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

Video：

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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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12.	佟曉云, 戚詠. 腦卒中患者家屬角色、性別、文化程度和居住地差異對其心理健康的影響[J]. 中國臨床康復, 2005, 9(16):14-15.
13.	肖融, 吳薇莉, 胡峻梅, 等. 成都市大中學生社交焦慮障礙患病率及發病影響因素分析[J]. 四川大學學報:醫學版, 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, 張騰, 楊晨, 等. 應用抑郁和焦慮自評量表對418名強制戒毒人員心理健康狀況的分析[J]. 皮膚病與性病, 2011, 33(1):1-3.
17.	許玲, 王德全, 任建民, 等. 2型糖尿病患者抑郁的患病率及其危險因素[J]. 中國糖尿病雜志, 2003, 11(1):46-50.
18.	劉粹, 康嵐, 黃成兵, 等. 住院腦卒中患者抑郁障礙現況調查[J]. 中國心理衛生雜志, 2013, 27(2):93-97.

1. 印學蕾, 丁效薇, 姚明珠. 新生兒先天性畸形481例構成和相關因素分析[J]. 臨床兒科雜志, 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, 賈書花, 姚霞. 110例圍產兒先天畸形發病情況分析[J]. 中國優生與遺傳雜志, 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. 方進博, 李艷華, 張莉, 等. 新生兒重癥監護病房患兒父母的焦慮抑郁狀況及影響因素研究[J]. 華西醫學, 2002, 17(1):42-44.
7. 劉苓, 陳蘊, 陶蓉, 等. 住院患兒親屬的心理健康狀況調查研究[J]. 中國心理衛生雜志, 2001, 15(6):400.
8. 王保烈, 趙曙芳, 馬光斌. 出生缺陷兒父母心理狀況調查[J]. 中國行為醫學科學, 2002, 11(2):172.
9. 張子明, 向磊. NICU住院患兒家屬焦慮情緒的調查研究[J]. 中國當代兒科雜志, 2010, 12(5):354-356.
10. 汪向東, 王希林, 馬弘. 心理衛生評定量表手冊(增訂版)[J]. 北京:中國心理衛生雜志社, 1999:288-391, 468-471.
11. 李琦, 閻成美, 李蓉. 重型腦外傷患者家屬心理狀況調查分析[J]. 解放軍護理雜志, 2000, 17(1):1-3.
12. 佟曉云, 戚詠. 腦卒中患者家屬角色、性別、文化程度和居住地差異對其心理健康的影響[J]. 中國臨床康復, 2005, 9(16):14-15.
13. 肖融, 吳薇莉, 胡峻梅, 等. 成都市大中學生社交焦慮障礙患病率及發病影響因素分析[J]. 四川大學學報:醫學版, 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, 張騰, 楊晨, 等. 應用抑郁和焦慮自評量表對418名強制戒毒人員心理健康狀況的分析[J]. 皮膚病與性病, 2011, 33(1):1-3.
17. 許玲, 王德全, 任建民, 等. 2型糖尿病患者抑郁的患病率及其危險因素[J]. 中國糖尿病雜志, 2003, 11(1):46-50.
18. 劉粹, 康嵐, 黃成兵, 等. 住院腦卒中患者抑郁障礙現況調查[J]. 中國心理衛生雜志, 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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