School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China.
School of Nursing, The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong, China.
Int J Environ Res Public Health. 2023 May 9;20(10):5765. doi: 10.3390/ijerph20105765.
Evidence shows that resilience is crucial to maintain psychological well-being and quality of life in the face of stress and adversity. However, the relationships between resilience and psychological well-being and factors associated with quality of life in Hong Kong Chinese parents of children with cancer are underexplored. This study aimed to examine the interrelationships among resilience, ways of coping, psychological well-being, and quality of life among Chinese parents of children with cancer, and identify factors associated with their quality of life. A cross-sectional study was conducted with 119 Chinese parents of children with cancer at the Hong Kong Children's Hospital between January 2020 and March 2022. Parents' resilience level, ways of coping, depressive symptoms, state anxiety scores, perceived social support, and quality of life were assessed. Participating parents ( = 119) included 98 mothers (82.4%) and 11 parents were from single-parent families (9.2%). Almost half (47.9%) of the parents were potentially at risk for depression. The results showed that participants from single-parent families reported statistically significantly lower levels of resilience ( < 0.001), more depressive symptoms ( < 0.001), and poorer quality of life ( < 0.001) than those who lived with their partners (married). In addition, parents who adopted problem-focused coping strategies reported statistically significantly higher levels of resilience ( < 0.001), fewer depressive symptoms ( < 0.001), and better quality of life ( < 0.001) than those who adopted emotion-focused coping strategies. A multiple regression analysis revealed that resilience ( < 0.001) was associated with quality of life among parents of children with cancer. This study provides further support that resilience is an important factor associated with quality of life in parents of children with cancer. Assessing resilience in parents is an important prerequisite for designing appropriate interventions to increase their resilience and enhance their quality of life.
证据表明，韧性对于在面对压力和逆境时保持心理幸福感和生活质量至关重要。然而，韧性与心理幸福感之间的关系以及与香港癌症患儿父母生活质量相关的因素在很大程度上尚未得到探索。本研究旨在检验癌症患儿父母的韧性、应对方式、心理幸福感和生活质量之间的相互关系，并确定与其生活质量相关的因素。这是一项横断面研究，于 2020 年 1 月至 2022 年 3 月在香港儿童医院对 119 名癌症患儿的父母进行了调查。评估了父母的韧性水平、应对方式、抑郁症状、状态焦虑评分、感知社会支持和生活质量。参与研究的父母（n=119）包括 98 名母亲（82.4%）和 11 名来自单亲家庭的父母（9.2%）。近一半（47.9%）的父母存在抑郁风险。结果显示，来自单亲家庭的父母报告的韧性水平（<0.001）、抑郁症状（<0.001）和生活质量（<0.001）显著低于与伴侣同住的父母（已婚）。此外，采用问题聚焦应对策略的父母报告的韧性水平（<0.001）、抑郁症状（<0.001）和生活质量（<0.001）显著高于采用情绪聚焦应对策略的父母。多元回归分析显示，韧性（<0.001）与癌症患儿父母的生活质量相关。本研究进一步支持韧性是癌症患儿父母生活质量的一个重要因素。评估父母的韧性是设计适当干预措施以提高其韧性和生活质量的重要前提。
