Nizam M, Norzila M Z
Jabatan Pediatrik, Institut Pediatrik, Hospital Kuala Lumpur.
Med J Malaysia. 2001 Dec;56(4):428-34.
A child's admission into intensive care is a major cause of stress for parents. However among Malaysian parents, data concerning the perception of stress are virtually absent. Therefore we conducted a study to measure the reliability of the Malay version of Parental Stressor Scale: Pediatric Intensive Care Unit (PSS: PICU) in identifying sources of stress and to study factors that might influence their stress response.
Over a six-month period, one hundred and twelve parents were requested to answer the questionnaires twice either in Malay or English, a week apart. Spearman's correlation and Cronbach's alpha coefficient was used to assess the repeatability and internal consistency of the questionnaires.
Ninety-four (83.9%) and seventy-one (75.3%) parents responded to the first and second administration of questionnaire respectively. All answered in the Malay language except for three. The correlation ranged from 0.50 to 0.71 with a total score of 0.76. The Cronbach's alpha coefficient ranged from 0.75 to 0.93, with total a score of 0.95. Alteration in parental roles was the most stressful source of stress. Fathers, parents of children with higher PRISM score and parents with no previous admission into intensive care unit scored significantly higher in staffs communication.
The Malay version of PSS: PICU is reliable in identifying sources of stress. Alteration in parental roles was the most stressful source of stress. Parents' gender, previous experience and severity of the child illness may influence their stress responses.
儿童入住重症监护病房是家长压力的主要来源。然而，在马来西亚家长中，关于压力认知的数据几乎没有。因此，我们开展了一项研究，以测量马来语版《家长压力源量表：儿科重症监护病房》（PSS：PICU）在识别压力源方面的可靠性，并研究可能影响其压力反应的因素。
在六个月的时间里，112名家长被要求用马来语或英语每隔一周回答两次问卷。使用斯皮尔曼相关性和克朗巴赫α系数来评估问卷的可重复性和内部一致性。
分别有94名（83.9%）和71名（75.3%）家长对第一次和第二次问卷进行了回复。除了三名家长外，所有家长都用马来语回答。相关性在0.50至0.71之间，总分0.76。克朗巴赫α系数在0.75至0.93之间，总分0.95。家长角色的改变是最具压力的来源。父亲、PRISM评分较高的孩子的家长以及之前没有入住过重症监护病房的家长在与医护人员沟通方面得分显著更高。
马来语版PSS：PICU在识别压力源方面是可靠的。家长角色的改变是最具压力的来源。家长的性别、既往经历和孩子疾病的严重程度可能会影响他们的压力反应。
