[母亲焦虑对儿科初级保健就诊频率的影响]
[Influence of maternal anxiety on the frequency of paediatric primary care visits].
作者信息
Tapia Collados C, Gil Guillén V, Orozco Beltrán D
机构信息
Centro de Salud de Petrer, Petrer, Alicante, Spain.
出版信息
Aten Primaria. 2005 Jun 30;36(2):64-8. doi: 10.1157/13076597.
AIM
To know the influence of mother's anxiety in the number of office visits made by the children al primary care paediatric setting.
DESIGN
Case control study.
SETTING
Primary care. 17th Health Area. Valencian Community. Spain.
PATIENTS
134 mothers. Overuse was defined as number of visits higher than the average of visits in all children plus one standard deviation in a certain period. 14.89% were over users. 46 mothers (35.12%) from over user children and 85 (64.88%) from non over users.
MEASURES
Anxiety scale STAI (Spielberger State-Trait Anxiety Inventory) short form. Mother's job and number of mother's children.
RESULTS
Mother's of over user's children score higher in STAI scale. Number of children or mother's job is not associated with STAI scores. In multivariate analysis anxiety is an important factor associated to over user's children.
CONCLUSIONS
Mother's anxiety is associated with over user's children in primary care paediatric setting. This is a modifiable factor to influence in the number of inappropriate office visits.
目的
了解母亲的焦虑情绪对儿童在基层儿科保健机构就诊次数的影响。
设计
病例对照研究。
地点
基层保健机构。西班牙巴伦西亚自治区第17健康区。
患者
134名母亲。过度就诊定义为在某一时期内就诊次数高于所有儿童就诊次数的平均值加一个标准差。14.89%的母亲属于过度就诊者。46名母亲（35.12%）来自过度就诊儿童组，85名母亲（64.88%）来自非过度就诊儿童组。
测量指标
焦虑量表STAI（斯皮尔伯格状态-特质焦虑量表）简表。母亲的工作及子女数量。
结果
过度就诊儿童的母亲在STAI量表上得分更高。子女数量或母亲的工作与STAI得分无关。多因素分析显示，焦虑是与过度就诊儿童相关的重要因素。
结论
在基层儿科保健机构中，母亲的焦虑情绪与儿童过度就诊有关。这是一个可改变的因素，可影响不适当就诊次数。
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