Hung Yu-Ling, Chen Jih-Yuan
Department of Nursing, Tzu Hui Institute of Technology, Kaohsiung, Taiwan, ROC.
Hu Li Za Zhi. 2010 Dec;57(6):42-50.
Mothers are typically the primary caretakers of children with cancer, and the burden of caring responsibilities may influence their health status. Few studies have previously explored factors related to the health status of mothers with children suffering from cancer.
The purpose of this study was to examine factors related to health status in mothers of children with cancer.
A total of 120 mothers of children with cancer were recruited from two medical centers in southern Taiwan. Associations among demographic data, the Social Support: Personal Resource Questionnaire (PRQ85) part 2, and the Duke Health Profile (DUKE) were examined using one-way ANOVA and stepwise regression.
A significant, positive relationship was found between social support and mother health status. Marital status was related to physical health, social health, general health, anxiety, depression, anxiety-depression and total health score. The mother's age and family monthly income were correlated with depression. Stage of child's disease was correlated with mother's mental health, general health, anxiety, depression, anxiety-depression and general health. Mother's social support and stage of child's disease were found to be significant predictors, accounting for 39% of variance in mother's health status.
CONCLUSIONS/IMPLICATIONS FOR PRACTICE: Clinical staff should be aware that stage of (child's) disease may influence the health status of the mother care-giver. Clinical staff should also further enhance social support to promote the health of mothers with children who have cancer.
母亲通常是患癌儿童的主要照料者，照料责任的负担可能会影响她们的健康状况。此前很少有研究探讨与患癌儿童母亲健康状况相关的因素。
本研究的目的是调查患癌儿童母亲健康状况的相关因素。
从台湾南部的两个医疗中心招募了120名患癌儿童的母亲。使用单因素方差分析和逐步回归分析人口统计学数据、社会支持：个人资源问卷（PRQ85）第2部分和杜克健康状况量表（DUKE）之间的关联。
发现社会支持与母亲健康状况之间存在显著的正相关关系。婚姻状况与身体健康、社会健康、总体健康、焦虑、抑郁、焦虑抑郁及总体健康得分有关。母亲的年龄和家庭月收入与抑郁相关。孩子的疾病阶段与母亲的心理健康、总体健康、焦虑、抑郁、焦虑抑郁及总体健康相关。母亲的社会支持和孩子的疾病阶段是显著的预测因素，占母亲健康状况变异的39%。
结论/对实践的启示：临床工作人员应意识到（孩子的）疾病阶段可能会影响母亲照料者的健康状况。临床工作人员还应进一步加强社会支持，以促进患癌儿童母亲的健康。
