慢性肾脏病患儿父母疾病不确定感与焦虑及应对方式的相关性研究

Correlation among Uncertainty in Illness, Anxiety and Coping Style of Parents of Children with Chronic Kidney Disease

目的了解慢性肾脏病患儿父母的疾病不确定感、焦虑及积极应对方式的现状及其相关性。方法对190名慢性肾脏病患儿父母采用一般资料调查表、疾病不确定感家属量表、焦虑自评量表及父母应对方式量表进行调查,对190例慢性肾脏病患儿父母进行问卷调查。采用Pearson相关分析了解两者间相关性。结果 190名慢性肾脏病患儿父母疾病不确定感得分为(72.33±11.77)分,焦虑得分为(38.71±6.93)分,其中轻度焦虑有90名,占47.4%。慢性肾脏病患儿父母疾病不确定感总分和不明确性、缺乏澄清、缺乏信息维度得分与焦虑得分呈正相关(P<0.01),与应对方式使用频率、作用程度得分呈负相关(P<0.05)。结论慢性肾脏病患儿父母疾病不确定感处于中等水平,存在焦虑情绪,医护人员需鼓励患儿父母采取积极的应对方式,减轻焦虑情绪,降低疾病不确定感水平。

Objective To probe into the status quo of uncertainty in illness, anxiety, and positive coping styles of parents of children with chronic kidney disease and their relationships. Methods A total of 190 parents of children with chronic kidney disease（CKD）were investigated using the demographic variables questionnaire, Mishel Uncertainty in Illness Scale for Family Members（MUIS-FM）scale, Coping Health Inventory for Parents and Self-rating anxiety scale（SAS）, and Pearson correlation analysis was applied to analyze the correlation. Results The overall score of uncertainty in illness in parents of children with CKD was 72.33 ±11.77. The score of anxiety of parents was 38.71±6.93 and 90 parents presented mild anxiety, accounting for 47.4%. Parental level of uncertainty had a positive correlation with anxiety,and the overall score of uncertainty in illness was positively related with the overall scores of positive coping style and the score of uncertainty, lack of clarity and information（P〈0.01）., while negatively with the score of application frequency of coping style and the effect of coping style（P〈0.05）. Conclusion The uncertainty in illness of parents keeps in the mediate level and parents present anxiety. It is necessary to encourage parents to take positive coping styles and reduce anxiety, so as to lower the level of uncertainty in illness.