The Psychological States and Their Influencing Factors in the Parents of Congenital Defect Neonates Admitted to Intensive Care Unit_West China Medical Journal

Authors：

 ZHOUDan ¹ ,  TANGMeng-lin ¹ , LUOYu-lan ¹ , FENGMei ¹ , RANMeng-dong ²

1. Pediatric Intensive Care Unit, Department of Intensive Care Medicine, West China Hospital;
2. West China School of Public Health;Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

TANGMeng-lin, Email: menglin_tang@163.com

Keywords：

Congenital defect neonate; Parent; Intensite care unit; Anxiety; Depression

DOI：

10.7507/1002-0179.20150149

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Objective To investigate the psychological states and their influencing factors in parents of congenital defect neonates admitted to Intensive Care Unit (ICU). Methods The self-designed general information questionnaire was used to collect the demographic data, and self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to evaluate the states of anxiety and depression of the parents of congenital defect neonates admitted to ICU between June 1 and November 29, 2013. Results A total of 152 parents were included in this investigation. The average score of SAS was 39.45±8.53. The average score of SDS was 43.28±10.76. Univariate analysis found that parents with lower educational level, poorer family income, positive family history and countryside residence might have higher score of SAS, while parents with Han nationality, poorer family income and family history would have higher score of SDS. Multivariate analysis discovered that living condition and family history were related to anxiety status. However, depression state was influenced by nationality, family income and family history. Conclusion A considerable number of parents of congenital defect neonates admitted to ICU have anxiety or depression. And nationality, family income, family history and living condition are the major risk factors.

Citation： ZHOUDan, TANGMeng-lin, LUOYu-lan, FENGMei, RANMeng-dong. The Psychological States and Their Influencing Factors in the Parents of Congenital Defect Neonates Admitted to Intensive Care Unit. West China Medical Journal, 2015, 30(3): 522-526. doi: 10.7507/1002-0179.20150149 Copy

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16.	林赟, 张腾, 杨晨, 等. 应用抑郁和焦虑自评量表对418名强制戒毒人员心理健康状况的分析[J]. 皮肤病与性病, 2011, 33(1):1-3.
17.	许玲, 王德全, 任建民, 等. 2型糖尿病患者抑郁的患病率及其危险因素[J]. 中国糖尿病杂志, 2003, 11(1):46-50.
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1. 印学蕾, 丁效薇, 姚明珠. 新生儿先天性畸形481例构成和相关因素分析[J]. 临床儿科杂志, 2008, 26(3):204-208.
2. Zarante I, Franco L, López C, et al. Frequencies of congenital malformations:assessment and prognosis of 52,744 births in three cities of Colombia[J]. Biomedica, 2010, 30(1):65-71.
3. 王炯, 贾书花, 姚霞. 110例围产儿先天畸形发病情况分析[J]. 中国优生与遗传杂志, 2008, 16(11):92-93.
4. Ling EW, Sosuan LC, Hall JC. Congenital anomalies:an increasingly important cause of mortality and workload in a neonatal intensive care unit[J]. Am J Perinatol, 1991, 8(3):164-169.
5. Lian WB, Yeo CL, Ho LY. Two-year outcome of normal-birth-weight infants admitted to a Singapore neonatal intensive care unit[J]. Ann Acad Med Singapore, 2002, 31(2):199-205.
6. 方进博, 李艳华, 张莉, 等. 新生儿重症监护病房患儿父母的焦虑抑郁状况及影响因素研究[J]. 华西医学, 2002, 17(1):42-44.
7. 刘苓, 陈蕴, 陶蓉, 等. 住院患儿亲属的心理健康状况调查研究[J]. 中国心理卫生杂志, 2001, 15(6):400.
8. 王保烈, 赵曙芳, 马光斌. 出生缺陷儿父母心理状况调查[J]. 中国行为医学科学, 2002, 11(2):172.
9. 张子明, 向磊. NICU住院患儿家属焦虑情绪的调查研究[J]. 中国当代儿科杂志, 2010, 12(5):354-356.
10. 汪向东, 王希林, 马弘. 心理卫生评定量表手册(增订版)[J]. 北京:中国心理卫生杂志社, 1999:288-391, 468-471.
11. 李琦, 阎成美, 李蓉. 重型脑外伤患者家属心理状况调查分析[J]. 解放军护理杂志, 2000, 17(1):1-3.
12. 佟晓云, 戚咏. 脑卒中患者家属角色、性别、文化程度和居住地差异对其心理健康的影响[J]. 中国临床康复, 2005, 9(16):14-15.
13. 肖融, 吴薇莉, 胡峻梅, 等. 成都市大中学生社交焦虑障碍患病率及发病影响因素分析[J]. 四川大学学报:医学版, 2006, 37(4):636-640.
14. Tenev VT, Robinson RG, Jorge RE. Is family history of depression a risk factor for poststroke depression? Meta-analysis[J]. Am J Geriatr Psychiatry, 2009, 17(4):276-280.
15. Roy MA, Neale MC, Pedersen NL, et al. A twin study of generalized anxiety disorder and major depression[J]. Psychol Med, 1995, 25(5):1037-1049.
16. 林赟, 张腾, 杨晨, 等. 应用抑郁和焦虑自评量表对418名强制戒毒人员心理健康状况的分析[J]. 皮肤病与性病, 2011, 33(1):1-3.
17. 许玲, 王德全, 任建民, 等. 2型糖尿病患者抑郁的患病率及其危险因素[J]. 中国糖尿病杂志, 2003, 11(1):46-50.
18. 刘粹, 康岚, 黄成兵, 等. 住院脑卒中患者抑郁障碍现况调查[J]. 中国心理卫生杂志, 2013, 27(2):93-97.

West China Medical Journal

The Psychological States and Their Influencing Factors in the Parents of Congenital Defect Neonates Admitted to Intensive Care Unit

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