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学龄期肾病综合征患儿自我感受负担水平及其相关影响因素分析

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目的:分析学龄期肾病综合征(NS)患儿自我感受负担水平及其相关影响因素。方法:选取 2022 年 8 月—2023 年 9 月莆田学院附属医院收治的 97 例学龄期NS患儿作为研究对象,采用自我感受负担量表(SPBS)评估患儿自我感受负担现状,采用一般资料调查问卷、儿童慢性病韧性量表(CICRS)、家庭关怀度指数问卷(APGAR)调查,并比较不同特征学龄期NS患儿的SPBS评分,分析相关影响因素。结果:97 例学龄期NS患儿,SPBS评分为(32。46±4。62)分,处于中等水平。不同家庭人均月收入、发病频率、心理韧性、家庭关怀度的学龄期NS患儿SPBS评分比较,差异有统计学意义(P<0。05)。多元线性回归分析结果显示,家庭人均月收入低、发病频率高、心理韧性低、家庭关怀度低下是学龄期NS患儿自我感受负担的影响因素(P<0。05)。结论:学龄期NS患儿自我感受负担处于中等水平,而家庭人均月收入低、发病频率高、心理韧性低、家庭关怀度低下均是其影响因素。对此临床护理人员应积极对患儿开展针对性的心理疏导,引导家人给予更多的关爱与支持,缓解患儿负性情绪,改善自我感受负担。
Analysis of Self-perceived Burden Level and Its Related Influencing Factors in School-age Children with Nephrotic Syndrome
Objective:To analyze the self-perceived burden level and its related influencing factors in school-age children with nephrotic syndrome(NS).Method:A total of 97 school-age children with NS admitted to the Affiliated Hospital of Putian University from August 2022 to September 2023 were selected as the study objects,self-perceived burden scale(SPBS)was used to assess the current status of the children's self-perceived burden.General information questionnaire,chronic illness children's resilience scale(CICRS)and family APGAR index(APGAR)were used to investigate.SPBS scores of NS children of school age with different characteristics were compared and the related influencing factors were analyzed.Result:The SPBS score of 97 school-age children with NS was(32.46±4.62)points,which was in the middle level.There were statistically significant differences in SPBS scores of school-age NS children with different family per capita monthly income,incidence frequency,psychological resilience and family care degree(P<0.05).Multiple linear regression analysis showed that low family per capita monthly income,high incidence frequency,low psychological resilience and low family care degree were the influencing factors of self-perceived burden of school-age children with NS(P<0.05).Conclusion:The self-perceived burden of school-age children with NS is at a medium level,low family per capita monthly income,high incidence frequency,low mental toughness and low family care degree are the influencing factors.In this regard,clinical nursing staff should actively carry out targeted psychological counseling for children,guide people to give more care and support,alleviate negative emotions of children,and improve the burden of self-feeling.

Nephrotic syndromeSchool-age childrenSelf-perceived burdenInfluencing factor

吴琳晶、黄静

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莆田学院附属医院 福建 莆田 351100

肾病综合征 学龄期儿童 自我感受负担 影响因素

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(16)