脑性瘫痪患儿家长心理健康状况分析

Mental health status among parents of children with cerebral palsy

目的对脑性瘫痪患儿家长心理健康状况进行探讨分析,指导康复部门及相关部门福利对策的制定。方法于2014年3—12月采用90项症状自评量表(SCL-90)对304例不同残疾程度脑瘫患儿家长进行现场问卷调查。结果脑瘫患儿家长SCL-90评分结果除人际关系因子(1.75±0.70)分外,总分、阳性项目、躯体化、强迫症状、抑郁、焦虑、敌对、恐怖、偏执、精神病性的得分分别为(154.25±44.94)、(38.26±20.01)、(1.74±0.70)、(1.90±0.71)、(1.91±0.77)、(1.62±0.64)、(1.82±0.69)、(1.52±0.62)、(1.64±0.68)、(1.62±0.71)分,均高于全国常模(P<0.05);不同残疾程度患儿家长除敌对因子外,其余项目得分比较差异均有统计学意义(P<0.05);多因素回归分析表明,是否生病、家庭人均月收入、性别,婚姻状况、居住地对患儿父母的心理健康状况存在不同程度影响。结论脑瘫患儿家长心理健康状况落后于全国常模;不同残疾程度脑瘫患儿家长心理健康状况存在差异;是否生病、家庭人均月收入、性别、婚姻状况、居住地不同程度影响家长的心理健康状况。

Objective To examine mental health status in the parents of children with cerebral palsy （CP） and to provide references for welfare policy-making by related governmental agencies and rehabilitation departments. Methods Using stratified cluster random sampling,304 parents of CP children were recruited at 3 rehabilitation centers or hospitals in 5 cities of Shanxi province and self-administered with a general questionnaire and Symptom Checklist 90 （SCL-90）. Results Compared with those of the national norms,the parents of CP children had significantly higher SCL-90 scores in additional other items （ 154.25 ± 44. 94 ）, positive items （ 38.26± 20.01 ）, somatization （ 1.74 ± 0. 70 ）, obsessive compulsive （ 1.90 ± 0. 71 ）, depression （ 1.91 ± 0.77 ）, anxiety （ 1.62 ±0. 64 ）, hostility （ 1.82 ±0. 69 ）, phobic anxiety （ 1.52 ±0. 62） ,paranoid ideation （ 1.64 ±0. 68） ,psychoticism （ 1.62 ±0. 71 ） （P 〈0. 05 for all） ,except for interpersonal sensitivity （ 1.75 ±0. 70）. There were significant differences in all SCL -90 domain scores among the parents of the children with various severity of CP, except for the score of hostility. The results of multivariate regression analysis indicated that health condition, monthly household income per capita, gender,marital status, arid ~esidential area had influences on mental health status of the parents. Conclusion Mental health level of parents of cerebral palsy children iS lower than those of normal children and influenced by the CP severity of child＇s,health condition, monthly household income per capita, gender, marital status, and residential area of the parents.