黄靖茹，李阳，谷颖慧，王小丽，马雅，李青文（.沈阳医学院护理学院203级护理本科，辽宁　沈阳0034；2.护理学院基础护理教研室）

慢性病患儿韧性与抑郁的相关性研究

黄靖茹1，李阳1，谷颖慧1，王小丽1，马雅1，李青文2*
（1.沈阳医学院护理学院2013级护理本科，辽宁沈阳110034；2.护理学院基础护理教研室）

目的：探讨慢性病患儿韧性与抑郁的相关性。方法：随机选取2014年6月至2015年12月沈阳市4所三甲医院的109例儿科住院患者作为研究对象。采用一般情况调查表、慢性病儿童韧性量表及儿童抑郁量表了解患儿的家庭情况、个人韧性及其抑郁程度。结果：109例慢性病患儿韧性水平平均为（104.77±11.58）分；抑郁评分平均为（10.86±5.92）分；抑郁组和无抑郁组韧性水平差异有统计学意义（P＜0.05）；慢性病患儿的抑郁程度与患儿的韧性水平及韧性的个性特征、应对方式、人际关系等各维度呈中度负相关（r=-0.418、-0.461、-0.428、-0.345）。结论：护理人员应采取各种措施提高患儿的韧性水平，以增强儿童的疾病管理行为，从而促进其心理健康。

慢性病；韧性；抑郁；保护因素

doi：10.16753/j.cnki.1008-2344.2016.04.027

［Abstract］Objective：To explore the correlation between resilience and depression in children with chronic disease.Methods：A total of 109 children from Jun 2014 to Dec 2015 in four hospitals in Shenyang city were randomly selected.The family situation，personal resilience and depression was investigated with Personal Information Questionnaire，Chronic Illness Children's Resilience Scale，and Children's Depression Inventory.Results：The average level of resilience was（104.77±11.58）.The average level of depression rating scale was（10.86±5.92）.There was statistical difference in average level of resilience in the depression group and non⁃depression group（P＜0.05）.There was negative correlation between depression and the level of resilience，toughness of the children's personality characteristics，coping style，interpersonal relationships in children with chronic disease（r=-0.418，-0.461，-0.428，-0.345）.Conclusion：Nurses should take various measures to improve the resilience of the children，in order to enhance the children's disease management behavior，so as to promote their mental health.

［Key words］chronic disease；resilience；depression；protective factor

慢性病已成为影响儿童成长和发展的危险因素，对患儿的身体、心理及社会适应方面都产生较大的负面影响。有研究表明慢性病患儿心理行为问题的发生率是正常儿童的2倍以上，而不良的心理状态和情绪反应将对疾病的转归和预后产生不同程度的负面影响［1］。韧性（resilience）是当个体面对灾难或负性事件时表现出的良好适应，也是个人应激和应对的正面结果［2］。研究证实韧性强的患者更容易从灾难事件中走出来，更能够积极面对现实，并保持良性情绪［3-4］。……