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重症患儿母亲的创伤后困扰:一项横断面研究。

Peritraumatic distress in mothers of severely ill children: a cross-sectional study.

机构信息

Department of Anaesthesiology and Intensive Care Nursing, Faculty of Nursing and Health Sciences, Medical University of Lublin, Poland.

Department of Foreign Languages, I Faculty of Medicine with Dentistry Division, Medical University of Lublin, Poland.

出版信息

Anaesthesiol Intensive Ther. 2021;53(3):232-240. doi: 10.5114/ait.2021.105257.

Abstract

INTRODUCTION

Peritraumatic distress is a syndrome that involves negative emotions, such as anxiety, helplessness and horror, experienced during and shortly after a traumatic event. The intensity of peritraumatic distress is significantly linked to the intensity of post-traumatic stress syndrome (PTSD) symptoms. The aim of the study was to study the intensity of peritraumatic distress symptoms in the mothers of severely ill children and the relationship between peritraumatic distress and psychological, socio-demographic and medical coefficients in the mothers.

MATERIAL AND METHODS

An anonymous survey was performed in a group of 135 mothers of children with a perinatal medical history and mothers of children hospitalized in an intensive care unit and an oncology unit. The demographic questionnaire was compiled by the authors along with several standardized research tools.

RESULTS

Intensity of peritraumatic distress correlates strongly positively with anxiety, ρ = 0.50; P < 0.001, and moderately positively with intrusion ρ = 0.39; P < 0.00, arousal, ρ = 0.38; P < 0.001, PTSD intensification, ρ = 0.40; P < 0.001, depression, ρ = 0.49; P < 0.001. Significant predictors of peritraumatic distress include the use of such coping strategies as acceptance, β = -0.44; P = 0.001, denial, β = 0.20; P = 0.019, planning, β = -0.26; P = 0.012 and humour, β = -0.29; P = 0.048, as well as the possibility to obtain self-worth support, β = -0.07; P = 0.029 (R2 corrected = 0,32; F(5.33) = 9.43; P < 0.001).

CONCLUSIONS

Coping strategies are a potentially modifiable factor, thus, implementing prevention programmes concerning the strategies should be considered.

摘要

简介

创伤后困扰是一种综合征,涉及焦虑、无助和恐惧等负面情绪,发生在创伤事件期间和之后不久。创伤后困扰的强度与创伤后应激障碍(PTSD)症状的强度显著相关。本研究旨在研究重病患儿母亲的创伤后困扰症状的强度,以及创伤后困扰与母亲的心理、社会人口学和医学因素之间的关系。

材料和方法

对有围产期病史的儿童的 135 位母亲和重症监护病房和肿瘤科住院的儿童的母亲进行了匿名调查。作者编制了人口统计学问卷,并结合了一些标准化的研究工具。

结果

创伤后困扰的强度与焦虑呈强烈正相关,ρ=0.50;P<0.001,与闯入呈中度正相关,ρ=0.39;P<0.001,与觉醒呈中度正相关,ρ=0.38;P<0.001,与 PTSD 加剧呈中度正相关,ρ=0.40;P<0.001,与抑郁呈中度正相关,ρ=0.49;P<0.001。创伤后困扰的显著预测因子包括使用以下应对策略,如接受,β=-0.44;P=0.001,否认,β=0.20;P=0.019,计划,β=-0.26;P=0.012,幽默,β=-0.29;P=0.048,以及获得自我价值支持的可能性,β=-0.07;P=0.029(校正 R2=0.32;F(5.33)=9.43;P<0.001)。

结论

应对策略是一个潜在的可改变的因素,因此,应考虑实施有关策略的预防计划。

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