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照顾不同能力儿童的护理人员的压力和应对方式。

Stress and Coping among Caregivers of Differently Able Children.

机构信息

Pokhara Nursing Campus, Institute of Medicine, Tribhuvan University.

出版信息

J Nepal Health Res Counc. 2022 Jun 2;20(1):186-193. doi: 10.33314/jnhrc.v20i01.4069.

Abstract

BACKGROUND

Caring differently able children can cause stress in the caregivers. They employ a variety of coping mechanisms to deal with stress. The aim of this study is to identify stress and different coping styles among caregivers of differently able children.

METHODS

A cross-sectional study was carried out in three organizations that accommodated differently abled children. A non-probability purposive sampling technique was used to recruit primary caregivers of children with developmental disabilities. This study examined caregiver stress and different coping styles by using the Parent Stress Scale and Brief COPE Inventory.  Face-to-face interviews were used to collect data, which was then analyzed using SPSS.

RESULTS

Among the total of 102 caregivers, mothers accounted for 60.8 percent, 57.8 percent child were boys whereas, 49 percent were the child with cerebral palsy. Total mean stress score was 57.17 ±8.808. High level of stress was reported by 58.8 percent of caregivers. Education and family income showed the statistically significant association with stress score P-value<0.05. Total mean coping score was 67.83 ±5.812. Caregivers' stress had significant positive correlation with different coping styles; active coping, denial, behavioral disengagement, humor, acceptance religion and self-blame (P-value<0.05).

CONCLUSIONS

More than half of the caregivers had high level of stress. The most frequently used coping styles were self-distraction, acceptance and positive reframing. Caregivers' stress had significant positive correlation with different coping styles. Therefore, health professionals and service providers should focus on stress reduction and positive coping technique to help family adaptation.

摘要

背景

照顾残障儿童会给照顾者带来压力。他们采用各种应对机制来应对压力。本研究旨在确定残障儿童照顾者的压力和不同应对方式。

方法

在容纳残障儿童的三个组织中进行了一项横断面研究。采用非概率目的抽样技术招募发育障碍儿童的主要照顾者。本研究使用父母压力量表和简要应对量表评估照顾者的压力和不同应对方式。使用面对面访谈收集数据,然后使用 SPSS 进行分析。

结果

在总共 102 名照顾者中,母亲占 60.8%,57.8%的孩子是男孩,而 49%的孩子患有脑瘫。总平均压力得分为 57.17±8.808。58.8%的照顾者报告压力水平较高。教育程度和家庭收入与压力评分呈统计学显著关联(P 值<0.05)。总平均应对评分得分为 67.83±5.812。照顾者的压力与不同的应对方式呈显著正相关;积极应对、否认、行为脱离、幽默、接受宗教和自责(P 值<0.05)。

结论

超过一半的照顾者压力水平较高。最常用的应对方式是自我分心、接受和积极重新构建。照顾者的压力与不同的应对方式呈显著正相关。因此,卫生专业人员和服务提供者应关注减轻压力和积极应对技巧,以帮助家庭适应。

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