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腺樣體肥大兒童父母焦慮現狀調查及其影響因素分析

作者:未知

  [摘要] 目的 調查腺樣體肥大兒童父母的焦慮現狀并分析其影響因素。 方法 采用一般資料問卷、焦慮自評量表(SAS)、腺樣體肥大兒童父母資訊需求問卷對2016年12月~2018年3月在耳鼻咽喉科住院擬行手術治療的腺樣體肥大兒童的父母共123名進行問卷調查。 結果 腺樣體肥大兒童父母SAS總得分為(41.00±8.11)分,高于國內常模(t=5.153,P<0.01);焦慮檢出率為13.0%,輕度焦慮者占9.8%。40歲以上父母的焦慮評分與其他組比較差異有統計學意義(P<0.05),不同角色、職業、文化程度等不同特征的父母之間,焦慮評分均無顯著差異(P>0.05)。父母焦慮評分與疾病資訊需求總分呈正相關關系(r=0.247,P<0.01)。多元逐步回歸分析顯示,疾病資訊需求總分、父母年齡是腺樣體肥大兒童父母焦慮的影響因素。 結論 腺樣體肥大兒童父母的焦慮情緒較白血病、惡性腫瘤、癲癇等患兒父母焦慮情緒輕,僅有少部分腺樣體肥大兒童父母存在不同程度的焦慮,其焦慮情緒會受到疾病資訊需求程度和父母年齡的影響,宜進行針對性干預。
  [關鍵詞] 腺樣體肥大;兒童;父母;焦慮;影響因素
  [中圖分類號] R766          [文獻標識碼] B          [文章編號] 1673-9701(2019)27-0001-04
  [Abstract] Objective To investigate the anxiety status of parents of children with adenoid hypertrophy and analyze the influencing factors. Methods A total of 123 parents of adenoidal hypertrophy children who underwent surgical treatment in the Department of Otorhinolaryngology from December 2016 to March 2018 were surveyed by the general data questionnaire, the self-rating anxiety scale(SAS), and the parental information needs questionnaire for children with adenoid hypertrophy. Results The total score of SAS in parents of adenoidal hypertrophy children was(41.00±8.11), which was higher than the domestic norm(t=5.153, P<0.01). The detection rate of anxiety was 13.0%, and the incidence of mild anxiety was 9.8%. The anxiety scores of parents over 40 years old were significantly different from those of other groups(P<0.05). There was no significant difference in anxiety scores between parents with different characteristics, occupations and education levels(P>0.05). Parental anxiety scores were positively correlated with the total score of disease information needs(r=0.247, P<0.01). Multivariate stepwise regression analysis showed that the total score of disease information needs and parental age were the influential factors of parental anxiety in children with adenoidal hypertrophy. Conclusion The anxiety of parents of children with adenoid hypertrophy is less than that of children with leukemia, malignant tumor and epilepsy. Only a small number of parents of adenoid hypertrophy children have different degrees of anxiety, and their anxiety will be affected by the level of information needs of the disease and the age of the parents. Targeted intervention should be appropriately done.
  [Key words] Adenoid hypertrophy; Children; Parents; Anxiety; Influencing factors
  腺樣體肥大(adenoidal hypertrophy,AH)常見于兒童[1]。兒童時期腺樣體肥大及反復的炎癥刺激,堵塞呼吸通道,導致張口呼吸及睡眠結構紊亂,嚴重時可影響兒童面部的正常發育,甚至引起認知功能的減退[2]。患兒父母是患兒的主要看護人,住院及手術治療會給患兒父母帶來精神、經濟的雙重壓力,其身心健康狀況可能會影響患兒的康復和生活質量。焦慮是應激反應中最常出現的情緒反應,焦慮過度常會威脅到焦慮者的正常生活與健康。回顧文獻發現,國內外有關不同疾病患兒父母焦慮狀況及其影響因素分析的研究報道,但腺樣體肥大兒童父母焦慮現狀的調查較少。因此,本研究旨在了解腺樣體肥大兒童父母的焦慮現狀及其影響因素,為今后針對性的采取干預措施提供理論依據。
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