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韩国热性惊厥患儿母亲的焦虑与不确定性:横断面调查。

Anxiety and uncertainty in Korean mothers of children with febrile convulsion: cross-sectional survey.

机构信息

Department of Nursing, Dong-A University, Busan, South Korea.

出版信息

J Clin Nurs. 2011 May;20(9-10):1490-7. doi: 10.1111/j.1365-2702.2010.03496.x. Epub 2011 Mar 9.

DOI:10.1111/j.1365-2702.2010.03496.x
PMID:21385255
Abstract

AIMS AND OBJECTIVES

The purpose of this study was to assess the level of anxiety and uncertainty in Korean mothers of children with febrile convulsion and to identify factors associated with maternal anxiety.

BACKGROUND

In general, febrile convulsions are harmless to the child, but parents perceive the convulsion as frightening. Previous authors of a few studies suggested that providing information was helpful for parents' knowledge, attitude and fear about a febrile convulsion.

DESIGN

This was a descriptive, cross-sectional survey.

METHODS

The sample comprised 102 mothers whose children had been diagnosed with a febrile convulsion and admitted to paediatric wards in five general hospitals in South Korea. The researchers gave the questionnaires to nursing departments for distribution and collection by paediatric nurses. To test differences in anxiety and uncertainty by participants' characteristics, t-tests and anova were conducted. Linear regression was used to identify factors associated with maternal state anxiety. Statistical significance level was set at 0.05.

RESULTS

A multiple linear regression of maternal anxiety showed that four statistically significant predictors explained 56% of the total variations of maternal anxiety. The significant predictors were uncertainty, frequency of febrile convulsion, income and information about febrile convulsion. Among the significant variables, uncertainty was the dominant contributing factor (p < 0.001).

CONCLUSIONS

Anxiety in mothers of children with febrile convulsion was especially related to uncertainty, so health care providers can reduce anxiety through decreasing uncertainty.

RELEVANCE TO CLINICAL PRACTICE

For interventions to decrease maternal anxiety, provision of information and psychosocial support are needed for parents of hospitalised children with febrile convulsions.

摘要

目的和目标

本研究旨在评估患有热性惊厥儿童的韩国母亲的焦虑和不确定性水平,并确定与母亲焦虑相关的因素。

背景

一般来说,热性惊厥对孩子没有危害,但父母会将惊厥视为可怕的事情。之前少数研究的作者认为,提供信息有助于父母了解、态度和对热性惊厥的恐惧。

设计

这是一项描述性、横断面调查。

方法

样本包括 102 名母亲,其孩子被诊断为热性惊厥并入住韩国五家综合医院的儿科病房。研究人员将问卷交给护理部门,由儿科护士分发和收集。为了检验参与者特征对焦虑和不确定性的差异,进行了 t 检验和方差分析。使用线性回归来确定与母亲状态焦虑相关的因素。统计显著性水平设为 0.05。

结果

母亲焦虑的多元线性回归显示,四个具有统计学意义的预测因子解释了母亲焦虑总变异的 56%。显著的预测因子是不确定性、热性惊厥的频率、收入和热性惊厥的信息。在显著变量中,不确定性是主要的影响因素(p<0.001)。

结论

患有热性惊厥儿童的母亲的焦虑尤其与不确定性有关,因此医疗保健提供者可以通过减少不确定性来降低焦虑。

临床意义

为了减少母亲的焦虑,需要为住院的热性惊厥儿童的父母提供信息和心理社会支持。

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