153.
[2]刘会琼,李斌,范太兵.多层螺旋CT对主动脉弓畸形的诊断价值[J].郑州大学学报(医学版),2010,(02):344.
[3]安金斗),王团结),郭保静),等.儿童先天性心脏病106例介入封堵治疗体会[J].郑州大学学报(医学版),2009,(05):1064.
[4]贾奎,胡振东,李廷武.婴幼儿先天性心脏病51例急诊外科治疗体会[J].郑州大学学报(医学版),2009,(05):1093.
[5]刘尚国,李汉臣,赵宝生,等.胸腺部分切除对心脏手术患儿围手术期免疫功能的影响[J].郑州大学学报(医学版),2010,(05):833.
[6]丛娟,栗河舟,刘云,等.胎儿心室腔内点状强回声分析[J].郑州大学学报(医学版),2010,(05):851.
[7]朱功升△,赵鑫,赵西方.低剂量CT血管造影对儿童先天性心脏病的诊断价值[J].郑州大学学报(医学版),2013,(03):420.
[8]张永高)△,刘颖),高剑波),等.多排螺旋CT图像后处理技术在复杂型先天性心脏病诊断中的应用*[J].郑州大学学报(医学版),2013,(05):693.
[9]张军喜),王鹏高),蒋丽芳)#,等.先天性心脏病危险因素病例对照研究*[J].郑州大学学报(医学版),2017,(05):617.[doi:10.13705/j.issn.1671-6825.2017.05.025]
 ZHANG Junxi),WANG Penggao),JIANG Lifang),et al.Case-control study on risk factors of congenital heart disease[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2017,(02):617.[doi:10.13705/j.issn.1671-6825.2017.05.025]
[10]赵力运,范太兵,李 斌,等.3D打印心脏模型在右室双出口术前评估及手术方案制定中的应用价值[J].郑州大学学报(医学版),2018,(03):351.[doi:10.13705/j.issn.1671-6825.2017.08.115]
 ZHAO Liyun,FAN Taibing,LI Bin,et al.Clinical value of 3D printed cardiac model in preoperative assessment and surgical planning of double outlet right ventricle[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2018,(02):351.[doi:10.13705/j.issn.1671-6825.2017.08.115]

备注/Memo

备注/Memo:
*河南省重点科技攻关项目132102310397;142102310352
更新日期/Last Update: 1900-01-01