胆道闭锁患儿父母心理健康状况及影响因素分析<sup>*</sup>

doi:10.3969/j.issn.1671-7171.2021.03.003

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Abstract 【Objective】 To evaluate the factors that affect the mental health of parents who have children with biliary atresia, reduce the psychological burden of diseases in families with biliary atresia, and improve the overall efficacy of children with biliary atresia. 【Methods】Using the convenience sampling method, a total of 100 parents with biliary atresia children, who were admitted to Shenzhen Children's Hospital from November 2017 to November 2019, were selected. The mental health status was assessed by the Symptom Self-Rating Scale (SCL-90). The evaluation data were compared with the national norm. Single factor analysis of variance and multiple linear regression were used to analyze the factors that affected the psychological status. 【Results】The total mean score and scores of somatization, anxiety, hostility, terror and psychosis obtained by the SCL-90 assessment of the parents with biliary atresia children were compared with the national norm. The difference was statistically significant ( P <0.05). The results showed that the mental health of the parents with biliary atresia children was not optimistic to a certain extent. A one-way analysis of variance was performed on the total scores of the parents, depression and anxiety. It showed that there were statistical differences in gender, family support, and birth history of the children ( P <0.05). At the same time, there were statistical differences in the total scores and depressive psychological status of the parents who had biliary atresia children in different age, education levels, occupations, nationalities, etc. ( P <0.05). Further multivariate linear regression results from meaningful factors showed that the status of parents' mental health total SCL-90 scores was negatively correlated with age and gender, and positively correlated with family support. The depression status was negatively correlated with gender, while it was positively correlated with age and family support. The anxiety status was positively correlated with family support. 【Conclusion】The mental health status of parents who have children with biliary atresia is generally not so good. There is a linear correlation of parents' mental health status with age, gender and family support.

Key words： Biliary Atresia Child Bile Duct Diseases/CN Parents Health Status

Received: 25 November 2020

PACS:

R575.7

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2021.03.003 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2021/V38/I3/331

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