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预测脑瘤患儿照顾者的育儿压力。

Predicting parenting stress in caregivers of children with brain tumours.

机构信息

University of Nottingham, Nottingham, UK.

出版信息

Psychooncology. 2013 Mar;22(3):629-36. doi: 10.1002/pon.3047. Epub 2012 Feb 20.

Abstract

OBJECTIVE

The purpose of the study was to identify factors that contribute to parenting stress in caregivers of children diagnosed with brain tumours.

METHODS

The study was cross-sectional and recruited 37 participants from a clinical database at a specialist children's hospital. Parents were sent questionnaires, which were used to measure factors related to stress in caregivers of children diagnosed with a brain tumour. Stress levels were measured using the Parenting Stress Index-Short Form (PSI/SF). Correlation analysis and multiple linear regression were used to examine the associations between parenting stress and coping styles, locus of control, parent-perceived child disability and time since diagnosis.

RESULTS

Results revealed that 51% of parents were experiencing clinically significant levels of stress. The mean stress level of parents in the study was significantly higher than the PSI/SF norms (t = 4.7, p < .001). Regression analysis revealed that external locus of control and coping by accepting responsibility accounted for 67% of the variance in parenting stress. Other styles of coping, child behaviour problems and the amount of time since diagnosis were not found to be predictive of levels of parenting stress.

CONCLUSIONS

There was a high prevalence of parenting stress in caregivers of children with a brain tumour. An external locus of control and coping by accepting responsibility increased the likelihood of elevated levels of stress. Results emphasised the importance of ongoing support for parents of children with brain tumours. Intervention might helpfully be centred on strategies to increase parents' internal locus of control.

摘要

目的

本研究旨在确定导致脑瘤患儿照顾者产生育儿压力的因素。

方法

本研究为横断面研究,从一家儿童医院的临床数据库中招募了 37 名参与者。向家长发送问卷,用于测量与脑瘤患儿照顾者压力相关的因素。使用父母压力指数-短式量表(PSI/SF)测量压力水平。采用相关分析和多元线性回归分析来检验育儿压力与应对方式、控制点、父母感知的孩子残疾程度和诊断后时间之间的关联。

结果

结果显示,51%的父母经历着临床显著的压力水平。研究中父母的平均压力水平显著高于 PSI/SF 常模(t=4.7,p<.001)。回归分析显示,外部控制点和承担责任的应对方式解释了育儿压力 67%的方差。其他应对方式、儿童行为问题和诊断后时间长短均未被发现是育儿压力水平的预测因素。

结论

脑瘤患儿照顾者中存在较高的育儿压力发生率。外部控制点和承担责任的应对方式增加了压力水平升高的可能性。结果强调了为脑瘤患儿家长提供持续支持的重要性。干预措施可能有助于以增加父母内部控制点为中心的策略为重点。

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