先天性并指患儿家属心理健康及焦虑现状调查陈磊1范洪进1高立2关.doc

先天性并指患儿家属心理健康及焦虑现状调查* 陈 磊1 范洪进1 高 立2 关 晶2△ （1 济宁医学院附属医院，山东 济宁 272029；2济宁医学院生命科学学院，济宁 272067） 摘 要 目的 研究先天性并指患儿家属心理健康及焦虑状况，为开展出生缺陷预防及宣传工作提供一定的理论依据和数据支持。 方法 采用症状自评量表（Symptom Check List 90，SCL-90）对56名先天性并指患儿的204名家属的心理健康状况进行初步调查，结合焦虑状态-特质问卷（State-Trait Anxiety Inventory，STAI）对其焦虑情况进行深入研究。 结果 先天性并指患儿家属SCL-90的各因子得分均明显高于国内常模，且在躯体化、抑郁、焦虑和恐怖4个因子差异有统计学意义（P0.05），其中又以焦虑方面的差异最大（t=12.5012，P=0.0000）。患儿家属STAI 问卷中S-AI部分得分均高于常模水平，T-AI部分得分仅有19-39岁年龄段家属得分高于常模水平；在性别方面，虽然先天性并指患儿女性家属S-AI及T-AI得分均高于男性家属，但其差异均无统计学意义（P0.05）。 结论 先天性并指患儿家属的心理健康状况总体较差，其负面情绪，尤其是焦虑情绪更是比较严重。 关键词 先天性并指；家属；心理健康；焦虑 中图分类号：R749.7 文献标识码：A The Investigate About the Mental health and Anxiety of the Family Members of Children with Congenital syndactyly CHEN Lei，FAN Hongjin，GAO Li，GUAN Jing （The Affiliated Hospital of Jining Medical University，Jining 272029，China） Abstract: Objective From research the mental health and anxiety of the family members of children with congenital syndactyly, to provide certain theory basis and data support for birth defects prevention and propaganda work. Methods 204 family members of 56 children with congenital syndactyly were investigated with SCL-90 to test the mental health, and combined with STAI to have a deep investigation for their anxiety situation. Results The scores of SCL-90 of family members of children with congenital syndactyly were all higher than the normal group, and the factor differences in somatization, depression, anxiety and fear has statistical significance(P0.05). Among them, the biggest difference was in anxiety. The score of S-AI of family members of children with congenital syndactyly were all higher than the normal group, but only the score of the group of age 19 to 39 of family members of children with congenital syndactyly in T-AI was higher than the normal group. In gender, although the female family members of children with congenital syndactyly has higher score in both S-AI and T-AI , the difference has no statistical significance (P0.