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韩国母亲对其子女患癌症的心理社会调适。

Korean mothers' psychosocial adjustment to their children's cancer.

作者信息

Han Hae-Ra

机构信息

School of Nursing, The Johns Hopkins University, Baltimore, Maryland 21205-2110, USA.

出版信息

J Adv Nurs. 2003 Dec;44(5):499-506. doi: 10.1046/j.0309-2402.2003.02833.x.

Abstract

BACKGROUND

During the course of adjustment to their child's illness and medical treatment, parents of children with cancer may experience numerous challenges and difficulties. Although parental adjustment has been a research topic for many years, little research has been conducted among families in different cultures and countries.

AIM

To identify factors that influence maternal psychosocial adjustment to childhood cancer using a new cultural group: Korean.

METHODS

A sample of 200 Korean mothers of children with cancer was included in the study. Guided by the double ABCX model of family adjustment and adaptation, a series of variables (i.e. maternal stress, coping, social support and selected illness-related and demographic questions) were examined for their relationships with maternal psychosocial adjustment to childhood cancer.

RESULTS

Using a hierarchical multiple regression, we found perceived level of stress, coping, social support, and time since diagnosis to be significant correlates of maternal psychosocial adjustment. Stress accounted for most (50%) of the total variance explained (56%) in maternal adjustment.

CONCLUSION

The results suggest that the stress-coping framework may be appropriate in explaining maternal responses to childhood cancer across cultures.

摘要

背景

在适应孩子疾病和治疗的过程中,癌症患儿的父母可能会面临诸多挑战和困难。尽管父母的适应问题多年来一直是研究课题,但在不同文化和国家的家庭中开展的研究较少。

目的

以一个新的文化群体——韩国人为研究对象,确定影响母亲对儿童癌症心理社会适应的因素。

方法

本研究纳入了200名韩国癌症患儿的母亲。在家庭适应与调适的双重ABCX模型的指导下,考察了一系列变量(即母亲压力、应对方式、社会支持以及选定的与疾病相关和人口统计学问题)与母亲对儿童癌症心理社会适应的关系。

结果

通过分层多元回归分析,我们发现感知到的压力水平、应对方式、社会支持以及确诊后的时间是母亲心理社会适应的显著相关因素。压力在母亲适应中解释的总方差(56%)中占大部分(50%)。

结论

结果表明,压力应对框架可能适用于解释跨文化背景下母亲对儿童癌症的反应。

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