摘要
目的观察咳嗽变异性哮喘(CVA)患儿家属心理痛苦状况并分析其影响因素。方法采取便利抽样法,选取2021年6月至2023年6月至周口市中医院就诊的CVA患儿及其家属开展单中心横断面调查,通过心理痛苦温度计(DT)统计CVA患儿家属心理痛苦状况并分为DT≥4分组及DT<4分组。通过疾病不确定感父母量表(PPUS)、家庭坚韧量表(CFRS)、自制资料调查表分别收集患儿家属对疾病的不确定感、家庭坚韧程度及人口学特征,应用单因素和多因素分析导致CVA患儿家属心理痛苦的影响因素。结果DT≥4分组患儿年龄、患者家属CFRS评分低于DT<4分组,患儿CVA病程、患儿家属PPUS评分高于DT<4分组(P<0.05)。经logistic回归分析结果显示患儿年龄大、患儿家属家庭坚韧程度高是CVA患儿家属心理痛苦的保护因素(OR<1,P<0.05),患儿CVA病程长、患儿家属疾病不确定感强是CVA患儿家属心理痛苦的危险因素(OR>1,P<0.05)。结论CVA患儿家属普遍存在心理痛苦,患儿年龄小、CVA病程长及患儿家属家庭坚韧程度低、疾病不确定感强是CVA患儿家属心理痛苦水平增高的影响因素。
Objective To observe the psychological pain status of family members of children with cough variant asthma(CVA)and analyze its related influencing factors.Methods Convenient sampling method was used to select CVA patients and their families who visited Zhoukou Traditional Chinese Medicine Hospital from June 2021 to June 2023 for a single center cross-sectional survey.The psychological pain status of the families of CVA patients was measured using a psychological pain thermometer(DT)and divided into DT≥4 group and DT<4 group.The uncertainty of illness,family resilience and demographic characteristics of family members of children with CVA were collected by parent’s perception uncertainty scale(PPUS),Chinese family resilience scale(CFRS)and self-made data questionnaire.Univariate and multivariate analysis were used to analyze the influencing factors of psychological distress in family members of children with CVA.Results The age of children and the CFRS score of their family members in the DT≥4 group were lower than those in the DT<4 group,and the CVA course of the children and the PPUS score of their family members were higher than those in the DT<4 group(P<0.05).The results of logistic regression analysis showed that the age of the patient and the high resilience of the family members were protective factors for the psychological pain of CVA patients’family members(OR<1,P<0.05),while the long course of CVA in the patient and the strong uncertainty of the disease in the family members were risk factors for the psychological pain of CVA patients’family members(OR>1,P<0.05).Conclusion Family members of CVA patients generally experience psychological pain,and young age,long course of CVA,low resilience of family members and strong sense of disease uncertainty are the influencing factors for the increased level of psychological pain in family members of CVA patients.
作者
刘海泳
卢平
黄晓雪
LIU Haiyong;LU Ping;HUANG Xiaoxue(Pediatrics Department,Zhoukou Traditional Chinese Medicine Hospital,Zhoukou 466000,China;Infection Control Department,Zhoukou Central Blood Station,Zhoukou 466000,China)
出处
《河南医学研究》
CAS
2024年第17期3187-3191,共5页
Henan Medical Research
关键词
咳嗽变异性哮喘
心理痛苦
影响因素
cough variant asthma
psychological pain
influence factor
