大动脉调转术后儿童母亲亲职压力和心理状态的对照研究

Case-control study in parenting stress and mental state in mothers of children after arterial switch operation

【目的】探讨大动脉调转术后儿童与正常儿童母亲的亲职压力和心理状况,为术后儿童的全面康复提供数据。【方法】采用亲职压力指标简表(Parenting Stress Index Short Form,PSI/SF)、状态-特质焦虑量表(State-TraitAnxiety Inventory,STAI)对135例大动脉调转术后儿童的母亲和142例正常儿童的母亲进行调查。【结果】大动脉调转术后儿童的母亲亲职压力量表总分、亲职愁苦及亲子互动失调分量表得分高于正常对照组[总分(93.49±15.10)vs(74.71±16.55),P<0.05],状态焦虑得分高于正常对照组[(43.19±7.07)vs(39.67±7.45),P<0.05],亲职压力量表总分及亲职愁苦分量表得分与状态焦虑得分呈正相关。【结论】大动脉调转术后儿童母亲存在较高水平的亲职压力和状态焦虑,值得专业人员关注和实施干预。

【Objective】 To explore parenting stress and mental state in mothers of children after arterial switch operation（ASO）and children with normal development,presenting information for comprehensive rehabilitation of children accepting operation in infancy. 【Methods】 A total of 135 mothers of children who undergone ASO were investigated with the Parenting Stress Index Short Form（PSI/ SF）,State-Trait Anxiety Inventory（STAI）.Their scores were compared with that of 142 mothers with healthy children. 【Results】 Mothers of children after ASO exprienced a significantly higher level in the total score of parenting stress and subscale score of parental distress and parent-child dysfunctional interaction as compared with mothers of healthy children[the total score（93.49±15.10）vs（74.71±16.55）,P 0.05 ].In terms of the STAI,we found mothers of children after ASO have higher SAI scores[（43.19±7.07）vs（39.67±7.45）,P 0.05]which were correlated with total parenting stress and parental distress. 【Conclusions】 Mothers of children undergone ASO generally experience more parenting stress and state anxiety than mothers of normal children.Providing appropriate counselling and intervention to those parents most in need.