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目的:研究农村地区先天性心脏病(Congenital Heart Disease,CHD)患儿家庭陪护人心理焦虑状况,为开展出生缺陷预防及宣传工作提供一定的理论依据和数据支持。方法:采用症状自评量表(Symptom Check List 90,SCL-90)对40名来自农村地区CHD患儿的122名家庭陪护人的心理健康状况进行调查,结合焦虑状态-特质问卷(State-Trait Anxiety Inventory,STAI)对其焦虑情况进行深入研究。结果:CHD患儿家庭陪护人SCL-90的9个因子得分均明显高于国内常模水平,且在躯体化、人际关系、抑郁、焦虑和恐怖5个因子差异有统计学意义(P<0.05)。CHD患儿家庭陪护人STAI问卷中S-AI部分得分均高于常模水平,T-AI部分得分仅有19~39岁年龄段家庭陪护人得分高于常模水平;在性别方面,虽然CHD患儿女性家庭陪护人S-AI部分及T-AI部分得分均高于男性家庭陪护人,但其差异均无统计学意义(P>0.05)。结论:农村地区CHD患儿家庭陪护人的心理健康状况总体较差,且具有更多的负面情绪,焦虑情绪严重。
Objective: To study the psychological anxiety of family caregivers in children with congenital heart disease (CHD) in rural areas and to provide some theoretical and data support for the prevention and publicity of birth defects. Methods: Symptom Check List 90 (SCL-90) was used to investigate the mental health status of 122 family members of 40 family members with CHD from rural areas. Combined with the State-Trait Anxiety Inventory, STAI) conducted an in-depth study of their anxiety. Results: Nine SCL-90 family members were significantly higher than the norm in SCD-90, and there were significant differences in somatization, interpersonal relationship, depression, anxiety and horror (P <0.05) ). The scores of S-AI in family questionnaire of children with CHD were all higher than that of norm, and scores of family members in the part of T-AI were only higher than that of norm in 19-39 years old. In terms of sex, CHD The scores of S-AI and T-AI in family-caregivers of pediatric women were higher than those of male family caregivers, but the difference was not statistically significant (P> 0.05). Conclusion: The family health status of CHD children in rural areas generally have poor mental health status, more negative emotions and severe anxiety.