肾病综合征患儿的韧性与抑郁的相关性

Correlation between Resilience and Depression in Children with Nephrotic Syndrome

目的调查肾病综合征患儿的韧性和抑郁状况,并探讨两者之间的相关性。方法便利抽样法选取2009年4月至2010年2月在山东省5所三级甲等医院进行治疗的104名肾病综合征患儿为研究对象,采用自制的一般情况调查表、慢性病儿童韧性量表(chronic illness children’s resilience scale,CICRS)、儿童抑郁量表(children’s depression inventory,CDI)对其进行调查。结果肾病综合征患儿韧性水平均分为(99.53±14.33)分,韧性水平差者20例(19.23%);韧性水平较好者60例(57.69%);韧性水平很好者24例(23.08%)。肾病综合征患儿抑郁均分为(11.83±7.83)分,其中出现抑郁症状者18例(17.31%);无抑郁症状者86例(82.69%)。肾病综合征患儿韧性与抑郁评分之间呈中度负相关(r=-0.582,P<0.01)。各维度与抑郁总分均呈负相关(P<0.01)。结论医护人员应开展韧性的干预,以增强儿童的疾病管理行为,促进其心理健康。

Objective To investigate the resilience and depression in children with nephrotic syndrome and the correlation between them. Methods From April 2009 to February 2010,104 children with nephrotic syndrome from 5 Grade-II Class-A hospitals were surveyed with personal information questionnaire,chronic illness children＇s resilience scale（CICRS） ,children＇s depression inventory （CDI）. Results The average score of resilience in children with nephrotic syndrome was 99.53 ＋ 14.33. There were 20 cases with poor state of mental resilience, accounting for 19. 23%; 60 cases were observed with good mental resilience, accounting for 57. 69%; 24 cases with excellent mental resilience, accounting for 23. 08%. The average depression score in children with nephrotic syndrome as 11.83±7.83. There were 18 cases with symptoms of depression, accounting for 17.31%;86 cases showed no symptoms of depression at all, accounting for 82.69%. As for children suffering from nephrotic syndrome,there was a moderately negative correlation between the scores of resilience and depression（r=- 0. 582, p;0.01）. The correlation coefficients of all the dimensions and the depression score were negatively correlated（P〈0.01）. Conclusion The medical staff should carry out the resilience intervention to enhance disease management behavior of children and promote their mental health.