摘要
目的描述苯丙酮尿症(PKU)患儿父母的精神健康状况,为相关干预策略的制订提供基础资料。方法选取2014年12月—2016年12月河北省唐山市妇幼保健院收治的76例PKU患儿父母(选取父母中的主要监护人)为研究对象,使用90项症状清单(SCL-90)评估患儿父母的精神症状,并与全国常模进行比较。结果患儿父母SCL-90症状总均分为高于中国常模,差异有统计学意义(P<0.05);而各维度得分结果显示,PKU患儿父母在强迫、抑郁、焦虑、恐怖、偏执、精神病性等维度的得分显著高于中国常模,差异有统计学意义(P<0.05)。此外,PKU患儿父母阳性及阴性项目评分高于中国常模,差异有统计学意义(P<0.05)。对于不同情况PKU患儿父母SCL-90得分结果显示,年龄较小、母亲、文化水平较低、家庭月收入较低人群SCL-90总均分较高,差异有统计学意义(P<0.05)。结论PKU患儿父母90项症状异常程度显著高于全国常模,主要的异常集中在精神、心理领域,而父母年龄较小、文化程度较低、家庭月收入较低的父母,其精神心理异常的程度更高。
Objective To describe the mental health status of parents of children with phenylketonuria(PKU)and to provide background information for the development of relevant intervention strategies.Methods From December 2014 to December 2016,a total of 76 parents of children with PKU(the main guardians of the parents)who were admitted to Tangshan Maternal and Child Health Hospital were selected as the research objects,while symptom check list 90(SCL-90)was used to evaluate the psychiatric symptoms of the children′s parents and compared them with the national norm.Results The total mean score of SCL-90 symptoms of children′s parents was higher than that of the Chinese norm,and the difference was statistically significant(P<0.05).The score results of all dimensions showed that the parents of children with PKU score in compulsive,depression,anxiety,phobia,paranoia,and psychosis were significantly higher than those of the Chinese norm,and the differences were statistically significant(P<0.05).In addition,the positive and negative item scores in the parents of children with PKU were higher than those in the Chinese norm,and the difference was statistically significant(P<0.05).The comparison of the SCL-90 scores of parents of children with PKU in different situations showed that the total average score of SCL-90 were higher than those with younger age,mothers,lower educational level,and lower monthly household income,and the differences were statistically significant(P<0.05).Conclusion The degree of abnormality of 90 symptoms of the parents of children with PKU is significantly higher than the national norm.The main abnormalities are concentrated in the mental and psychological fields.Parents with younger parents,lower education level,and lower monthly family income have higher levels of mental abnormalities.
作者
韩宗兰
HAN Zonglan(Department of Children′s Health,Tangshan Maternal and Child Health Hospital,Hebei Province,Tangshan063000,China)
出处
《中国医药导报》
CAS
2020年第29期62-64,共3页
China Medical Herald
基金
河北省卫生和计划生育委员会科研基金项目(20181328)。
