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癌症患儿父母的心理弹性预测因素:横断面研究

Predictors of Resilience Among Parents of Children with Cancer: Cross-Sectional Study.

作者信息

Mezgebu Esubalew, Berhan Emebet, Deribe Leul

机构信息

Jimma Medical Center, Pediatrics Oncology Unit, Jimma, Ethiopia.

Addis Ababa University College of Health Science, School of Nursing and Midwifery, Addis Ababa, Ethiopia.

出版信息

Cancer Manag Res. 2020 Nov 16;12:11611-11621. doi: 10.2147/CMAR.S276599. eCollection 2020.

DOI:10.2147/CMAR.S276599
PMID:33235494
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7678500/
Abstract

PURPOSE

Resilience is an ability to overcome adversities in response to a potentially traumatic event. It relieves parents' discomfort and builds personal capacity when facing a stressful situation like childhood cancer. Therefore, the study's objective is to assess the magnitude of resilience and its predictors among the parents of children with cancer at Jimma medical center, Ethiopia, 2020.

METHODS

The institutional-based cross-sectional design was employed on 126 parents of children with cancer at Jimma Medical Center. All study populations who attend the hospital from February 25 to April 25, 2020, and fulfill the inclusion criteria were included. Data were entered into Epi data version 4.6.0.2 and analyzed by SPSS version 25. Descriptive analysis was used to describe the study variables. Furthermore, linear regression analysis was calculated to assess predictors of resilience.

RESULTS

The level of resilience among parents' children with cancer were a mean scored 51.41±12.02. In this study, factors associated with resilience were receiving support from friends (β=5.67, 95% CI=1.58, 9.77; P=0.007), attend recreational activities (β=13.8, 95% CI=5.32, 22.37; P=0.03) and receiving health information from health care professionals (β=6.37; 95% CI= (1.75, 11.00), P=0.007), parents depression (β= -0.827, 95% CI= (-1.619,-0.034), P=0.041) and parents stress (β =-0.88,95% CI (-1.54,-0.23), P=0.031).

CONCLUSION

The magnitude of resilience among parents of children with cancer was low relative to other studies. Support from friends, attending recreational activities, and receiving health information from health care professionals were positively associated with resilience. In contrast, parents' depression and stress were negatively associated with resilience.

摘要

目的

心理弹性是一种在面对潜在创伤性事件时克服逆境的能力。当面临童年癌症这样的压力情境时,它能减轻父母的不适并增强个人能力。因此,本研究的目的是评估2020年埃塞俄比亚吉马医疗中心癌症患儿父母的心理弹性程度及其预测因素。

方法

对吉马医疗中心126名癌症患儿的父母采用基于机构的横断面设计。纳入2020年2月25日至4月25日期间到医院就诊且符合纳入标准的所有研究对象。数据录入Epi data 4.6.0.2版本,并使用SPSS 25版本进行分析。描述性分析用于描述研究变量。此外,进行线性回归分析以评估心理弹性的预测因素。

结果

癌症患儿父母的心理弹性水平平均得分为51.41±12.02。在本研究中,与心理弹性相关的因素包括获得朋友的支持(β=5.67,95%置信区间=1.58,9.77;P=0.007)、参加娱乐活动(β=13.8,95%置信区间=5.32,22.37;P=0.03)以及从医护人员那里获得健康信息(β=6.37;95%置信区间=(1.75,11.00),P=0.007),父母的抑郁(β=-0.827,95%置信区间=(-1.619,-0.034),P=0.041)和父母的压力(β=-0.88,95%置信区间(-1.54,-0.23),P=0.031)。

结论

与其他研究相比,癌症患儿父母的心理弹性程度较低。朋友的支持、参加娱乐活动以及从医护人员那里获得健康信息与心理弹性呈正相关。相反,父母的抑郁和压力与心理弹性呈负相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea96/7678500/34c192a3cc76/CMAR-12-11611-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea96/7678500/34c192a3cc76/CMAR-12-11611-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea96/7678500/34c192a3cc76/CMAR-12-11611-g0001.jpg

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