Kostak Melahat Akgun, Avci Gulcan
Department of Nursing, Faculty of Health Sciences, Trakya University, Edirne, Turkey E-mail :
Asian Pac J Cancer Prev. 2013;14(11):6833-8. doi: 10.7314/apjcp.2013.14.11.6833.
The purpose of this descriptive study was to determine the hopelessness and depression levels of parents of children diagnosed with cancer and undergoing cancer treatment and factors affecting these levels. The study was carried out with parents of 44 children receiving treatment in a paediatric haematology clinic of a university hospital. Data were collected using a survey form, the Beck Hopelessness Scale (BHS) and the Beck Depression Scale (BDS). The mean BDS score of the mothers and fathers was 18.3 ± 11.30 and 15.2 ± 11.33, respectively. The mean BHS score of the mothers was 6.45 ± 4.40, whereas the mean BHS score of the fathers was 5.88 ± 4.27. The results showed that the levels of hopelessness and depression among the mothers were higher than among the fathers (p<0.001). There was a positive relationship between the hopelessness and depression scores of the mothers and the fathers (p<0.05), and the levels of hopelessness and depression scores of the fathers increased as those of the mothers increased. A weak financial situation of the family increased the hopelessness and depression levels of the fathers. The hopelessness and depression levels of the mothers who were supported by their families and relatives were decreased compared to those without such support (p<0.05). The results show that the parents of children with cancer face many psychosocial and spiritual problems. Using simple screening tools, nurses can identify at-risk parents and direct them to support services. We conclude that actively encouraging families to avail themselves of support resources and supporting them financially would positively affect the levels of depression and hopelessness of parents of children with cancer.
这项描述性研究的目的是确定被诊断患有癌症并正在接受癌症治疗的儿童的父母的绝望和抑郁水平，以及影响这些水平的因素。该研究是在一家大学医院的儿科血液科诊所对44名正在接受治疗的儿童的父母进行的。使用调查问卷、贝克绝望量表（BHS）和贝克抑郁量表（BDS）收集数据。母亲和父亲的BDS平均得分分别为18.3±11.30和15.2±11.33。母亲的BHS平均得分为6.45±4.40，而父亲的BHS平均得分为5.88±4.27。结果显示，母亲的绝望和抑郁水平高于父亲（p<0.001）。母亲和父亲的绝望与抑郁得分之间存在正相关关系（p<0.05），并且父亲的绝望和抑郁得分水平随着母亲得分水平的升高而升高。家庭经济状况不佳会增加父亲的绝望和抑郁水平。与没有得到家人和亲属支持的母亲相比，得到家人和亲属支持的母亲的绝望和抑郁水平有所降低（p<0.05）。结果表明，癌症患儿的父母面临许多心理社会和精神问题。通过使用简单的筛查工具，护士可以识别有风险的父母，并引导他们获得支持服务。我们得出结论，积极鼓励家庭利用支持资源并在经济上支持他们，将对癌症患儿父母的抑郁和绝望水平产生积极影响。
