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接受心导管插入术患儿的家长焦虑状况

Parental anxiety among children undergoing cardiac catheterisation.

作者信息

Kobayashi Daisuke, Turner Daniel R, Forbes Thomas J, Aggarwal Sanjeev

机构信息

Division of Cardiology,Children's Hospital of Michigan,Carman and Ann Adams Department of Pediatrics,Wayne State University School of Medicine,Detroit,Michigan,United States of America.

出版信息

Cardiol Young. 2018 Feb;28(2):315-321. doi: 10.1017/S1047951117002074. Epub 2017 Oct 30.

Abstract

BACKGROUND

Parents may experience anxiety and stress when their children undergo cardiac catheterisation. The goal of this study was to assess the level of anxiety in parents of children undergoing cardiac catheterisation and to identify factors that were associated with level of anxiety.

METHODS

This was a cross-sectional survey of parents of children who underwent cardiac catheterisation. Anxiety levels were measured using a validated self-report questionnaire - State-Trait Anxiety Inventory, which generates state anxiety scores on the current state of anxiety and trait anxiety scores on the stable aspects of anxiety proneness. One sample t-test was used to compare the data with normative data. Multiple linear regression was used to assess the factors associated with the state score.

RESULTS

A total of 113 parents completed the survey. The mean age of parents was 34.0±7.7 years and the mean age of children undergoing catheterisation was 6.7±5.7 years. Compared with normative data, mean state score was significantly higher in our cohort (p<0.05) despite no difference in the trait score. Final multivariate model showed that the state score was significantly associated with child age group (<1 year [coefficient β 7.2] and 10-18 years [6.3], compared to 1 to <10 years of age [reference]) and history of previous catheterisation (-5.2) (p<0.05).

CONCLUSIONS

Concurrent state anxiety level was high among parents of children undergoing cardiac catheterisation, whereas trait anxiety level was not. Higher anxiety was experienced by parents of infants and adolescents without a history of previous catheterisation.

摘要

背景

当孩子接受心导管插入术时,家长可能会感到焦虑和压力。本研究的目的是评估接受心导管插入术患儿家长的焦虑水平,并确定与焦虑水平相关的因素。

方法

这是一项对接受心导管插入术患儿家长的横断面调查。使用经过验证的自我报告问卷——状态-特质焦虑量表来测量焦虑水平,该量表会生成当前焦虑状态的状态焦虑得分以及焦虑倾向稳定方面的特质焦虑得分。使用单样本t检验将数据与常模数据进行比较。多元线性回归用于评估与状态得分相关的因素。

结果

共有113名家长完成了调查。家长的平均年龄为34.0±7.7岁,接受导管插入术的儿童的平均年龄为6.7±5.7岁。与常模数据相比,尽管特质得分没有差异,但我们队列中的平均状态得分显著更高(p<0.05)。最终的多变量模型显示,状态得分与儿童年龄组(<1岁[系数β 7.2]和10 - 18岁[6.3],与1至<10岁[参考]相比)以及既往导管插入术史(-5.2)显著相关(p<0.05)。

结论

接受心导管插入术患儿的家长当前的状态焦虑水平较高,而特质焦虑水平则不然。没有既往导管插入术史的婴儿和青少年的家长焦虑程度更高。

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