Shi Lin, Zhang Hengci, Yang Haiping, Wu Daoqi, Li Xiaoqin, Zhang Yunzhi, Chen Xuelan, Wang Mo
Department of Nephrology, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, Chongqing, China.
Department of Pediatrics, The Affiliated Hospital of Guizhou Medical University, Guiyang, China.
Front Pediatr. 2021 Jan 15;8:570535. doi: 10.3389/fped.2020.570535. eCollection 2020.
To evaluate social support and loneliness as well as their association among caregivers of children with chronic kidney disease (CKD) from China during the coronavirus disease 2019 (COVID-19) pandemic. We collected data for caregivers of children with CKD and caregivers of healthy children and matched the two groups using propensity score matching (PSM). We compared the differences in social support and loneliness between the two groups after matching and analyzed the relationship between social support and loneliness in the observation group. Before PSM, we analyzed the data for 247 caregivers of children with CKD and 315 caregivers of healthy children from 13 provinces. After PSM, the two groups each included 202 caregivers. The social support score of caregivers of children with CKD was lower than that of caregivers of healthy children ( < 0.002), while the loneliness score was higher for caregivers of children with CKD than for caregivers of healthy children ( < 0.008). The social support score was negatively correlated with the loneliness score ( = -0.598, < 0.001). Caregivers of children with CKD experienced less social support and greater loneliness than caregivers of healthy children during the COVID-19 pandemic. Therefore, greater attention should be paid to providing social support for caregivers of CKD children and to improving the ability of these caregivers to cope with loneliness.
评估2019年冠状病毒病（COVID-19）大流行期间中国慢性肾脏病（CKD）患儿照料者的社会支持和孤独感及其关联。我们收集了CKD患儿照料者和健康儿童照料者的数据，并使用倾向得分匹配（PSM）对两组进行匹配。我们比较了匹配后两组在社会支持和孤独感方面的差异，并分析了观察组中社会支持与孤独感之间的关系。在PSM之前，我们分析了来自13个省份的247名CKD患儿照料者和315名健康儿童照料者的数据。PSM后，两组各包括202名照料者。CKD患儿照料者的社会支持得分低于健康儿童照料者（<0.002），而CKD患儿照料者的孤独感得分高于健康儿童照料者（<0.008）。社会支持得分与孤独感得分呈负相关（=-0.598，<0.001）。在COVID-19大流行期间，CKD患儿照料者比健康儿童照料者获得的社会支持更少，孤独感更强。因此，应更加关注为CKD患儿照料者提供社会支持，并提高这些照料者应对孤独的能力。
