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过敏性紫癜性肾炎患儿父母需求、社会支持与焦虑的相关性研究

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目的 探讨过敏性紫癜性肾炎(henoch-schonlein purpura nephritis,HSPN)患儿父母需求、社会支持与焦虑情绪的相关性。方法 采用便利抽样法,选取2020年8月-2023年8月在南京医科大学附属儿童医院住院的524例HSPN患儿父母作为研究对象,使用一般资料调查表、中文改良版危重患者家属需求量表(获取信息、病情保证、亲近患者的需求、家属自身的舒适和医护人员支持)、社会支持评定量表和焦虑自评量表(SAS)进行问卷调查。使用Pearson相关性分析患儿父母需求、社会支持与焦虑的相关性。使用多元线性回归分析HSPN患儿父母产生焦虑情绪的影响因素。结果 SAS得分在患儿年龄、病程、家庭人均月收入及父母受教育程度方面,差异有统计学意义(P<0。05)o Pearson相关性分析结果显示,HSPN患儿父母SAS得分与需求呈显著正相关(P<0。05),与社会支持呈显著负相关(P<0。05)。经多元线性回归分析,患儿年龄、病程、家庭人均月收入、父母受教育程度、需求和社会支持是HSPN患儿父母焦虑的影响因素(P<0。05)。结论 HSPN患儿父母需求、社会支持与焦虑情绪的发展呈明显相关性,患儿父母需求情况及获取的社会支持程度可影响焦虑水平。医护人员应根据HSPN患儿父母具体情况评估其需求,采取有效干预措施,提供情感支持,以缓解患儿父母焦虑情绪。
Correlation of Needs,Social Support and Anxiety in Parents of Children with Henoch-schonlein Purpura Nephritis
Objective To investigate the correlation of needs,social support and anxiety in parents of children with henoch-schonlein purpura nephritis(HSPN).Methods Parents of 524 children with HSPN admitted to Children's Hospital of Nanjing Medical University from August 2020 to August 2023 were selected as the research subjects by convenience sampling.Questionnaire surveys were conducted using the general information questionnaire,the modi-fied Chinese version of the Critical Care Family Needs Inventory(information acquisition,condition assurance,the need of getting close to patients,family members'comfort,and support from medical staff),the Social Support Rating Scale and the Self-rating Anxiety Scale(SAS).Pearson method was used to analyze the correlation of parents'needs,social support,and anxiety.Multivariable linear regression analysis was conducted to identify the influencing factors of anxiety among parents of children with HSPN.Results There were statistically significant differences in SAS scores in terms of children's age,course of disease,per capita monthly income in the family and parents'educational level(P<0.05).Pearson correlation analysis found that the SAS scores of parents of children with HSPN were positively correlated with their needs(P<0.05),and negatively correlated with social support(P<0.05).Multivariable linear regression analysis found that children's age,course of illness,per capita monthly income in the family,parents'educational level,needs and social support were influencing factors of anxiety in parents of children with HSPN(P<0.05).Conclusion There is a significant correlation between needs,social support and anxiety in parents of children with HSPN.Parents'needs and social support they receive affect their anxiety level.Medical staff should evaluate the needs of parents of children with HSPN based on their specific circumstances,take effective in-tervention measures and provide emotional support to alleviate parents'anxiety.

Henoch-schonlein purpura nephritis(HSPN)Parents of the childNeedSocial supportAnxietyCorrelation

张慧、张莉莉、王莹

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南京医科大学附属儿童医院肾脏科,江苏 南京,210000

过敏性紫癜性肾炎 患儿父母 需求 社会支持 焦虑 相关性

江苏省南京市卫计委科技发展重点项目

ZKX15042

2024

中国社会医学杂志
华中科技大学同济医学院

中国社会医学杂志

CSTPCD
影响因子:1.193
ISSN:1673-5625
年,卷(期):2024.41(3)
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