目的 探讨过敏性紫癜(Henoch-Schönlein Purpura,HSP)患儿照顾者合并抑郁的危险因素.方法 回顾性分析2020年11月～2021年12月本院收治的106例HSP患儿照顾者的临床资料,入院后采用抑郁自评量表(Self-Rating Depression Scale,SDS)评估抑郁程度,根据评分结果设为未合并组(n=66)与合并组(n=40).比较两组一般资料[患儿性别、年龄、照顾者性别、年龄、文化程度、家庭月均收入]以及应对疾病方式、疾病不确定感父母量表(Parents'Perception of Uncertainty Scale,PPUS)、社会支持评定量表(Social Support Rating Scale,SSRS)间的差异,经多因素 Logistic回归分析过敏性紫癜患儿照顾者合并抑郁的危险因素.结果 未合并组大专及以下文化、家庭月均收入＜4000元、消极应对的比例及PPUS评分低于合并组,SSRS评分高于合并组,差异有统计学意义(P＜0.05);多因素Logistic回归分析结果显示,大专及以下文化、家庭月均收入＜4000元、消极应对、PPUS评分、SSRS评分是HSP患儿照顾者合并抑郁的危险因素,均有P＜0.05.结论 HSP患儿照顾者合并抑郁受到诸多因素影响,其中大专及以下文化、家庭月均收入＜4000元、消极应对、PPUS评分、SSRS评分可预测照顾者合并抑郁,临床应予以密切关注.
Risk factors for depression in caregivers of children with allergic purpura
Objective To explore the risk factors of depression in caregivers of children with Henoch Sch ö nlein Purpura(Henoch-Schönlein Purpura,HSP).Methods A retrospective analysis was conducted on the clinical data of 106 caregivers of children with allergic purpura admitted to our hospital from November 2020 to December 2021.Af-ter admission,the degree of depression was evaluated using the Self Rating Depression Scale(Self-Rating Depression Scale,SDS).According to the scoring results,the caregivers were divided into an unconsolidated group(n=66)and a combined group(n=40).Compare the differences between two sets of general data[child gender,age,caregiver gender,age,education level,average monthly family income],as well as coping styles,disease uncertainty parents'scale(Parents'Perception of Uncertainty Scale,PPUS),and social support rating scale(Social Support Rating Scale,SSRS),and analyze the risk factors of depression in caregivers of children with allergic purpura through multiple logis-tic regression analysis.Results The unmerged group had an average monthly income of less than 4000 yuan in terms of college education and family background,a lower proportion of negative coping strategies,and a lower PPUS score than the merged group.The SSRS score was higher than the merged group,and the difference was statistically signifi-cant(P＜0.05).The results of multivariate logistic regression analysis showed that college education and below,aver-age monthly income of families less than 4000 yuan,negative coping,PPUS score,and SSRS score were risk factors for depression in caregivers of HSP children,with all P＜0.05.Conclusion Caregivers of HSP children with depres-sion are influenced by many factors,including college education and below,average monthly family income of less than 4000 yuan,negative coping,PPUS score,and SSRS score,which can predict caregivers with depression,and should be closely monitored in clinical practice.
Allergic purpuraCaregiversDepressionRisk factorsWays to cope with diseases
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