Shin Nayeon, Jang Youha, Kang Younhee
College of Nursing, Ewha Womans University, Seoul, Korea.
J Korean Acad Nurs. 2017 Apr;47(2):178-187. doi: 10.4040/jkan.2017.47.2.178.
The purposes of this study were to identify the relationships among perceived parental bonding, illness perception, and anxiety and to determine the influences of perceived parental bonding and illness perception on anxiety in adult patients with congenital heart diseases.
In this study a descriptive correlational design with survey method was utilized. The participants were 143 adult patients with congenital heart disease being cared for in the cardiology out-patient clinic of A medical center. Data were collected using the Parental Bonding Instrument, Illness Perception Questionnaire Revised Scale, and Cardiac Anxiety Questionnaire Scale. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation analysis, and hierarchial regression analyses.
There showed significant positive relationships of anxiety with maternal overprotection, consequences, and personal control respectively. Among predictors, maternal overprotection (β=.45), consequence (β=.26), and personal control (β=-.03) had statistically significant influence on anxiety.
Nursing interventions to decrease maternal overprotection and negative consequence, and to enhance personal control are essential to decrease the anxiety of adult patients with congenital heart diseases.
本研究旨在确定感知到的父母养育方式、疾病认知与焦虑之间的关系，并确定感知到的父母养育方式和疾病认知对成年先天性心脏病患者焦虑的影响。
本研究采用描述性相关性设计和调查方法。参与者为在某医学中心心脏病门诊接受治疗的143名成年先天性心脏病患者。使用父母养育方式问卷、修订后的疾病认知问卷量表和心脏焦虑问卷量表收集数据。采用描述性统计、独立样本t检验、单因素方差分析、Pearson相关分析和层次回归分析对数据进行分析。
焦虑分别与母亲过度保护、疾病后果和个人控制呈显著正相关。在预测因素中，母亲过度保护（β = 0.45）、疾病后果（β = 0.26）和个人控制（β = -0.03）对焦虑有统计学显著影响。
采取护理干预措施减少母亲过度保护和负面后果，并增强个人控制，对于降低成年先天性心脏病患者的焦虑至关重要。
