摘要
目的探讨社会支持及家庭亲密度和适应性对支气管哮喘患儿照顾者抑郁情绪的影响。方法选取并调查2021年1月~2023年1月在我院收治的84例支气管哮喘患儿的照顾者,依据抑郁自评量表(Self-rating depression Scale,SDS)评估照顾者抑郁程度,将SDS评分<53分的照顾者归为单纯患儿照顾者组(n=50),SDS评分≥53分的照顾者归为患儿照顾者合并抑郁组(n=34)。对比两组社会支持评定量表(Social Support Rating Scale,SSRS)评分、家庭亲密度和适应性量表(Family Adaptability and Cohesion Scale,FACESⅡ)评分,通过Pearson分析哮喘患儿照顾者抑郁与社会支持、家庭亲密度和适应性的相关性。结果患儿照顾者合并抑郁组主观支持、客观支持及对支持的利用度得分显著低于单纯患儿照顾者组(P<0.05);患儿照顾者合并抑郁组实际亲密度、理想亲密度、实际适应性及理想适应性评分显著低于单纯患儿照顾者组,而亲密度不满意度评分显著高于单纯患儿照顾者组(P<0.05);抑郁得分与亲密度不满意度因子得分呈正相关,与社会支持、实际亲密度、理想亲密度、实际适应性及理想适应性因子得分呈负相关(P<0.05)。结论支气管哮喘患儿照顾者抑郁情绪与家庭亲密度和适应性与社会支持存在明显相关性,患儿照顾者抑郁情绪越严重,其社会支持越差,亲密度和适应性越低。
Objective To explore the relationship between social support,family closeness,adaptability and depression in caregivers of children with bronchial asthma.Methods A total of 84 caregivers of children with bronchial asthma admitted to our hospital from January 2021 to January 2023 were selected and investigated.The severity of depression in caregivers was evaluated using the Self Rating Depression Scale(SDS).Caregivers with SDS scores less than 53 were assigned to the simple caregiver group(n=50),while caregivers with SDS scores≥53 were assigned to the caregiver group with depression group(n=34).Comparing two groups of Social Support Rating Scale(SSRS)scores and Family Adaptability and Cohesion Scale(FACESⅡ)scores,Pearson analyzed the correlation between depression in caregivers of asthma children and social support,family intimacy,and adaptability.Results The scores of subjective support,objective support,and utilization of support in the group of caregivers with depression were significantly lower than those in the group of caregivers with only depression(P<0.05).The scores of actual intimacy,ideal intimacy,actual adaptability,and ideal adaptability in the group of caregivers with depression were significantly lower than those in the group of caregivers with only children,while the scores of dissatisfaction with intimacy were significantly higher than those in the group of caregivers with only children(P<0.05).Depression score is positively correlated with the score of intimacy dissatisfaction factor,and negatively correlated with social support,actual intimacy,ideal intimacy,actual adaptability,and ideal adaptability factor scores(P<0.05).Conclusion There is a significant correlation between depression,family intimacy and adaptability,and social support in caregivers of children with bronchial asthma.The more severe the depression,the poorer the social support status,and the lower the intimacy and adaptability.
作者
侯凤香
白月娟
李樊
武旭阳
尉全平
孙子梅
HOU Fengxiang;BAI Yuejuan;LI Fan(The Second Affiliated Hospital of Hebei North University,Department of Pediatrics,Zhangjiakou 075100,China)
出处
《国际精神病学杂志》
2024年第2期594-596,602,共4页
Journal Of International Psychiatry
基金
河北省医学科学研究课题计划(编号:20211499)。
关键词
支气管哮喘
照顾者
社会支持
抑郁
家庭亲密度和适应性
Bronchial asthma
Caregivers
Social support
Depression
Family adaptability and cohesion
