急性白血病患兒父母心理彈性、社會(huì)支持與生活質(zhì)量的相關(guān)性研究
發(fā)布時(shí)間：2018-10-09 09:52
【摘要】：目的了解急性白血病患兒父母心理彈性、社會(huì)支持、生活質(zhì)量的現(xiàn)狀,分析急性白血病患兒父母心理彈性、生活質(zhì)量的影響因素,探討急性白血病患兒父母的心理彈性、社會(huì)支持與生活質(zhì)量三者之間的相關(guān)性。方法本研究屬于描述性研究,采取便利抽樣法,選取鄭州大學(xué)第一附屬醫(yī)院小兒血液科(小兒內(nèi)科三病區(qū)、小兒內(nèi)科五病區(qū))2014年11月-2015年1月期間住院的260名急性白血病患兒父母為研究對(duì)象,采用一般情況調(diào)查表、心理彈性量表(CD-RISC)、社會(huì)支持評(píng)定量表(SSRS)、生活質(zhì)量測(cè)定量表(WHOQOL-BREF中文版)進(jìn)行問卷調(diào)查。采用SPSS17.0統(tǒng)計(jì)軟件對(duì)資料進(jìn)行統(tǒng)計(jì)學(xué)分析。采用統(tǒng)計(jì)描述的方法分析患兒及父母的一般資料、心理彈性、社會(huì)支持、生活質(zhì)量總分及各維度得分情況;采用方差分析、t檢驗(yàn)等分析不同人口社會(huì)學(xué)資料對(duì)患兒父母心理彈性、生活質(zhì)量的影響因素;采用相關(guān)分析,發(fā)現(xiàn)三者之間的相關(guān)性;通過多元逐步回歸分析,確定影響患兒父母生活質(zhì)量的主要因素。結(jié)果1.急性白血病患兒父母的心理彈性總得分為52.93±18.42分,其中堅(jiān)韌緯度得分為27.58±10.43分,自強(qiáng)緯度得分為17.96±6.49分,樂觀緯度得分為7.38±4.06分,以自強(qiáng)維度各條目得分最高,堅(jiān)韌維度各條目得分最低。采用t檢驗(yàn)及方差分析對(duì)不同人口社會(huì)學(xué)一般資料的心理彈性總得分進(jìn)行比較,結(jié)果顯示與患兒不同親子關(guān)系、不同職業(yè)的患兒父母的心理彈性總得分差異有統(tǒng)計(jì)學(xué)意義(P0.05)。2.急性白血病患兒父母社會(huì)支持總得分為36.96±7.22分,其中客觀支持得分5.46±0.46分,主觀支持24.51±4.77分,對(duì)支持的利用度得分為6.97±1.64分,以客觀支持維度各條目均分最高,支持利用度維度各條目均分最低。3.急性白血病患兒父母生活質(zhì)量總得分為44.04±6.81分,其中生理領(lǐng)域得分為12.25±2.16分,心理領(lǐng)域得分為10.86.36±2.07分,社會(huì)關(guān)系領(lǐng)域得分為12.91±1.92分,環(huán)境領(lǐng)域得分為10.39±2.36分,采用t檢驗(yàn)及方差分析對(duì)不同人口社會(huì)學(xué)一般資料的生活質(zhì)量總得分進(jìn)行比較,結(jié)果顯示患兒疾病類型、與患兒不同親子關(guān)系、付費(fèi)方式三個(gè)方面的生活質(zhì)量總得分差異有統(tǒng)計(jì)學(xué)意義(P0.05)。4.除心理領(lǐng)域與支持利用度維度、樂觀維度與社會(huì)關(guān)系領(lǐng)域外,心理彈性、社會(huì)支持和生活質(zhì)量及其其它各維度均呈正相關(guān)。5.以生活質(zhì)量為因變量,社會(huì)支持、心理彈性各維度為自變量,多元逐步回歸進(jìn)行分析顯示,影響生活質(zhì)量的主要因素有堅(jiān)韌、主觀支持、支持利用度。結(jié)論1.急性白血病患兒父母的心理彈性、社會(huì)支持及生活質(zhì)量均處于較低水平。心理彈性方面,影響心理彈性的人口社會(huì)學(xué)因素主要有與患兒不同親子關(guān)系,不同職業(yè)。生活質(zhì)量方面,影響生活質(zhì)量的人口社會(huì)學(xué)因素主要有患兒疾病類型、與患兒關(guān)系及付費(fèi)方式。2.患兒父母心理彈性及各維度、社會(huì)支持與生活質(zhì)量除社會(huì)關(guān)系與樂觀維度、心理領(lǐng)域與支持利用度維度外,其余各維度均呈正相關(guān)。3.社會(huì)支持中的主觀支持維度、支持利用度和心理彈性的堅(jiān)韌維度能很好的預(yù)測(cè)患兒父母生活質(zhì)量水平。
[Abstract]:Objective To investigate the status of psychological elasticity, social support and quality of life in children with acute leukemia. There is a correlation between social support and quality of life. Methods A descriptive study was conducted to study the parents of 260 children with acute leukemia hospitalized from November 2014 to January 2015 from November 2014 to January 2015 in the First Affiliated Hospital of Zhengzhou University. A questionnaire was used for questionnaire, psychological elasticity scale (CD-RISC), social support scale (SSRS) and quality of life measurement (WHOQOL-BREF Chinese version). Statistical analysis of data was carried out using SPSS 10.0 statistical software. The general information, psychological elasticity, social support, life quality total score and each dimension score of the children and their parents were analyzed by means of statistical description. The factors influencing the psychological elasticity and quality of life of children were analyzed by means of variance analysis and t-test. Correlation analysis was used to find the correlation between them, and the main factors affecting the quality of life of parents were determined by stepwise regression analysis. Result 1. The psychological elasticity of parents in children with acute leukemia has to be divided into 52. 93 and 18. 42, among which the tough latitude is divided into 27. 58 and 10.43, the self-strengthening latitude is divided into 17. 96 and 6.49, and the optimistic latitude is divided into 7. 38 and 4.06. The score of each item in the self-improvement dimension is the highest, and the score of each item of the tenacity dimension is the lowest. Using t-test and variance analysis, the author compared the general psychological elasticity scores of the general information of different demographic sociology, and the results showed that there was a significant difference in the psychological elastic total scores of parents with different parentage and different occupations (P0.05). The social support of parents in children with acute leukemia has to be divided into 36. 96 and 7. 22 points, among which, the objective support score is 5. 46, 0. 46, the subjective support is 24. 51 and 4.77, and the utilization degree of support is divided into 6. 97 to 1.64, with the highest average distribution of each item in the objective support dimension, and the lowest... The quality of life of parents in children with acute leukemia has to be divided into 44. 04 to 6.81, among which the physiological fields are divided into 12. 25 and 2.16, and the psychological field is divided into 10.86. 36 and 2.07, and the social relations are divided into 12.91 and 1.92, and the environmental field is divided into 10.39 and 2.36, Using t-test and variance analysis to compare the general score of life quality of general information of different population sociology, the results showed that there was significant difference in the quality of life quality in the three aspects of children's disease type, parent-child relationship and payment method (P0.05). In addition to psychological field and support utilization dimension, there is positive correlation between optimistic dimension and social relation domain, psychological elasticity, social support and quality of life and other dimensions. The multivariate stepwise regression analysis showed that the quality of life was dependent on variable, social support and psychological elasticity, and the main factors influencing the quality of life were strong, subjective and supportive. Conclusion 1. The psychological elasticity, social support and quality of life of children with acute leukemia were lower. In the aspect of psychological elasticity, the social factors which influence the psychological elasticity mainly have different parentage and different occupation. In terms of quality of life, the demographic sociological factors affecting the quality of life mainly include the type of disease, the relationship between the children and the method of payment. Children's parents' psychological elasticity and dimensions, social support and life quality, besides social relations and optimistic dimension, psychological field and support utilization dimension, the remaining dimensions are positive correlation. 3. The subjective support dimension in social support, support the degree of utilization and the resilience of psychological elasticity can well predict the quality of life of the parents.
【學(xué)位授予單位】：鄭州大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R473.73
本文編號(hào)：2258904
[Abstract]:Objective To investigate the status of psychological elasticity, social support and quality of life in children with acute leukemia. There is a correlation between social support and quality of life. Methods A descriptive study was conducted to study the parents of 260 children with acute leukemia hospitalized from November 2014 to January 2015 from November 2014 to January 2015 in the First Affiliated Hospital of Zhengzhou University. A questionnaire was used for questionnaire, psychological elasticity scale (CD-RISC), social support scale (SSRS) and quality of life measurement (WHOQOL-BREF Chinese version). Statistical analysis of data was carried out using SPSS 10.0 statistical software. The general information, psychological elasticity, social support, life quality total score and each dimension score of the children and their parents were analyzed by means of statistical description. The factors influencing the psychological elasticity and quality of life of children were analyzed by means of variance analysis and t-test. Correlation analysis was used to find the correlation between them, and the main factors affecting the quality of life of parents were determined by stepwise regression analysis. Result 1. The psychological elasticity of parents in children with acute leukemia has to be divided into 52. 93 and 18. 42, among which the tough latitude is divided into 27. 58 and 10.43, the self-strengthening latitude is divided into 17. 96 and 6.49, and the optimistic latitude is divided into 7. 38 and 4.06. The score of each item in the self-improvement dimension is the highest, and the score of each item of the tenacity dimension is the lowest. Using t-test and variance analysis, the author compared the general psychological elasticity scores of the general information of different demographic sociology, and the results showed that there was a significant difference in the psychological elastic total scores of parents with different parentage and different occupations (P0.05). The social support of parents in children with acute leukemia has to be divided into 36. 96 and 7. 22 points, among which, the objective support score is 5. 46, 0. 46, the subjective support is 24. 51 and 4.77, and the utilization degree of support is divided into 6. 97 to 1.64, with the highest average distribution of each item in the objective support dimension, and the lowest... The quality of life of parents in children with acute leukemia has to be divided into 44. 04 to 6.81, among which the physiological fields are divided into 12. 25 and 2.16, and the psychological field is divided into 10.86. 36 and 2.07, and the social relations are divided into 12.91 and 1.92, and the environmental field is divided into 10.39 and 2.36, Using t-test and variance analysis to compare the general score of life quality of general information of different population sociology, the results showed that there was significant difference in the quality of life quality in the three aspects of children's disease type, parent-child relationship and payment method (P0.05). In addition to psychological field and support utilization dimension, there is positive correlation between optimistic dimension and social relation domain, psychological elasticity, social support and quality of life and other dimensions. The multivariate stepwise regression analysis showed that the quality of life was dependent on variable, social support and psychological elasticity, and the main factors influencing the quality of life were strong, subjective and supportive. Conclusion 1. The psychological elasticity, social support and quality of life of children with acute leukemia were lower. In the aspect of psychological elasticity, the social factors which influence the psychological elasticity mainly have different parentage and different occupation. In terms of quality of life, the demographic sociological factors affecting the quality of life mainly include the type of disease, the relationship between the children and the method of payment. Children's parents' psychological elasticity and dimensions, social support and life quality, besides social relations and optimistic dimension, psychological field and support utilization dimension, the remaining dimensions are positive correlation. 3. The subjective support dimension in social support, support the degree of utilization and the resilience of psychological elasticity can well predict the quality of life of the parents.
【學(xué)位授予單位】：鄭州大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R473.73
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