重症呼吸衰竭患儿家长自我效能状况与应对方式分析

Analysis of self-efficacy and coping styles of parents of children with severe respiratory failure

目的观察重症呼吸衰竭患儿家长自我效能与应对方式情况,分析自我效能与应对方式的关系.方法选取2018年3月~2019年8月医院收治64例重症呼吸衰竭患儿,随机选择1名主要负责照顾患儿的家长作为研究对象,共64名.全部患儿家长均接受一般自我效能感量表(GSES)、应对方式量表(CHIP)评估自我效能与应对方式,分析自我效能与应对方式的关系.结果本研究纳入的64例患儿家长中,经评估,有18例患儿家长的应对能力较差,占比为28.13%;应对能力较差组的GSES和APGAR评分低于应对能力较好组,差异有统计学意义(P<0.05),组间其他资料比较,差异无统计学意义(P>0.05);采用双变量Pearson直线相关性分析发现,重症呼吸衰竭患儿家长的自我效能、家庭功能水平与应对方式评分整体呈正相关(r>0,P<0.05);在对比两组基线资料后,纳入可能的影响因素作二元回归分析,后建立多元回归模型,结果显示,自我效能水平低、家庭功能水平低均是重症呼吸衰竭患儿家长应对能力较差的影响因素(OR>1,P<0.05).结论重症呼吸衰竭患儿家长应对方式较差与自我效能水平低、家庭功能水平低有关,临床可考虑通过针对家长的自我效能与家庭功能进行干预,提高应对方式,从而帮助疾病治疗更顺利地展开.

Objective To observe the selfefficacy and coping styles of parents of children with severe respiratory failure,and to analyze the relationship between self-efficacy and coping styles.Methods From March 2018 to August 2019,64 children with severe respiratory failure were treated in the hospital.1 parent who was mainly responsible for taking care of the children was randomly selected as the research object,a total of 64 parents were selected.Parents of all children accepted General Self-Efficacy Scale(GSES)and Coping Style Scale(CHIP)to evaluate self-efficacy and coping styles.Analyzed the relationship between self-efficacy and coping style.Results Among the 64 parents of children included in this study,after evaluation,18 parents of children had poor coping ability,accounting for 28.13%;the GSES and APGAR scores of the poor coping ability group were lower than those of the good coping ability group,and the difference was statistically significant(P<0.05).Compared other data between groups,the difference was not statistically significant(P>0.05);The bivariate Pearson linear correlation analysis was used and found that the self-efficacy,family function level and coping style scores of parents of children with severe respiratory failure were overall positively correlated(r>0,P<0.05);after comparing the two sets of baseline data,the possible influencing factors were included for binary regression analysis,and then a multiple regression model was established.The results showed that low level of selfefficacy and low level of family function were the influencing factors of poor coping ability of parents of children with severe respiratory failure(OR>1,P<0.05).Conclusion The poor coping style of parents of children with severe respiratory failure is related to low selfefficacy and low family function.The clinic may consider intervening in the self-efficacy and family functions of parents to improve coping styles,so as to help the disease treatment to be carried out more smoothly.