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目的:调查青少年慢性病患者创伤后成长现状并分析其影响因素。方法:通过便利抽样的方法,选取2014年7月至2015年6月在北京协和医院儿科门诊就诊及住院治疗的194名青少年慢性病患者为研究对象,采用儿童版创伤后成长量表等工具,调查其创伤后成长现状并分析其影响因素。结果:青少年慢性病患者创伤后成长总分为(15.54±7.23)分,5个维度得分由高到低依次为:对生活的欣赏,与他人关系的改善,个人力量的增强,新的可能性的发生,精神方面的改变。多元线性回归分析结果显示,患儿年龄、性别、父母文化程度、家庭月收入、应对方式(自我安慰)、社会支持6个变量共解释了患儿创伤后成长总得分的26.3%。结论:青少年慢性病患者创伤后成长水平较低。患儿年龄、性别、父母文化程度、家庭月收入、应对方式(自我安慰)、社会支持是其影响因素。
Objective: To investigate the status of posttraumatic growth in adolescent with chronic diseases and to analyze its influencing factors. Methods: A total of 194 adolescent patients with chronic diseases treated in pediatric outpatient department and hospitalized in Peking Union Medical College Hospital from July 2014 to June 2015 were selected as subjects for convenience sampling. The children’s post-traumatic growth scale and other tools were selected to investigate The post-traumatic growth status and analysis of its influencing factors. Results: The total score of post-traumatic growth of adolescent chronic diseases was (15.54 ± 7.23) points, and the scores of five dimensions were from high to low: appreciation of life, improvement of relationship with others, enhancement of personal power, new possibility Occurrences, mental changes. Multivariate linear regression analysis showed that children’s age, gender, parental education, family monthly income, coping style (self-comfort), social support 6 variables explained a total of 26.3% of children’s total post-traumatic growth score. Conclusion: Adolescent patients with chronic diseases have a lower level of post-traumatic growth. Children’s age, gender, parental education, family monthly income, coping style (self-comfort), social support is the influencing factor.