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自评健康和有健康儿童的母亲或需要门诊观察或住院治疗的儿童的疼痛问题:一项初步的横断面研究。

Self-Rated Health and Pain Problems in Mothers of Healthy Children or Children Requiring Outpatient Observation or Hospitalisation: A Pilot Cross-Sectional Study.

机构信息

Department of Anaesthesiological and Intensive Care Nursing, Faculty of Health Sciences, Medical University of Lublin, 20-093 Lublin, Poland.

Department of Applied Mathematics, Faculty of Technology Fundamentals, Lublin University of Technology, 20-618 Lublin, Poland.

出版信息

Int J Environ Res Public Health. 2021 Sep 10;18(18):9543. doi: 10.3390/ijerph18189543.

Abstract

A child's illness or disability is a considerable stressor for the mother and a risk factor for many psychological problems and somatic diseases. The purpose of the study was to (1) assess the prevalence of poor SRH and pain, (2) compare self-rated health and pain, (3) and identify the determinants of SRH and pain in mothers of healthy children and children requiring ambulatory observation or hospitalization. The study covered 234 mothers of both healthy and unhealthy children who required outpatient observation or treatment at an intensive care unit, neonatal intensive care unit, or oncology department. To analyse the variables obtained, the following tools were used: Self-Rated Health, Numerical Rating, Interpersonal Support Evaluation List, Peritraumatic Distress Inventory, Modified Hospital Anxiety and Depression Scale, and Impact of Effects Scale-Revised. The self-assessment of health in mothers of healthy children and those in need of outpatient observation or hospitalization at units with various specialities differed in a statistically significant way. The severity of the average and maximum pain among mothers of healthy children and those with a history of disease differed statistically significantly. Poor SRH co-occurred with severe maximum pain in all of the examined groups. Both in the control group and the group of mothers of children requiring outpatient observation, poor SRH co-occurred with a high level of anxiety. Only in the control group was a correlation found between the severity of the average and maximum pain and the severity of anxiety and depression symptoms.

摘要

儿童的疾病或残疾对母亲来说是一个相当大的压力源,也是许多心理问题和躯体疾病的危险因素。本研究的目的是:(1)评估母亲不良健康相关生活质量和疼痛的发生率;(2)比较自我评估的健康状况和疼痛;(3)并确定健康儿童和需要门诊观察或住院治疗的儿童的母亲的健康相关生活质量和疼痛的决定因素。该研究涵盖了 234 名健康和不健康儿童的母亲,这些儿童需要在重症监护室、新生儿重症监护室或肿瘤科接受门诊观察或治疗。为了分析获得的变量,使用了以下工具:自我评估健康状况、数字评分、人际关系支持评估清单、创伤后应激障碍评估清单、修正后的医院焦虑和抑郁量表以及影响量表修订版。健康儿童的母亲和需要在具有不同专业的单位进行门诊观察或住院治疗的母亲的自我健康评估存在显著差异。健康儿童和有疾病史的儿童的母亲的平均疼痛和最大疼痛严重程度存在显著差异。所有检查组的不良健康相关生活质量都与严重的最大疼痛同时发生。在对照组和需要门诊观察的儿童的母亲组中,不良健康相关生活质量都与高水平的焦虑同时发生。只有在对照组中,平均和最大疼痛的严重程度与焦虑和抑郁症状的严重程度之间存在相关性。

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