摘要
目的探讨1型糖尿病患儿压力源、应对方式与焦虑、抑郁状况及其相关性。方法采用横断面调查法,使用自制压力源访谈提纲、患儿应对方式量表、儿童焦虑性情绪障碍筛查表、儿童抑郁障碍自评量表对79例1型糖尿病患儿进行调查,分析压力源、应对方式与焦虑、抑郁情况及其相关性。结果 (1)注射与检查、学习受影响是1型糖尿病患儿最主要的压力源;幻想、接受、自我安慰是患儿使用最多的应对方式;焦虑、抑郁、焦虑与抑郁共病的检出率分别为39.6%、26.7%、20.3%,本组的焦虑、抑郁量表得分均高于常模(P<0.01);(2)压力源水平、负性情绪反应的得分与患儿的焦虑、抑郁得分呈正相关(r为0.286～0.487,P<0.01),接受和自我安慰的得分与患儿焦虑、抑郁得分呈负相关(r为-0.265～-0.149,P<0.01)。结论 1型糖尿病患儿压力源较多,虽然主要以积极方式应对,但其焦虑、抑郁现象仍较为严重;1型糖尿病患儿的焦虑、抑郁程度与压力源水平、消极应对方式呈一定正相关,与积极应对方式呈一定负相关。
Objective To explore the correction between stressors,coping styles and anxiety and depression of children patients with insulin-dependent diabetes mellitus.Methods A cross-section study was conducted in 79 children patients with insulin-dependent diabetes mellitus through self-designed,semi-structured interview,and the Coping with a Disease（CODI） scale,the Screen for Child Anxiety Related Emotional Disorders（SCARED） scale and the Depression Self-rating Scale for Children（DSRSC）.Results The stressors in children mainly included ＂injection and inspection＂ and ＂effect of disease on study＂.Fantasy was the most common coping strategy,followed by acceptance and self-comfort.The prevalence of anxiety,depression disorders,and comorbidity of anxiety and depression were 39.6%,26.7% and 20.3% respectively.The scores of anxiety and depression scales were higher than those of the norm（P〈0.01）.Level of stressor and negative emotional reaction were positively correlated with level of anxiety and depression（r=0.286～0.487,P〈0.01）.Scores of acceptance and self-comfort were negatively correlated with level of anxiety and depression（r=-0.265～-0.149,P〈0.01）.Conclusion There are many stressors for children with insulin-dependent diabetes mellitus.Though they usually use active coping styles,the prevalence of anxiety disorders and the prevalence of depression disorders were high.
出处
《护理学报》
2010年第17期66-69,共4页
Journal of Nursing（China）
关键词
1型糖尿病
儿童
压力源
应对方式
焦虑
抑郁
相关性
insulin-dependent diabetes mellitus
child
stressor
coping style
anxiety
depression
correlation
