Shanghai Jiao Tong University School of Nursing, Shanghai, 200025, China.
Department of Nursing, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, China.
Sci Rep. 2024 Jul 29;14(1):17389. doi: 10.1038/s41598-024-67155-x.
Parents of children with retinoblastoma, the most common primary ocular malignant tumour in childhood, bear a heavy caregiving burden and are very susceptible to fatigue. However, little is known about their current status of fatigue and factors influencing fatigue; therefore,this study, based on the theory of unpleasant symptoms, and included 317 parents of children with retinoblastoma in China, whose general demographic data were collected, and on whom the fatigue severity scale (FSS), the generalized anxiety disorder (GAD-7) and 2-item patient health questionnaire (PHQ-2) were administered, from 9 March to 1 June 2020. The parents' FSS score and fatigue incidence were 4.41 ± 1.14 and 67.19%, respectively. The fatigue level was positively correlated with anxiety, depression, education, times of hospitalisations, and treatment types (r = 0.125-0.468, P < 0.05) and negatively correlated with health status, sleep quality, economic status, and family economic situation (r = - 0.120 to - 0.322, P < 0.05). Parent's anxiety level, being an only child and female sex of child influenced parents' fatigue. Healthcare personnel need to focus their attention on this high-risk fatigue group and implement appropriate interventions to reduce their fatigue level, promote their physical and mental health, and facilitate better care for children.
患有视网膜母细胞瘤的儿童的父母，这是儿童中最常见的原发性眼部恶性肿瘤，承担着沉重的照顾负担，非常容易疲劳。然而，目前对于他们的疲劳状况和影响疲劳的因素知之甚少；因此，本研究基于不适症状理论，纳入了 317 名中国视网膜母细胞瘤患儿的父母，收集了他们的一般人口统计学数据，并对他们进行了疲劳严重程度量表（FSS）、广泛性焦虑障碍（GAD-7）和 2 项患者健康问卷（PHQ-2）的评估，时间为 2020 年 3 月 9 日至 6 月 1 日。父母的 FSS 评分和疲劳发生率分别为 4.41±1.14 和 67.19%。疲劳程度与焦虑、抑郁、教育程度、住院次数和治疗类型呈正相关（r=0.125-0.468，P<0.05），与健康状况、睡眠质量、经济状况和家庭经济状况呈负相关（r=-0.120 至-0.322，P<0.05）。父母的焦虑程度、是否独生子女以及孩子的性别影响父母的疲劳程度。医疗保健人员需要关注这个高风险的疲劳群体，并实施适当的干预措施，以降低他们的疲劳水平，促进他们的身心健康，并为更好地照顾孩子提供便利。
