H1N1危重症患儿发生心理异常反应与医疗设备和医疗环境等关系的研究

Analysis of the Risk Factors for Psychological Disorders in Children with Severe Influenza A virus (H1N1) Infection

目的探讨H1N1危重症患儿发生心理异常反应的危险因素,了解借助医疗仪器设备的临床治疗对H1N1危重症患儿心理的影响。方法 2009年10月18日至2010年1月20日收住ICU的12例2～11岁H1N1危重症患儿,根据在住院期间是否出现心理异常反应,把病人分为阳性研究组和阴性研究组。采用回顾性分析的方法对两组患儿的性别、年龄、对环境的适应能力、是否初次住院、小儿危重病例评分、机械通气时间及有创操作次数进行比较。结果 H1N1危重症患儿发生心理异常反应与年龄、对环境的适应能力、是否初次住院有关;与性别、小儿危重病例评分、机械通气时间及有创操作次数无关。结论 H1N1危重症患儿发生心理异常反应的危险因素包括:低年龄(2～5岁)、对环境适应能力差、初次住院,而医疗仪器设备介入治疗并未增加H1N1危重症患儿发生心理异常反应的风险。

Objective To investigate the risk factors for psychological disorders in children with severe pandemic H1N1 influenza and to find out the influences on their psychology under the treatments with medical machines.Methods Twelve patients aged 2～11 years diagnosed with severe pandemic H1N1 influenza were admitted to Intensive Care Unit from Oct.18th 2009 to Jan.20th 2010.Five patients with psychological disorders were regarded as positive group while the other seven patients without psychological disorders were regarded as negative group.Comparison between the two groups of children was made via retrospective analysis in terms of gender, age, capability to adaptation to environmental change, first-time hospitalization, pediatric critical illness scores, mechanical ventilation times and the times of traumatic operation.Results The development of psychological disorders in children with severe pandemic H1N1 influenza was associated with age, capability to adaptation to environmental changes and first-time hospitalization rather than gender and pediatric critical illness scores, mechanical ventilation times and the times of traumatic operation.Conclusion The risk factors of psychological disorders in children with severe pandemic H1N1 Influenza include：age between 2～5 years, poor capability to adaptation to environmental change and first-time-hospitalization while the uses of medical machines in clinical treatments do not increase the risk of their psychological disorders.