Papasarantopoulou Alexandra, Polikandrioti Maria, Dousis Evangelos, Evagelou Eleni, Zartaloudi Aphrodite, Dafogianni Chrisoula, Misouridou Evdokia, Pavlatou Niki, Mintzaridis Kostantinos, Koutelekos Ioannis
Department of Nursing, University of West Attica, Athens, Greece.
Adv Exp Med Biol. 2023;1425:31-46. doi: 10.1007/978-3-031-31986-0_4.
Hematopoietic stem cell transplantation (HSCT) is a well-established therapy tool for several malignant and non-malignant diseases. Parents of children undergoing HSCT experience physiological distress for various reasons such as intensive caregiving, potential complications, and medically intensive process. The purpose of this study was to explore anxiety/depression in parents of children who underwent HSCT and the associated self-reported characteristics.
In the present study were enrolled 100 parents of children who underwent HSCT. Data were collected by the completion of the "Hospital Anxiety and Depression Scale (HADs)," which also included parents' characteristics. The statistical significance level was p < 0.05.
Of the 100 participants, 81% and 64% of parents experienced anxiety and depression, respectively, based on HADs scores. A statistically significant association was observed between parental anxiety and gender (p = 0.017), frequency of visiting the hospitalized child (p = 0.023), whether they desired family members to remain in hospital (p = 0.033), as well as with the need for participation in daily care (p = 0.023), for help based on personal needs (p = 0.026), for scheduled meetings with parents having same problems (p = 0.006), for contact with hospital after discharge (p = 0.035), and for written information (p = 0.044). In terms of depression, a statistically significant association was observed with difficulties during the hospital stay (p = 0.034), whether they desired other family members to remain in hospital (p = 0.009), as well as with the need for opportunities or time for questions (p = 0.004), for scheduled meetings with parents having the same problems (p = 0.026), and for contact with hospital after discharge (p = 0.038).
Anxiety and depression were associated with possibility of family members to remain in the hospital as well as with the need for scheduled meetings with parents having the same problems and for contact after hospital discharge. Based on the findings presented, it is suggested that understanding parents' needs and perceptions is fundamental to the development of appropriate interventions that address their worries.
造血干细胞移植（HSCT）是治疗多种恶性和非恶性疾病的一种成熟治疗手段。接受HSCT治疗的儿童的父母会因各种原因经历生理上的困扰，如高强度的护理、潜在的并发症以及医疗过程的高强度。本研究的目的是探讨接受HSCT治疗的儿童的父母的焦虑/抑郁情况以及相关的自我报告特征。
本研究纳入了100名接受HSCT治疗的儿童的父母。通过完成“医院焦虑抑郁量表（HADs）”收集数据，该量表还包括父母的特征。统计学显著性水平为p < 0.05。
根据HADs评分，100名参与者中，分别有81%和64%的父母经历了焦虑和抑郁。观察到父母焦虑与性别（p = 0.017）、探望住院儿童的频率（p = 0.023）、是否希望家庭成员留在医院（p = 0.033）、参与日常护理的需求（p = 0.023）、基于个人需求寻求帮助（p = 0.026）、与有相同问题的父母定期会面的需求（p = 0.006）、出院后与医院联系的需求（p = 0.035）以及书面信息的需求（p = 0.044）之间存在统计学显著关联。在抑郁方面，观察到与住院期间的困难（p = 0.034）、是否希望其他家庭成员留在医院（p = 0.009）、对提问机会或时间的需求（p = 0.004）、与有相同问题的父母定期会面的需求（p = 0.026）以及出院后与医院联系的需求（p = 0.038）之间存在统计学显著关联。
焦虑和抑郁与家庭成员留在医院的可能性以及与有相同问题的父母定期会面和出院后联系的需求有关。根据所呈现的研究结果，建议了解父母的需求和看法对于制定解决他们担忧的适当干预措施至关重要。
