Parental stress and its influencing factors in parents of children with acute lymphoblastic leukemia

doi:10.3760/cma.j.issn.1007-1245.2021.06.018

Abstract

Abstract: Objective To probe into parental stress and its influencing factors in parents of children with acute lymphoblastic leukemia. Method A questionnaire survey was conducted among the parents of 180 children with acute lymphoblastic leukemia in 3 general hospitals of Henan province from February 2019 to August 2019 with general information questionnaire, Parenting Stress Scale, Perceived Social Support Scale, Simplified Coping Style Questionnaire, and Rosenberg Self-esteem Scale. Results The score of parenting stress was (103.12±16.48). Multivariate linear regression analysis results showed that treatment duration, immunophenotyping, monthly income, the number of children, participation in fundraising, and gender of children were the influencing factors of parenting stress, which could explain 63.4% of the total variation. The parenting stress in parents of children with acute lymphoblastic leukemia was negatively correlated with positive coping style, the total score and scores of all dimensions of social support, self-esteem of children, and was positively correlated with negative coping style (all P<0.05). Conclusion Parenting stress was higher in parents of children with acute lymphoblastic leukemia. Nursing staff should pay attention to the psychological intervention of the parents of children with acute lymphoblastic leukemia, guide them to adopt positive coping style, in order to reduce their parenting stress.

Key words: Acute lymphoblastic leukemia, Parenting stress, Coping style, Social support, Self-esteem

摘要： 目的探讨急性淋巴细胞白血病患儿父母亲职压力及其影响因素。方法采用一般资料问卷、亲职压力简表、领悟社会支持量表、简易应对方式问卷、自尊量表对2019年2月至2019年8月在河南省某市3所三级甲等综合性医院接受住院治疗的180例急性淋巴细胞白血病患儿父母进行问卷调查。结果急性淋巴细胞白血病患儿父母亲职压力得分为(103.12±16.48)分;多元线性回归分析结果显示,治疗时间、免疫分型、月收入、子女个数、是否参与募捐、患儿性别是急性淋巴细胞白血病患儿父母亲职压力的影响因素,可解释总变异的63.4%;急性淋巴细胞白血病患儿父母的亲职压力与积极应对方式、社会支持总分及各维度得分及患儿自尊呈负相关、与消极应对方式呈正相关(均P<0.05)。结论患儿父母的亲职压力处于较高水平,护理人员应重视对其进行心理干预,引导其采取正向的应对方式,以降低亲职压力水平。

关键词: 急性淋巴细胞白血病, 亲职压力, 应对方式, 社会支持, 自尊

Gao Lijing, Guo Haoqi, Xu Xianling. Parental stress and its influencing factors in parents of children with acute lymphoblastic leukemia[J]. International Medicine and Health Guidance News, 2021, 27(6): 856-860.

高利静, 郭昊琦, 许先玲. 急性淋巴细胞白血病患儿父母亲职压力及其影响因素[J]. 国际医药卫生导报, 2021, 27(6): 856-860.

References

[1] 旷文勇,李婉丽,郑敏翠,等.急性淋巴细胞白血病儿童骨髓单个核细胞CRLF2高表达的临床意义[J].中国实验血液学杂志,2019,27(4):1058-1063.DOI:10.19746/j.cnki.issn1009-2137.2019.04.011.
[2] 李蓉蓉,马金玲,阐玉英,等.急性淋巴细胞白血病患儿化疗期间症状群的纵向研究[J].护理学杂志,2019,34(16):5-9.DOI:10.3870/j.issn.1001-4152.2019.16.005.
[3] 段旭锋,雷萍,陈会.极低出生体重儿母亲亲职压力与共同养育感知的随访研究[J].护理研究,2019,33(21):3681-3684.DOI:10.12102/j.issn.1009-6493.2019.21.009.
[4] Liu L,Wang M.Parenting stress and harsh discipline in China: The moderating roles of marital satisfaction and parent gender[J].Child Abuse Negl,2015,43:73-82.DOI:10.1016/j.chiabu.2015.01.014.
[5] Sherief LM,Kamal NM,Abdalrahman HM,et al.Psychological Impact of Chemotherapy for Childhood Acute Lymphoblastic Leukemia on Patients and Their Parents[J].Medicine (Baltimore),2015,94(51):e2280.DOI:10.1097/MD.0000000000002280.
[6] 唐月红,王新.脑瘫儿童父母的亲职压力研究进展[J].护理研究,2014,28(3):271-272. DOI:10.3969/j.issn.1009- 6493.2014.03.006.
[7] 吉彬彬,蒋芬,易容芳,等.孤独症儿童父母的亲职压力研究进展[J].护理学杂志,2012,27(5):88-90. DOI:10.3870/hlxzz.2012.05.088.
[8] 蒋忠燕,陈玉明,张小芳,等.自闭症患儿机构康复照顾者负担与社会支持的相关性研究[J].护理实践与研究,2016,13(11):1-3.DOI:10.3969/j.issn.1672-9676.2016.11.001.
[9] 戴晓阳. 常用心理评估量表手册[M].第2版.北京:人民军医出版社,2015:82-85.
[10] 汪向东,王希林,马弘.心理卫生评定量表手册[J].中国心理卫生杂志,1999,13(1):31-35.
[11] 汪向东,王希林,马弘.罗森伯格自尊量表.心理卫生评定量表手册(增订版)[J].中国心理卫生杂志社,1993.
[12] 关文军,颜廷睿,邓猛.残疾儿童家长亲职压力的特点及其与生活质量的关系:社会支持的中介作用[J].心理发展与教育,2015,31(4):411-419.DOI:10.16187/j.cnki.issn1001- 4918.2015.04.04.
[13] He S,You LM,Zheng J,et al.Uncertainty and Personal Growth Through Positive Coping Strategies Among Chinese Parents of Children With Acute Leukemia[J].Cancer Nurs,2016,39(3):205-212.DOI:10.1097/NCC.0000000000000279.
[14] 王丽. 白血病患儿父母的心理危机及其应对分析[J].校园心理,2018,16(4):311-314. DOI:10.19521/j.cnki.1673-1662. 2018.04.023.
[15] 刘翱搏,孙静,李杨.风湿性疾病患儿父母的亲职压力与应对方式、社会支持的相关性研究[J].护理管理杂志,2018,18(3):210-213.DOI:10.3969/j.issn.1671- 315x.2018.03.014.
[16] 李锦,王勇丽,万勤,等.脑瘫儿童父母社会支持与亲职压力的关系——应对方式的中介作用[J].岭南师范学院学报,2017,38(5):61-66.DOI:10.3969/j.issn.1006-4702. 2017.05.010.
[17] Dietrich K,Leiss U,Griessmeier B,et al.Parental Distress Caused by Child's Cancer Diagnosis[J].Klin Padiatr,2016,228(3):149-156.DOI:10.1055/s-0042-101345.
[18] 王慧馨,湛献能,李丽珍.超低与极低体重儿父亲亲职压力:O~6个月调查研究[J].国际医药卫生导报,2017,23(13):2137-2141.DOI:10.3760/cma.j.issn.1007-1245. 2017. 13.050.
[19] 杨俊玲,刘一鸣,杨俊娜.急性白血病患儿父母心理弹性及应对方式与疾病不确定感的相关性[J].中国健康心理学杂志,2018,26(10):1533-1536.DOI:10.13342/j.cnki.cjhp.2018.10.025.
[20] 徐一卓,王西阁,陈力溶.河南地区248例儿童急性淋巴细胞白血病融合基因类型分析[J].郑州大学学报(医学版),2019,54(3):470-473.DOI:10.13705/j.issn.1671-6825. 2019. 01.014.
[21] 任益炯,季庆英,张佳妮,等.儿童急性白血病患者家庭负担调查[J].解放军医院管理杂志,2015,(1):19-21.DOI:10.16770/j.cnki.1008-9985.2015.01.024
[22] 黄雪丽,张慧敏,杨苗苗,等.急性白血病患儿家庭经济负担和客观社会支持调查研究[J].卫生经济研究,2019,36(7):38-40.DOI:10.14055/j.cnki.33-1056/f.2019.07.013.
[23] 刘翱搏,孙静,张艳,等.遗传代谢病患儿父母亲职压力及其影响因素的研究[J].护理研究,2018,32(19):3065-3069.DOI:10.3969/j.issn.1009-6493.2018.19.018.
[24] 占思政. 儿童急性T淋巴细胞白血病治疗及预后[J].临床儿科杂志,2019,37(8):632-636.DOI:10.3969/j.issn.1000-3606.2019.08.019.
[25] Huang XQ,Zhang H,Chen S.Neuropsychiatric Symptoms, Parenting Stress and Social Support in Chinese Mothers of Children with Autism Spectrum Disorder[J].Curr Med Sci,2019,39(2):291-297.DOI:10.1007/s11596-019- 2033-3.
[26] Pinto RJ,Correia-Santos P,Levendosky A,et al.Psychological Distress and Posttraumatic Stress Symptoms: The Role of Maternal Satisfaction, Parenting Stress, and Social Support Among Mothers and Children Exposed to Intimate Partner Violence[J].J Interpers Violence,2019,34(19):4114-4136.DOI:10.1177/0886260516674199.