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The Relationship among Anxiety, Depression and Social Support of the Family Members of Post-operative Children with Congenital Heart Disease

Author: LiuYan
Tutor: LiLeZhi
School: Central South University
Course: Nursing
Keywords: Congenital heart disease Family member Anxiety Depression Social Support Correlation
CLC: R473.72
Type: Master's thesis
Year: 2010
Downloads: 73
Quote: 0
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Abstract


The purpose of: (1) investigation of congenital heart disease after children the CICU during hospitalization, and the family's anxiety and depression levels and influencing factors; (2) understanding of congenital heart disease after surgery, in children the CICU during hospitalization, the families of the Social Support; (3) explore congenital heart surgery, children in the CICU during hospitalization, the families of social support and anxiety, depression correlation. Methods: A stratified cluster sampling method, in Changsha City, Hunan Province to carry out heart surgery in six hospitals, three hospitals were randomly selected, and a total of 280 families of children with congenital heart disease in children underwent in CICU during hospitalization research. Measurement tools including children and their families, the general questionnaire, Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS) and Social Support Rating Scale (SSRS). SPSS15.0 statistical software descriptive analysis of the data, two-sample t-test, Χ2 test, Pearson correlation analysis and logistic regression analysis. Results: (1) congenital heart surgery, children in the CICU during hospitalization, the families of the anxiety score was 36.2 ± 9.4, higher than the national norm (P lt; 0.001). 280 children with their families, 114 anxiety, accounting for 40.7%. Family education level of primary school, families with per capita monthly income of 1000-3000 yuan / person / month, feel pressure, children with complex congenital heart disease, the postoperative incidence of complications, surgical approach to palliative surgery group anxiety condition higher than the other group, the difference was statistically significant (P lt; 0.05). Families of influencing factors of anxiety: the children with the severity of the disease, postoperative complications, family members feel pressure objectively support four variables jointly explained variance was 49.6%. (2) congenital heart disease after children the CICU during hospitalization, the families of the depression score was 39.6 ± 9.6, higher than the national norm (P lt; 0.001). 280 children with their families, 124 had depression, 44.3%. Family members age 41 to 60 years of age, the education level of the primary school, the per capita household income from 1000 to 3000 yuan / person / month, feel pressure, children with complex congenital heart disease, postoperative complications, surgical approach to palliative depression in the surgical group was higher than in the other group, the difference was statistically significant (P lt; 0.05). Families of influencing factors of depression: children with the severity of the disease, postoperative complications, family members feel the pressure, the three variables jointly explained variance was 45.8%. (3) congenital heart disease after children the CICU during hospitalization, family social support total score of 40.54 ± 8.21, higher than the national norm (P lt; 0.05). (4) non-anxiety group objective support, subjective support, utilization of support and social support were higher than the anxiety group, the difference was statistically significant (P lt; 0.05); congenital heart disease after surgery, patients in the CICU during hospitalization The families of the anxiety and objective support was negatively correlated (P lt; 0.01). (5) the objective of the non-depressed group support, subjective support, utilization of support and social support were higher than the depressed group, the difference was statistically significant (P lt; 0.05); congenital heart disease after surgery, patients in the CICU during hospitalization suffering from depression and social support of families of non-negative correlation. Conclusion: (1) congenital heart disease in children with family members after the anxiety, depression and social support condition were higher than the norm; (2) children with disease severity, complications and children with their families feel pressure objectively support families of children with congenital heart disease postoperative anxiety, depression major influencing factors. (3) congenital heart disease in children with family members after anxiety situation and objective support was negatively related to depression status and social support no correlation.

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