220名癌症患儿父母养育内疚感现状及影响因素分析

Status Quo of Parental Guilt of Parents of Children with Cancer and Its Influencing Factors:A 220-case Study

目的调查癌症患儿父母养育内疚感现状,并分析其影响因素。方法采用便利抽样法,于2021年11月—2022年4月选取山东省某三级甲等医院儿童肿瘤科的220名癌症患儿父母作为研究对象。采用一般资料调查表、养育内疚感量表、心理适应量表、压力知觉量表和领悟社会支持量表对其进行调查。采用多重线性回归分析癌症患儿父母养育内疚感的影响因素。结果本组癌症患儿父母养育内疚感总分为(51.37±9.17)分,多重线性回归分析结果显示,子女数量、孕期健康状况、心理适应、压力知觉进入回归方程(P<0.01),共解释癌症患儿父母养育内疚感总变异的47.9%。结论本组癌症患儿父母养育内疚感处于中等偏上水平,子女数量、孕期健康状况、心理适应、压力知觉是养育内疚感的主要影响因素,医护人员可通过加强心理疏导、压力应对等措施,减轻癌症患儿父母的养育内疚感水平。

Objective To investigate the current status of parental guilt in parents of children with cancer and analyze its influencing factors.Methods From November 2021 to April 2022,220 parents of children with cancer from a tertiary grade-A hospital in Shandong Province were selected by convenience sampling method and they were surveyed by using general information questionnaire,Parental Guilt Scale,Psychological Adaptation Scale,the Chinese Perceived Stress Scale And Perceived Social Support Scale.Multiple regression analysis was used to analyze the influencing factors of parental guilt in parents of children with cancer.Results The total score of parental guilt of parents of children with cancer was 51.37±9.17.Multiple regression analysis showed that the number of children,health status during pregnancy,psychological adaptation and perceived stress entered the regression equation(P<0.01),which explained 47.9%of the total variation of parental guilt of parents of children with cancer.Conclusion The parental guilt of parents of children with cancer is at a medium or above level.The number of children,health status during pregnancy,psychological adaptation and perceived stress are the main influencing factors of parental guilt.Psychological counseling and stress coping are conducive to reducing parental guilt of parents of children with cancer.