缺氧缺血性脑病恢复期患儿家长家庭亲密度适应性与负性情感的相关性

Correlation analysis of family intimacy adaptability and negative emotion of parents of children with hypoxic ischemic encephalopathy convalescence

[目的]探究缺氧缺血性脑病恢复期患儿家长的家庭亲密度适应性与其负性情感的相关性及其影响因素。[方法]选取2016年5月—2017年5月收治的缺氧缺血性脑病恢复期患儿家长188人,采用医院焦虑抑郁量表(HAD)、家庭亲密度及适应性量表(FACESⅡ)调查患儿家长的负性情绪、家庭亲密度适应性情况。[结果]新生儿缺氧缺血性脑病恢复期患儿家长的理想亲密度、亲密度不满意度、适应性不满意度评分高于国内常模,理想适应性、实际适应性评分低于国内常模,两者比较差异有统计学意义(P<0.05)。患儿家长焦虑、抑郁评分与亲密度不满意度、适应性不满意度呈正相关,与实际适应性、实际亲密度呈负相关。不同患儿月龄、患儿病情程度、康复疗程、患儿家长学历、性格特征、居住地、自我感觉压力家长焦虑、抑郁评分比较差异有统计学意义(P<0.05)。患儿病情程度、患儿家长性格特点、患儿家长自我感觉压力、患儿家长居住地、患儿家长实际亲密度是影响新生儿缺氧缺血性脑病恢复期患儿家长焦虑的主要因素(P<0.05);患儿康复疗程、患儿家长居住地、患儿家长自我感觉压力、患儿家长实际适应性是影响新生儿缺氧缺血性脑病恢复期患儿家长抑郁的主要因素(P<0.05)。[结论]应重视新生儿缺氧缺血性脑病恢复期患儿家长的心理状况及家庭功能,对其展开有效的心理干预,从而尽快帮助患儿机体康复。

Objective:To probe into the correlation between family intimacy adaptability and negative emotion and the influencing factors of family members of children with hypoxic ischemic encephalopathy convalescence.Methods:A total of 188 parents of children with hypoxic ischemic encephalopathy convalescence admitting to hospital in May 2016 to May 2017 were selected to investigate their parents′adaptability to negative emotion and family intimacy using the hospital anxiety and depression scale(HAD)family intimacy and adaptability(FACESⅡ)scale.Results:The parents of newborn infants with hypoxic ischemic encephalopathy convalescence had higher ideal closeness degree,higher adaptability rating,and the actual adaptability rating of ideal adaptability was lower than that of domestic norms,and the differences were statistically significant(P<0.05).Parents′anxiety and depression scores were positively correlated with intimacy and adaptability,and were negatively correlated with actual adaptability and actual intimacy.The differences in age,severity of illness,course of rehabilitation,educational background,personality characteristics,place of residence,self perceived stress,parents′anxiety and depression scores were statistically significant(P<0.05).The main factors influencing the anxiety of parents of neonates with hypoxic ischemic encephalopathy in convalescent period were the degree of illness,parents personality characteristics,parents′self perceived pressure,parents′residence and parents′actual intimacy(P<0.05)The main factors influencing the depression of parents of neonates with hypoxic ischemic encephalopathy in convalescent period were the course of rehabilitation,the residence of parents,the self perceived pressure of parents and the actual adaptability of parents(P<0.05).Conclusion:Attention should be paid to the psychological status and family function of parents of neonatal hypoxic ischemic encephalopathy convalescent children,and effective psychological intervention should be carried out to help them recover as soon as possible.