在儿科急诊室的家长焦虑的预测因素
Sarah R Martin1,2,3, Isaac Hung2,4, Theodore W Heyming3,5
1Anesthesiology & Perioperative Care, University of California Irvine, Irvine, California, USA.
Emergency medicine journal : EMJ
|August 17, 2023
概括
超过40%的家长在儿科急诊部经历了显著的焦虑. 儿童活动较低和父母心理健康较差是导致父母焦虑的关键因素.
科学领域:
- 儿科急救医学 儿科急救医学
- 临床心理学 临床心理学
- 儿童发展 儿童发展
背景情况:
- 父母焦虑是儿科急诊室 (ED) 的重要关注点,但与手术前或初级保健机构相比,人们对其患病率和促成因素的了解较少.
- 这项研究解决了关于家长焦虑的知识差距,在儿科ED的独特背景下.
研究的目的:
- 为了评估家长焦虑在家庭呈现给儿科ED的流行程度.
- 在这种情况下,确定与父母焦虑增加相关的人口和心理因素.
主要方法:
- 一项涉及120名18岁以下儿童的父母向儿科ED提出非精神病投诉的横截面研究.
- 用国家特征焦虑清单测量父母的焦虑状态,以及对儿童气质,先前的医疗焦虑以及父母精神和身体健康的验证仪器.
- 用多个线性回归模型来分析数据.
主要成果:
- 42.5%的家长在儿科ED中报告了临床显著的焦虑水平.
- 较低的儿童活动气质 (不那么活跃/精力充) 和较差的父母心理健康独立地与更高的父母焦虑有关.
- 无论是临床状况还是孩子的病情严重程度都没有影响父母的焦虑程度.
结论:
- 很大一部分父母在儿科ED环境中经历了临床上显著的焦虑.
- 儿童的气质 (特别是较低的活动) 和父母的心理健康是导致父母焦虑的重要因素.
- 这些发现可以为经历高焦虑的家庭提供有针对性的干预措施,从而有可能改善患者的整体结果.
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