脑性瘫痪患儿家长心理健康状况分析

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目的对脑性瘫痪患儿家长心理健康状况进行探讨分析,指导康复部门及相关部门福利对策的制定。方法于2014年3—12月采用90项症状自评量表(SCL-90)对304例不同残疾程度脑瘫患儿家长进行现场问卷调查。结果脑瘫患儿家长SCL-90评分结果除人际关系因子(1.75±0.70)分外,总分、阳性项目、躯体化、强迫症状、抑郁、焦虑、敌对、恐怖、偏执、精神病性的得分分别为(154.25±44.94)、(38.26±20.01)、(1.74±0.70)、(1.90±0.71)、(1.91±0.77)、(1.62±0.64)、(1.82±0.69)、(1.52±0.62)、(1.64±0.68)、(1.62±0.71)分,均高于全国常模(P<0.05);不同残疾程度患儿家长除敌对因子外,其余项目得分比较差异均有统计学意义(P<0.05);多因素回归分析表明,是否生病、家庭人均月收入、性别,婚姻状况、居住地对患儿父母的心理健康状况存在不同程度影响。结论脑瘫患儿家长心理健康状况落后于全国常模;不同残疾程度脑瘫患儿家长心理健康状况存在差异;是否生病、家庭人均月收入、性别、婚姻状况、居住地不同程度影响家长的心理健康状况。 Objective To investigate and analyze the mental health of parents of children with cerebral palsy and guide the formulation of welfare measures for rehabilitation department and related departments. Methods From December to December in 2014, 90 symptom checklist (SCL-90) were used to survey 304 parents of children with cerebral palsy with different degrees of disability. Results SCL-90 scores of children with cerebral palsy children score except for interpersonal relationship factor (1.75 ± 0.70), score, positive items, somatization, obsessive compulsive symptoms, depression, anxiety, hostility, terror, paranoid, psychiatric scores were (154.25 ± 44.94), (38.26 ± 20.01), (1.74 ± 0.70), (1.90 ± 0.71), (1.91 ± 0.77), (1.62 ± 0.64), (1.82 ± 0.69), (1.52 ± 0.62) ± 0.68) and (1.62 ± 0.71) points higher than the national norm (P <0.05). Parents with different degrees of disabilities had statistically significant differences in scores of other items except for hostile factors (P <0.05). Multivariate regression analysis showed that whether children were sick, their monthly income per capita, gender, marital status or place of residence had different effects on their parents’ mental health status. Conclusion The mental health status of children with cerebral palsy lags behind that of the national norm. The mental health status of parents with cerebral palsy varies with different degrees of disability. Whether they are sick, the average monthly household income, sex, marital status or residence affect the parents’ mental health status .
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