1型糖尿病儿童及青少年父母创伤后成长现状及影响因素分析

Status and influencing factors of post-traumatic growth of parents of children and adolescents with type 1 diabetes mellitus

目的分析1型糖尿病(T1DM)儿童及青少年父母创伤后成长现状及影响因素。方法采用便利抽样法,选取2022年3月—2023年3月就诊于首都医科大学附属北京儿童医院糖尿病护理咨询门诊的T1DM患儿父母为研究对象,采用一般资料调查表、创伤后成长评定量表、简易应对方式问卷、领悟社会支持量表对患儿父母进行调查。结果本研究共发放200份问卷,回收有效问卷187份,问卷有效回收率为93.5%(187/200)。T1DM患儿父母创伤后成长评定量表总分为(60.28±18.37)分;简易应对方式问卷中积极应对得分为(22.40±6.94)分,消极应对为(8.94±4.58)分;领悟社会支持量表总分为(57.39±14.57)分。多重线性回归分析结果显示,患儿HbA1c、家庭月收入、文化程度、积极应对和领悟社会支持是T1DM患儿父母创伤后成长的影响因素,共解释了T1DM患儿父母创伤后成长的33.8%的变异。结论T1DM患儿父母创伤后成长处于中等水平,医护人员应该多关注血糖控制欠佳、文化程度较低、家庭月收入较低的患儿父母,从积极心理学角度去引导,鼓励父母采取积极有效的应对策略,并强调社会支持的重要性,从而提高T1DM患儿父母的创伤后成长水平。

Objective To analyze the status quo and influencing factors of post-traumatic growth of parents of children and adolescents with type 1 diabetes mellitus(T1DM).Methods The convenient sampling method was used to select parents of children with T1DM who were admitted to the diabetes care consultation clinic of Beijing Children's Hospital,Capital Medical University from March 2022 to March 2023 as the research objects.The parents of children were investigated by general information questionnaire,Posttramnatic Growth Inventory,Simplified Coping Style Questionnaire and Perceived Social Support Scale.Results A total of 200 questionnaires were sent out in this study,and 187 were effectively collected,with an effective recovery rate of 93.5%(187/200).The total score of Posttramnatic Growth Inventory for parents of T1DM children was(60.28±18.37).The positive coping score in Simplified Coping Style Questionnaire was(22.40±6.94)and the negative coping score was(8.94±4.58).The total score of Perceived Social Support Scale was(57.39±14.57).The results of multiple linear regression analysis showed that HbA1c,monthly family income,educational level,positive coping strategies and perceived social support were the influencing factors for the post-traumatic growth of parents of T1DM children,explaining 33.8%of the variation in post-traumatic growth of parents of T1DM children.Conclusions The post-traumatic growth of parents of T1DM children is at a moderate level.Medical staff should pay more attention to parents of children with poor blood sugar control,low educational level and low monthly family income,guide them from the perspective of positive psychology,encourage parents to adopt positive and effective coping strategies and emphasize the importance of social support,so as to improve the level of post-traumatic growth of parents of children with T1DM.