摘要： 目的 探讨手足口病患儿照顾者的心理状态及其影响因素。方法 选取中国医科大学附属盛京医院感染科2017年10月至2018年10月收治的100例手足口病患儿照顾者为研究对象，以问卷调查表的方式进行资料收集。采用抑郁自评量表（SDS）对研究对象进行心理状态评分，采用logistic回归分析影响照顾者心理状态的相关因素。结果 照顾者SDS评分在患儿性别、是否独生子女、日常生活能力（ADL）评分方面无统计学差异（均P>0.05），在患儿年龄、病情及治疗周期方面差异显著（均P<0.05）。照顾者SDS评分在自身性别、年龄、健康状况、工作状态、医疗费支付方式、是否异地就医方面无统计学差异（均P>0.05），在其学历水平、婚姻状况、与患儿的关系、照顾时间及月经济收入方面差异显著（均P<0.05）。患儿病情重、照顾者学历低、照顾时间长及经济收入低是照顾者抑郁发生的危险因素（均P<0.05）。结论 手足口病患儿照顾者承受着生理、心理、家庭、经济、社会等多个方面压力，患儿病情严重、照顾者学历低、照顾时间长及经济收入低是照顾者心理抑郁发生的危险因素。

手足口病患儿照顾者心理状态的影响因素分析

战玉华, 夏静, 王旭梅

中国医科大学附属盛京医院心理科, 沈阳 110004

收稿日期:2019-01-08出版日期:2020-03-30发布日期:2020-03-19
通讯作者:王旭梅E-mail:wangxm@sj-hospital.org
作者简介:战玉华(1978-),女,主治医师,硕士.



关键词: 手足口病, 照顾者, 心理状态, 影响因素
Abstract: Objective To study the stress and psychological status of the main caregivers of children with hand-foot-and-mouth disease, and to analyze the related factors affecting their psychological status. Methods A total of hundred primary caregivers of hand-foot-andmouth disease patients in the Department of Infectious Diseases,Shengjing Hospital,China Medical University,from October 2017 to October 2018 were selected as research subjects. The data were collected by filling out questionnaires. Self-rating depression scale (SDS) was used to assess the psychological status of the main caregivers of children with hand-foot-and-mouth disease,and logistic regression analysis was used to analyze the related factors affecting the psychological status of caregivers. Results There were no significant differences in the SDS scores of caregivers with regard to the children's gender,whether it was an only child or not,and activity of daily living (ADL) scores (P>0.05). However,there were significant differences in SDS scores with regard to the children's age,condition,and treatment cycle (P<0.05). For caregivers,there were no significant differences in SDS scores in terms of their gender,age,health status,working status,payment,method of medical fees,and whether they would seek medical treatment elsewhere (P>0.05). There were significant differences in the SDS scores of caregivers with regard to their educational level,marital status,relationship to the children,care time,and monthly income (P<0.05). The children's condition,low educational background of caregivers,long care time,and low monthly income were the risk factors for mental depression (P<0.05). Conclusion The main caregivers of children with hand-foot-and-mouth disease suffer from physiological,psychological,family,economic,social,and other pressures. Severe illness,low educational background of caregivers,long time of care,and low monthly income are the risk factors for psychological depression among caregivers.
Key words: hand-foot-and-mouth disease, caregivers, psychological state, influencing factors
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