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特殊需求和慢性病儿童父母的照护负担和韧性。

Care burden and resilience in parents of children with special needs and chronic diseases.

机构信息

MSc, RN, Research Assistant, Department of Child Health and Diseases Nursing, Department of Nursing, Faculty of Health Sciences, Kastamonu University, Kastamonu, Turkey.

PhD, RN, Associate Professor, Department of Mental Health and Psychiatric Nursing, Department of Nursing, Faculty of Health Sciences, Kastamonu University, Kastamonu, Turkey.

出版信息

J Pediatr Nurs. 2024 May-Jun;76:61-67. doi: 10.1016/j.pedn.2024.02.001. Epub 2024 Feb 14.

Abstract

AIM

Comparison of care burden and resilience levels in parents of children with special needs and chronic diseases.

METHODS

This study, designed with a cross-sectional and relationship-seeking design, was conducted in a Training and Research Hospital in Turkey. Data was obtained from parents of children with special needs (n = 102) and chronic diseases (n = 102) who presented to the outpatient clinic for routine follow-up between October 2022 and February 2023. The consecutive sampling method was used while choosing the sample. The "Descriptive Characteristics Questionnaire," "Zarit Caregiver Burden Scale (ZCB)," and "Resilience Scale for Adults (RSA)" were used to collect data. Data were evaluated using the SPSS 22.0 statistical program.

RESULTS

The burden of care in parents differed significantly between the two groups (p < 0.001), the majority of parents of children with chronic diseases (PCCD) had a mild/moderate care burden, and the majority of parents of children with special needs (PCSN) had a moderate/severe level of care. The care burden scores and total resilience scores were found to be higher in the PCSN group, and the care burden scores and total resilience scores were found to be lower in the PCCD group (p < 0.001).

CONCLUSION

This research determined that PCSN showed more care burden and less resilience than PCCD. In this context, it is recommended to regularly monitor the resilience, caregiver burden, and quality of life of caregivers of children with special needs and conduct preventive and strengthening programs.

摘要

目的

比较特殊需求和慢性病儿童父母的照顾负担和韧性水平。

方法

本研究采用横断面和关系寻求设计,在土耳其的一家培训和研究医院进行。数据来自于 2022 年 10 月至 2023 年 2 月期间在门诊常规随访的特殊需求儿童(n=102)和慢性病儿童(n=102)的父母。在选择样本时使用了连续抽样法。使用“描述性特征问卷”、“Zarit 照顾者负担量表(ZCB)”和“成人韧性量表(RSA)”收集数据。使用 SPSS 22.0 统计程序评估数据。

结果

两组父母的照顾负担差异有统计学意义(p<0.001),大多数慢性病儿童的父母(PCCD)有轻度/中度照顾负担,而大多数特殊需求儿童的父母(PCSN)有中度/重度照顾负担。PCSN 组的照顾负担评分和总韧性评分较高,而 PCCD 组的照顾负担评分和总韧性评分较低(p<0.001)。

结论

本研究确定 PCSN 比 PCCD 表现出更多的照顾负担和更少的韧性。在这种情况下,建议定期监测特殊需求儿童照顾者的韧性、照顾负担和生活质量,并开展预防和强化计划。

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