儿童慢性分泌性中耳炎手术对其父母心理状态影响的临床分析

Clinical Analysis of the Influence of Children's Chronic Secretory Otitis Media Surgery on Their Parents'Psychological Status

目的评估儿童慢性分泌性中耳炎手术对其父母心理状态的影响。方法选取2017年6月~2021年10月经我科收治的因慢性分泌性中耳炎接受鼓膜置管手术治疗的患儿。患儿父母在手术前和手术后2周分别完成了20项状态特质焦虑量表1(STAI-1)和20项状态特质焦虑量表2(STAI-2)问卷。结果本研究共纳入接受鼓膜置管手术治疗的慢性分泌性中耳炎患儿47例及其父母94例。术后患儿症状均明显好转。父母术前STAI-2平均得分为(29.62±7.03),其中父亲为(28.94±7.39)、母亲为(30.30±6.66),父亲与母亲的评分有统计学差异(P<0.05)。术前量表中,母亲平均得分高于父亲(P<0.05);术后量表中,父亲与母亲的得分无统计学差异(P>0.05),但父母双方的术后STAI-1得分显著低于术前(P<0.05)。结论慢性分泌性中耳炎患儿接受鼓膜置管手术可以导致父母有焦虑状态,尤其母亲。在对儿童进行手术治疗后,父母双方的焦虑水平均下降。必要时,可对患儿父母进行术前心理干预。

Objective To evaluate the effect of surgical treatment of chronic otitis media with effusion on the psychological status of parents,mainly manifested as worry,fear,and even anxiety.Methods The children who were diagnosed with chronic secretory otitis media by our department from June 2017 to October 2021 were selected as the research subjects.This study included 47 children's parents(94)who received tympanic membrane for chronic secretory otitis media tube surgery.In addition,their parents completed the 20-item trait anxiety scale 1(STAI-1)and 20-item trait anxiety scale 2(STAI-2)questionnaires before and 2 weeks after the operation.The postoperative symptoms of the child improved significantly and recovered smoothly.STAI is a tool for quantifying state(STAI-1)and trait(STAI-2)anxiety.The State Trait Anxiety Scale(STAI-1)is designed to measure transient anxiety at a specific time,while STAI-2(trait anxiety)is used to measure long-term anxiety.Results A total of 47 children with chronic secretory otitis media who underwent tympanic membrane insertion surgery and 94 parents were included in this study.The symptoms of the patients were significantly improved after operation.The average STAI-2 score of parents before surgery was(29.62±7.03);among them,the father was(28.94±7.39)and the mother was(30.30±6.66).The STAI-2 score showed statistical significance(P<0.05).The STAI-2 score showed statistical significance(P<0.05).On the preoperative STAI-1 scale,the average score of the mother is higher than the average score of the father and is statistically significant(P<0.05);on the postoperative STAI-1 scale,the average score of the mother is higher than the average score of the father High but not statistically significant(P>0.05).However,the postoperative STAI-1 scores of both parents were significantly lower than those before surgery(P<0.05).Conclusion Tympanic membrane insertion in children with chronic secretory otitis media can lead to anxiety in parents,especially mothers.After surgical treatment of children,the level of anxiety of both parents decreased.If necessary,preoperative psychological intervention can be carried out for the parents of the children.