先天性胫骨假关节患儿照顾者应激相关性成长现状及影响因素分析

Analysis of stress related growth status and influencing factors in caregivers of children with congenital tibial pseudarthrosis

目的探讨先天性胫骨假关节(congenital pseudarthrosis of the tibia,CPT)患儿照顾者应激相关性成长现状及其可能的影响因素。方法本研究为回顾性研究,选取2023年1~3月湖南省儿童医院收治的CPT患儿照顾者为研究对象,采用简易应对行为问卷、社会支持评定量表、简体中文版创伤后成长评定量表及一般资料调查表对其进行调查。通过多重线性回归分析、Pearson相关分析探讨CPT患儿照顾者应激相关性成长的主要影响因素。结果本次调查共发放问卷161份,有效问卷155份,回收有效率为96.27%。155例CPT患儿照顾者的应激相关性成长总分为(60.86±16.13)分;Pearson相关性分析结果显示,患儿照顾者应激相关性成长各维度得分及总分均与积极应对方式呈正相关(P<0.05);除自我转变维度外,应激相关性成长各维度得分及总分均与社会支持方式呈正相关(P<0.05);经多重线性回归分析发现,患儿年龄、照顾者职业、积极应对情况及社会支持均为CPT患儿照顾者应激相关性成长的主要影响因素(P<0.05,调整后R^(2)=0.443)。结论CPT患儿照顾者应激相关性成长处于中等水平。积极应对、社会支持、患儿年龄、照顾者职业是影响CPT患儿照顾者应激相关性成长水平的主要因素,在临床工作中要关注照顾者的应对方式和社会支持情况,并根据上述影响因素制定对应的干预措施,以提升其应激相关性成长水平,进而改善患儿预后。

Objective To explore the status quo of stress-related growth of caregivers of children with congenital pseudarthrosis of the tibia(CPT)and examine its possible influencing factors.Methods For this retrospective study,Caregivers of CPT children admitted into Hunan Children's Hospital from January to March 2023 were selected as study subjects.Simplified coping behavior questionnaire,social support rating scale,simplified Chinese version of post-traumatic growth rating scale and general profile questionnaire were utilized.Multiple linear regression and Pearson's correlation analyses were performed for examining the major influencing factors of caregiver stress-related growth in CPT children.Results Among a total of 161 questionnaires distributed,155 were valid with an effective rate of 96.27%.Total stress-related growth score was(60.86±16.13).Pearson's correlation analysis indicated that all dimensions of stress-related growth and total scores of caregivers were correlated positively with positive coping styles(P<0.05).Besides self-transformation dimension,all dimensions of stress-related growth and total scores were correlated positively with social support style(P<0.05).According to multiple linear regression,children's age,caregiver occupation(whether employed or not),active coping and social support were the major influencing factors of stress-related growth of caregivers of CPT children(P<0.05,adjusted R^(2)=0.443).Conclusions The stress-related growth of caregivers of CPT children is at a moderate level.Active coping,social support,children's age and caregiver occupation are the major factors affecting the stress-related growth level of caregivers of CPT children.Therefore,in clinical practices,attention should be paid to caregivers'coping styles and social support.The corresponding intervention measures may be formulated according to the above influencing factors to enhance their stress-related growth level and thus improve the outcomes of children.