调查阿巴斯港患有重型地中海贫血症患儿的父母的心理健康状况及应对策略。
Investigating the mental health and coping strategies of parents with major thalassemic children in Bandar Abbas.
作者信息
Dadipoor Sakineh, Haghighi Hamid, Madani Abdoulhhossain, Ghanbarnejad Amin, Shojaei Fatemeh, Hesam Aliakbar, Moradabadi Ali Safari
机构信息
Hormozgan Fertility and Infertility Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Department of Counseling and Psychological, School of Technology, Hormozgan Science and, Research Branch, Islamic Azad University, Bandar Abbas, Iran.
出版信息
J Educ Health Promot. 2015 Aug 6;4:59. doi: 10.4103/2277-9531.162375. eCollection 2015.
INTRODUCTION
Major thalassemia is a hereditary, chronic blood disease caused by the synthesis deficiency of one or more polypeptide chains of globin during childhood. This leads to the rise of blood pressure and family tensions. Therefore, the coping strategies of the family could seriously affect and facilitate the thalassemic child's healthy growth. The present research sought to investigate the mental health and coping strategies of families with major thalassemic children in Bandar Abbas in 2013.
MATERIALS AND METHODS
This study is of a descriptive-analytical and cross-sectional type. Research population consisted of 140 parents of major thalassemic children who visited Shahid Mohammadi Hospital of Bandar Abbas. The instruments used were the 12-item General Health Questionnaire of Goldberg and Williams along with the coping strategies questionnaire. Nonprobabilistic, convenient sampling method was used. To analyze the data, Spearman's correlation coefficient, Chi-square and descriptive statistical tests were used. The significance level was set at P < 0.05.
RESULTS
Data analysis showed that parents' mental health (32 ± 4.25) along with their coping strategy scores (45 ± 7.50) was about the average. The most prevalent coping strategies among the parents were represented as: "I trust in God in order to get my problems solved" (87%), "to get mentally and spiritually relieved, I would visit mosques and holy shrines" (53%), and "to overcome problems, I make harder attempts" (50.7%). A significant correlation was found between the parents' coping strategies and general health (P < 0.001). A significant correlation was also observed between mother's educational level (P = 0.044), age (P = 0.022) and general health.
DISCUSSION AND CONCLUSION
According to the results of this research, it is categorical for the ministry of health and medical education and those in charge to pay special and adequate attention to the social, spiritual, and mental health of these children and their families.
引言
重型地中海贫血是一种遗传性慢性血液疾病，由儿童期珠蛋白一条或多条多肽链合成缺陷引起。这会导致血压升高和家庭关系紧张。因此，家庭的应对策略会严重影响并促进重型地中海贫血患儿的健康成长。本研究旨在调查2013年阿巴斯港重型地中海贫血患儿家庭的心理健康状况及应对策略。
材料与方法
本研究为描述性分析横断面研究。研究对象为140名前往阿巴斯港沙希德·穆罕默迪医院就诊的重型地中海贫血患儿的父母。使用的工具为戈德堡和威廉姆斯的12项一般健康问卷以及应对策略问卷。采用非概率方便抽样法。数据分析采用斯皮尔曼相关系数、卡方检验和描述性统计检验。显著性水平设定为P < 0.05。
结果
数据分析表明，父母的心理健康状况（32 ± 4.25）及其应对策略得分（45 ± 7.50）处于平均水平。父母中最普遍的应对策略为：“我相信上帝能解决我的问题”（87%），“为了在精神上得到解脱，我会去清真寺和圣地”（53%），以及“为克服问题，我会更加努力尝试”（50.7%）。父母的应对策略与总体健康之间存在显著相关性（P < 0.001）。母亲的教育水平（P = 0.044）、年龄（P = 0.022）与总体健康之间也存在显著相关性。
讨论与结论
根据本研究结果，卫生和医学教育部及相关负责人必须特别充分关注这些患儿及其家庭的社会、精神和心理健康。
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