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目的:了解新生儿缺氧缺血性脑病(HIE)患儿家长心理健康及社会支持状况,以期探讨家长因素对患儿康复的影响。方法:以方便取样的方法选取69名HIE患儿家长为研究对象。在患儿确诊后的1个月内,用焦虑自评量表、抑郁自评量表及社会支持问卷调查其心理健康及社会支持状况,同时在相同医院选取72名正常新生儿家长为对照。结果:69名HIE患儿家长焦虑、抑郁的得分显著高于正常新生儿家长(P<0.01)。家庭收入是影响患儿家长抑郁情绪的主要因素;患儿家长的主观支持得分与正常新生儿家长无差异,客观支持、对支持利用维度的得分显著高于正常新生儿家长(P<0.05)。结论:医护人员应充分评估HIE初期患儿家长的情绪状态和社会支持状况,以制定缓解其压力、提高对患儿护理效果的措施。
Objective: To understand the mental health and social support status of parents of children with neonatal hypoxic-ischemic encephalopathy (HIE) in order to explore the impact of parents on the rehabilitation of children. Methods: Sixty-nine children with HIE were selected as samples for convenience of sampling. Within one month after diagnosis, 72 children with normal newborns were selected as the control by self-rating anxiety scale, self-rating depression scale and social support questionnaire to investigate their mental health and social support status. Results: The scores of anxiety and depression in 69 HIE children were significantly higher than those of normal newborns (P <0.01). Family income was the main factor affecting the depression of parents. Children’s parents’ subjective support scores were no different from the normal newborn parents, objective support, and supportive use dimensions were significantly higher than the normal newborn parents (P <0.05). Conclusion: Health care workers should fully evaluate the emotional status and social support status of parents of children with HIE in the early stage so as to make measures to relieve their stress and improve their nursing effects.