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Abstract：
UNASSIGNED: Vulvovaginitis is one of the most common pediatric gynecological diseases and easily causes the negative emotions for the parents. However, there are few studies on the influence of parental anxiety and depression on children\'s disease and prognosis. This study aimed to analyze the risk factors of negative parental emotions and their effects on the prognosis of children, in order to improve life quality of children.
UNASSIGNED: We retrospectively analyzed 303 pediatric patients who developed bacterian vulvovaginitis from April 2017 to April 2022 based on our inclusion and exclusion criteria. The Self-rating Depression Scale (SDS) and Self-rating Anxiety Scale (SAS) were used to assess the negative emotions and binary logistic regression was used to analyze the independent risk factors for negative emotions among the parents of children with vulvovaginitis. The relationship between the prognosis of children and parents\' negative emotions was analyzed by independent sample t-test, and the relationship between the recovery rate of children within 2 weeks, clearance rate of urine, and parents\' negative emotions was analyzed by chi-square test.
UNASSIGNED: In our study, 44.6% of the parents showed anxiety and 35.0% showed depression. The binary logistics regression of the clinical characteristics of the children showed that vulvar pruritus [odds ratio (OR) =1.664, P=0.048], increased vaginal secretions (OR =2.289, P=0.001), vulvar ulcerations (OR =1.831, P=0.024), and so on were independent influences on the anxiety of the parents, whereas vulvar pruritus (OR =2.722, P=0.000), increased vaginal secretions (OR =1.758, P=0.041), dysuria, frequent urination (OR =1.761, P=0.040), and so on were independent influences on depression among the parents. Besides, it was found that parental negative emotions significantly prolonged the improvement of the child\'s prognosis.
UNASSIGNED: Parents of children with vulvovaginitis are highly susceptible to have negative emotions due to the various clinical features of the child. The negative emotions of the parents significantly prolong the recovery time of the child. In clinical practice, adequate communication should be established with the parents of patients, and detailed education should be carried out to reduce the psychological burden of patients\' parents, so as to improve the prognosis of children.
UNASSIGNED: We retrospectively analyzed 303 pediatric patients who developed bacterian vulvovaginitis from April 2017 to April 2022 based on our inclusion and exclusion criteria. The Self-rating Depression Scale (SDS) and Self-rating Anxiety Scale (SAS) were used to assess the negative emotions and binary logistic regression was used to analyze the independent risk factors for negative emotions among the parents of children with vulvovaginitis. The relationship between the prognosis of children and parents\' negative emotions was analyzed by independent sample t-test, and the relationship between the recovery rate of children within 2 weeks, clearance rate of urine, and parents\' negative emotions was analyzed by chi-square test.
UNASSIGNED: In our study, 44.6% of the parents showed anxiety and 35.0% showed depression. The binary logistics regression of the clinical characteristics of the children showed that vulvar pruritus [odds ratio (OR) =1.664, P=0.048], increased vaginal secretions (OR =2.289, P=0.001), vulvar ulcerations (OR =1.831, P=0.024), and so on were independent influences on the anxiety of the parents, whereas vulvar pruritus (OR =2.722, P=0.000), increased vaginal secretions (OR =1.758, P=0.041), dysuria, frequent urination (OR =1.761, P=0.040), and so on were independent influences on depression among the parents. Besides, it was found that parental negative emotions significantly prolonged the improvement of the child\'s prognosis.
UNASSIGNED: Parents of children with vulvovaginitis are highly susceptible to have negative emotions due to the various clinical features of the child. The negative emotions of the parents significantly prolong the recovery time of the child. In clinical practice, adequate communication should be established with the parents of patients, and detailed education should be carried out to reduce the psychological burden of patients\' parents, so as to improve the prognosis of children.
摘要：
■外阴阴道炎是儿科最常见的妇科疾病之一,易引起家长的负面情绪。然而,关于父母焦虑和抑郁对儿童疾病和预后影响的研究较少。本研究旨在分析父母负面情绪的危险因素及其对儿童预后的影响,以提高儿童的生活质量。
■我们根据我们的纳入和排除标准，回顾性分析了2017年4月至2022年4月发生细菌性外阴阴道炎的303例儿科患者。采用抑郁自评量表(SDS)和焦虑自评量表(SAS)对外阴阴道炎患儿父母的负性情绪进行评估,采用二元logistic回归分析其负性情绪的独立危险因素。采用独立样本t检验分析儿童预后与父母负面情绪的关系,与2周内儿童康复率的关系，尿液清除率,父母的负面情绪采用卡方检验进行分析。
■在我们的研究中，44.6%的父母表现为焦虑，35.0%的父母表现为抑郁。儿童临床特征的二元logistic回归显示外阴瘙痒[比值比(OR)=1.664,P=0.048],阴道分泌物增多(OR=2.289,P=0.001),外阴溃疡(OR=1.831,P=0.024),等等是对父母焦虑的独立影响，而外阴瘙痒(OR=2.722,P=0.000),阴道分泌物增多(OR=1.758,P=0.041),排尿困难,尿频(OR=1.761,P=0.040),等等是父母对抑郁的独立影响。此外,结果发现，父母的负面情绪显著延长了儿童预后的改善。
■患有外阴阴道炎的儿童的父母由于儿童的各种临床特征而极易产生负面情绪。父母的负面情绪明显延长了孩子的恢复时间。在临床实践中,应与患者父母建立充分的沟通，并进行详细的教育，以减轻患者父母的心理负担，从而改善儿童的预后。
■我们根据我们的纳入和排除标准，回顾性分析了2017年4月至2022年4月发生细菌性外阴阴道炎的303例儿科患者。采用抑郁自评量表(SDS)和焦虑自评量表(SAS)对外阴阴道炎患儿父母的负性情绪进行评估,采用二元logistic回归分析其负性情绪的独立危险因素。采用独立样本t检验分析儿童预后与父母负面情绪的关系,与2周内儿童康复率的关系，尿液清除率,父母的负面情绪采用卡方检验进行分析。
■在我们的研究中，44.6%的父母表现为焦虑，35.0%的父母表现为抑郁。儿童临床特征的二元logistic回归显示外阴瘙痒[比值比(OR)=1.664,P=0.048],阴道分泌物增多(OR=2.289,P=0.001),外阴溃疡(OR=1.831,P=0.024),等等是对父母焦虑的独立影响，而外阴瘙痒(OR=2.722,P=0.000),阴道分泌物增多(OR=1.758,P=0.041),排尿困难,尿频(OR=1.761,P=0.040),等等是父母对抑郁的独立影响。此外,结果发现，父母的负面情绪显著延长了儿童预后的改善。
■患有外阴阴道炎的儿童的父母由于儿童的各种临床特征而极易产生负面情绪。父母的负面情绪明显延长了孩子的恢复时间。在临床实践中,应与患者父母建立充分的沟通，并进行详细的教育，以减轻患者父母的心理负担，从而改善儿童的预后。
