摘要
目的:了解婴幼儿血管瘤(infantile hemangioma,IH)家长在新生儿住院期间的负性情绪、应对方式及社会支持现状,并探讨相关关系,为开展患儿家长心理护理和干预提供参考。方法:采用横断面调查研究设计,通过便利抽样选择2020年1月至2024年12月期间在简阳市人民医院出生的112名IH新生儿家长作为研究对象,采用医院焦虑抑郁量表(Hospital Anxiety and Depression Scale,HAD)、医学应对方式问卷(Medical Coping Modes Questionnaire,MCMQ)和社会支持评定量表(Social Support Rating Scale,SSRS)分别评价患儿家长焦虑抑郁情绪、应对方式和社会支持水平,采用Pearson相关性检验分析焦虑抑郁情绪与应对方式和社会支持水平的相关关系。结果:IH患儿家长HAD-A总分为(7.7±4.1)分,有19人(17.0%)存在焦虑、32人(28.6%)可疑焦虑;HAD-D总分(6.9±4.9)分,有21人(18.7%)存在抑郁、17人(15.2%)可疑抑郁。患儿母亲HAD-A总分明显高于父亲得分,差异有统计学意义(P<0.05)。IH患儿家长MCMQ总分、回避和屈服维度分均高于国内常模,差异有统计学意义(P<0.05);IH患儿家长SSRS总分(22.3±4.9),社会支持不足(52.7%)和社会支持中等(44.6%)占比最多,社会支持良好仅3人(2.7%)。IH患儿家长HAD-D总分与MCMQ量表的屈服维度呈正相关关系(P<0.05),HAD-A总分、HAD-D总分分别与SSRS量表的客观支持维度、支持利用度维度呈负相关关系(P均<0.05)。结论:IH家长在新生儿住院期间具有较高的焦虑抑郁水平,且母亲焦虑水平明显高于父亲;患儿家长更倾向于选择回避和屈服的应对方式;家长的社会支持度处于中等的下限水平;选择屈服应对的家长发生抑郁可能性更大,家长获得的客观支持和对社会支持的利用度越高,发生焦虑和抑郁可能性越低。
Objective:To examine the levels of negative emotions,coping styles,and social support among parents of infants with infantile hemangioma(IH)during their children’s hospitalization,and to explore the relationships among these factors.The findings are intended to inform psychological care and interventions for these parents.Methods:A cross-sectional study was conducted among 112 parents of newborns diagnosed with IH at Jianyang Hospital from January 2020 to December 2024,using a convenience sampling method.Hospital Anxiety and Depression Scale(HAD),Medical Coping Modes Questionnaire(MCMQ),and Social Support Rating Scale(SSRS)were used to assess anxiety,depression,coping styles,and social support.Results:For parents of infants with IH,the total score of HAD-Anxiety Subscale(HAD-A)score was 7.7±4.1,with 17.0%(n=19)and 28.6%(n=32)showing anxiety and borderline anxiety,respectively.The total score of HAD-Depression Subscale(HAD-D)was 6.9±4.9,with depression in 18.7%(n=21)and borderline depression in 15.2%(n=17).Mothers had significantly higher HAD-A total scores than fathers(P<0.05).Parents of infants with IH scored significantly higher than the national norm on the MCMQ total score,as well as on the Avoidance and Resignation dimensions(all P<0.05).Parents of children with IH had a mean SSRS total score of 22.3±4.9,with insufficient(52.7%)and moderate(44.6%)support being most common;good support was rare(2.7%,n=3).A positive correlation was found between the total HAD-D score and the Resignation dimension of the MCMQ(P<0.05).Furthermore,the total scores of HAD-A and HAD-D were negatively correlated with the Objective Support and Support Utilization dimensions of the SSRS,respectively(both P<0.05).Conclusion:Parents of infants with IH exhibited elevated levels of anxiety and depression during their neonatal hospitalization,with mothers reporting significantly higher anxiety than fathers.In terms of coping,these parents showed a greater tendency toward Avoidance and Resignation strategies.Their overall social support was at the moderate to low end of the spectrum.Notably,the choice of Resignation was positively correlated with depression,whereas higher levels of Objective Support and Support Utilization were associated with lower levels of anxiety and depression.
作者
胡燕
杨兴敏
游永华
吴敏
陶晓玲
Hu Yan;Yang Xingmin;You Yonghua;Wu Min;Tao Xiaoling(Department of Neonatology,The People's Hospital of Jianyang City,Chengdu 641400,Sichuan,China)
出处
《肿瘤预防与治疗》
2026年第1期52-57,共6页
Journal of Cancer Control And Treatment
关键词
婴幼儿血管瘤
患儿家长
负性情绪
应对方式
社会支持
相关关系
Infantile hemangioma
Parents of affected children
Negative emotions
Coping styles
Social support
Correlations
