家长情绪障碍对患儿呕吐影响.docVIP

家长情绪障碍对患儿呕吐影响 　 作者：董美玲，周 琴，鲍韵芳，黄玉林 【摘要】 目的 观察反复呕吐儿童及其父母的心理变化。方法 42例反复呕吐的儿童及其家长填写自行设计的问卷调查表，另设对照组40例。结果 45.23%呕吐儿童有焦虑，47.61%呕吐儿童有抑郁、情绪低落，50.00%呕吐儿童有精神紧张、激动，35.71%呕吐儿童感觉学习压力大。其父母66.67%有焦虑，35.71%有抑郁、情绪低落，59.52%家长对孩子特别同情和爱护。结论 反复呕吐的儿童及其父母存在心理障碍，对其父母进行心理辅导有助于患儿治疗。 【关键词】 反复呕吐 问卷调查 心理 儿童 The influence of parents mood deficiency on children’ vomiting 【Abstract】 Objective To observe the children and their parents physiologic change of children’s repeated vomiting.Methods 42 cases of children suffered from repeated vomiting as observation group received survey table designed by ourselves.And there were 40 cases of children as control group.Results In observation group’45.23% experienced feelings of anxiety’47.61% experienced feelings of depression and low mood’ 50.00% experienced feelings of nervous and frustration’35.71% experienced feelings of stress and low mood.And 59.52% parents showed over-caring in their kids.Conclusion Mood deficiency exists among repeated vomiting children and their parents’ and psychologic assistance on the parents could be good for children’s treatment. 【Key words】 repeating vomiting survey investigation psychology children 儿童反复呕吐涉及多种因素，本文通过对42例反复呕吐的儿童及其家长进行专题问卷调查，探讨家长的情绪障碍对呕吐儿童的影响。 1 资料与方法 1.1 一般资料 患儿为本院及上海市儿科医院就诊的反复呕吐患儿42例，发病年龄3～14岁，平均(4.5±0.5)岁，男26例，女16例，男∶女=1.6∶1。呕吐伴上腹痛或脐周疼痛、腹胀35例，伴厌食、早饱22例，伴有便秘8例，伴有头痛7例，伴有逃学倾向7例。 1.2 研究方法 (1)所有反复呕吐的儿童及其家长均由专人指导填写自行设计的问卷调查表，另从某小学随机抽取40例正常儿童及其父母填写自行设计的问卷调查表。(2)采用日本产Olympus-EVIS-240型小儿纤维胃镜，对30例有明显消化道症状的儿童行胃镜检查。(3)对所有患儿均行B超、肝功能、肾功能检查。 2 结果 2.1 问卷调查 45.23%呕吐儿童有焦虑，47.61%呕吐儿童有抑郁、情绪低落，14.28%呕吐儿童有失眠，16.67%呕吐儿童有厌学倾向，50.00%呕吐儿童有精神紧张、激动，35.71%呕吐儿童感觉学习压力大，23.81%呕吐儿童有恐惧，42.86%呕吐儿童有愤怒。其父母66.67%有焦虑，35.71%有抑郁、情绪低落，9.52%有精神紧张，59.52%家长对孩子特别同情和爱护。正常儿童10.00%有焦虑，7.14%有抑郁、情绪低落，2.5%有厌学倾向，15.00%精神紧张、激动，25.00%感觉学习压力大。见表1。 表1 两组问卷调查表 （例） 2.2 胃镜检查 30例有明显消化道症状的儿童经胃镜检查，有5例十二指肠溃疡，25例有浅表性胃炎，3例十二指肠球炎，Hp快速尿素酶试验发现H.pylori阳性10例。 2.3 其他检查 所有的患儿经B超、生化检查排除肝、脾、胰等疾病。 3 讨论 呕吐是儿童消化系统的几大症状之一，反复呕吐可分为器质性和功能性两大类，器质性反复呕吐多见于胃、十二指肠梗阻、胃食管反流、尿