Mahat Ganga, Scoloveno MaryAnn
College of Nursing, Rutgers, The State University of New Jersey, Newark, NJ 07102, USA.
J Pediatr Nurs. 2003 Oct;18(5):305-13. doi: 10.1016/s0882-5963(03)00102-7.
This study explored the self-reported fears and coping strategies of Nepalese school-age children and their parents' perceptions of their children's fears and coping strategies. Seventy-nine healthy school-age children attending a private school in Nepal and 48 parents participated in the study. The scores on the Child Medical Fear Scale (CMFS) indicated that children had moderate levels of fear. On the Schoolagers' Coping Strategies Inventory (SCSI), children reported using coping strategies less frequently and found them less effective than those reported by their parents. No significant correlations were found between fear scores and coping strategies. Significant differences were found between level of fears reported by school-age children and parents. No significant difference was found between children's and parent's report of children's coping strategies. However, a significant difference was found between effectiveness of coping strategies reported by children and parents. Nurses need to gather information from children, as well as from parents, about fears and coping strategies. Nursing intervention should be culturally sensitive with an awareness of cultural influences impacting how children perceive fears and cope with their fears.
本研究探讨了尼泊尔学龄儿童自我报告的恐惧及应对策略，以及他们的父母对其子女恐惧及应对策略的看法。79名就读于尼泊尔一所私立学校的健康学龄儿童和48名家长参与了该研究。儿童医学恐惧量表（CMFS）的得分表明儿童有中度恐惧水平。在学龄儿童应对策略量表（SCSI）上，儿童报告使用应对策略的频率较低，且发现这些策略不如他们父母报告的有效。恐惧得分与应对策略之间未发现显著相关性。学龄儿童和父母报告的恐惧水平之间存在显著差异。儿童和父母对儿童应对策略的报告之间未发现显著差异。然而，儿童和父母报告的应对策略有效性之间存在显著差异。护士需要从儿童以及父母那里收集有关恐惧和应对策略的信息。护理干预应具有文化敏感性，要意识到文化影响会如何影响儿童对恐惧的认知以及应对恐惧的方式。
