家庭亲密度和适应性对肠造口患儿心理弹性的影响

Influence of family intimacy and adaptability on mental elasticity of children with intestinal stoma

目的探讨家庭亲密度和适应性对肠造口患儿心理弹性的影响.方法选取浙江省诸暨市中心医院自2016-05/2017-05期间收治的120例肠造口患儿作为观察对象,使用基本情况调查表调查患儿基本情况,使用慢性病儿童韧性量表评估患儿心理弹性,采用单因素分析、Logistics多因素分析肠造口患儿心理弹性影响因素.结果单因素分析显示年龄、家庭教育环境、人均月收入是影响肠造口患儿心理弹性得分的因素(P<0.05).单因素分析表明肠造口术后时间是患儿心理弹性得分的影响因素(P<0.05).经Logistics分析显示年龄、人均月收入、术后时间、家庭教育环境、家庭亲密度与适应性是影响肠造口患儿心理弹性的影响因素(P<0.05).结论家庭亲密度与适应性对肠造口患儿心理韧性具有积极影响,临床上应注意评估肠造口患儿人口学特点,帮助患儿争取家庭支持,提高患儿的心理弹性,帮助患儿树立治疗的信心.

AIM To investigate the influence of family intimacy and adaptability on the mental elasticity of children with intestinal stoma.METHODS One hundred and twenty children with intestinal colostomy who were admitted to Zhuji Central Hospital from May 2016 to May 2017-05 were selected as the subjects. The basic condition questionnaire was used to investigate the basic conditions of the children. The Child Resilience Scale was used to assess the psychological elasticity of children. Univariate analysis and Logistics multivariate analysis were used to analyze the factors affecting the psychogenic elasticity of children with intestinal stoma. RESULTS Univariate analysis showed that age, family education environment, and average monthly income were factors influencing the mental elasticity scores of children with intestinal colostomy（P〈 0.05）, and postoperative time was a factor influencing children＇s psychological elasticity score（P〈 0.05）. Logistics multivariate analysis showed that age, per capita monthly income, postoperative time, family education environment, family intimacy, and adapt ability were factors influencing mental elasticity in children with intestinal stoma（P〈 0.05）. CONCLUSION Family intimacy and adaptability have a positive impact on the mental toughness of children with intestinal stoma. Clinical evaluation should assess the demographic characteristics of children with intestinal stoma, help children obtain family support, improve children＇s psychological flexibility, and help build their confidence in treatment.