设为首页
加入收藏
联系我们
Email-Alert
 

    首页 | 杂志介绍 | 编委成员 | 审稿专家名录 | 投稿指南 | 订阅指南 | 过刊浏览 | 论著模板 | 综述模板 | 帮助

 
牛 霞,吴 徳,杨娅娟,吕复莉.家庭环境对脑瘫患儿家长心理稳态影响的病例对照研究[J].中国康复医学杂志,2018,(4):429~435
家庭环境对脑瘫患儿家长心理稳态影响的病例对照研究    点此下载全文
牛 霞  吴 徳  杨娅娟  吕复莉
安徽医科大学护理学院,合肥市,230601
基金项目:安徽省高校省级自然科学研究项目(KJ2013Z136)
DOI:
摘要点击次数: 287
全文下载次数: 202
摘要:
      摘要 目的:比较脑瘫患儿及正常儿童家庭环境和家长心理稳态情况,分析家庭环境对家长心理稳态的影响。 方法:采用一般情况调查表、家庭亲密度适应性量表、心理弹性量表、焦虑自评量表、抑郁自评量表、幸福指数量表对138例脑性瘫痪儿童家长和119例非脑性瘫痪对照组儿童家长进行问卷调查。 结果:①CP患儿家庭独生子女比例、城市居住率、父母高学历比例、父母职业为知识分子或商人比例、家庭月收入水平、父亲年龄低于对照组(P<0.05),家庭年平均住院费用高于对照组(P<0.05)。②CP组家庭理想和现实亲密度及适应性、心理弹性和幸福指数得分均低于对照组(P<0.05),CP组亲密度和适应性不满程度、焦虑、抑郁评分均高于对照组(P<0.05)。③多元线性回归发现,年住院平均费用、父亲职业、家庭亲密度和适应性是家长心理稳态的主要影响因素;主要照顾者影响幸福指数和焦虑。 结论:脑性瘫痪儿童家庭环境不良,影响主要照顾者心理状况。医务人员及社会有关部门需采取措施改善脑性瘫痪儿童家庭环境,提升家庭功能。
关键词:家庭环境  脑性瘫痪  心理健康
Effects of family enviroment on psychologic status of caregivers of children with cerebral palsy: a case-control study    Download Fulltext
Anhui Medical University School of Nursing, Hefei, 230601
Fund Project:
Abstract:
      Abstract Objective: To assess the family enviroment and psychologic status of caregivers of developed children and cerebral palsy children,and to investigate the relationship between family enviroment and psychologic status of caregivers of children . Method: Self -designed questionnaire, FACESⅡ-CV, CD-RISC, Index of Well-being, SAS, SDS were used to survey the caregivers with cerebral palsy children from Cerebral Palsy Rehabilitation Center and the caregivers with healthy children from Child Health Care Outpatient in the hospital from August 2013 to August 2014,after rejecting invalid questionnaires,138 caregivers with cerebral palsy children and 110 caregivers with healthy children were included in the study. Result: Univariate analysis showed that CP family had lower ratio on single- child ,living in the city,high education experience of parents, parents's occupation with business and intellect, family income, younger father, but had higher ratio on the average medical cost, compared to control group(P<0.05), CP group had low score on real cohesion [Median,Rang(64,57 )vs.(71,45)],ideal cohesion [Median, Rang (73,56) vs. (78,39)], and real adaption [Median, Rang (43,51) vs. (49,41)] , ideal adaptation [Median, Rang (53,43) vs. (56,41)], the psychological resilience [(58.83±17.45) vs. (68.84±14.31) and the subjective well-being [(9.35±3.36) vs. (11.06±3.25)],but had higher score on cohesion dissatisfaction degree [Median ,Rang (10,55) vs. (7,46)], adaptability dissatisfaction degree[Median,Rang(10,50)vs.(7,34)], anxiety [(51.52±11.63)vs. (42.18±9.88)] and depression [(53.27±11.89) vs. (47.25±9.99)], compared to control group (P<0.05). Multiple liner regression analyses showed that the influencing factors of psychologic status of caregivers of children included father’s occupation, primary caregiver, the average medical cost and family cohesion and adaptation (P<0.05). Conclusion: Family enviroment of children with cerebral palsy needs to be improved. At the same time of treating the children with cerebral palsy, the environmental states of caregivers and the families with cerebral palsy children should be paid more attention to,the mutual assistance and self -help among the family members should be encouraged, relevant support and help should be provided to the families with cerebral palsy children
Keywords:family enviroment  cerebral palsy  mental health
查看全文  查看/发表评论  下载PDF阅读器

您是本站第 16458183 位访问者

版权所有:中国康复医学会
主管单位:国家卫生和计划生育委员会 主办单位:中国康复医学会
地址:北京市朝阳区樱花园东街,中日友好医院内   邮政编码:100029   电话:010-64218095   

本系统由北京勤云科技发展有限公司设计 京ICP备10000329号