摘要
目的 调查糖尿病患儿家庭抗逆力现状,分析其影响因素。方法 采用便利抽样法选取143例糖尿病患儿家庭作为研究对象,采用调查问卷收集一般资料、父母用应对方式得分和中文版事件相关反刍性沉思得分,并调查家庭坚韧性得分(满分80分)。采用多重线性回归探究家庭坚韧性得分水平的影响因素,并采用限制性立方样条探究应对方式得分与事件相关反刍性沉思得分和家庭坚韧性得分水平之间潜在的剂量-反应关系。结果 糖尿病患儿家庭坚韧性评分得分为58分,多重线性回归分析显示,家庭月收入越高,患儿年龄越小,有糖尿病家族史,应对方式得分高,事件相关反刍性沉思得分低是家庭坚韧性得分增加的独立影响因素。曲线拟合显示应对方式得分与家庭坚韧性得分之间存在剂量-反应关系(曲线关系P<0.001),且在不同患儿年龄中关系不一致(交互项P<0.001)。结论 糖尿病患儿家庭抗逆力处于中等水平,医务人员针对家庭抗逆力影响因素制定干预计划并实施,提升糖尿病患儿家庭的抗逆力水平,提高其疾病认知与管理能力,促进患儿康复。
Objective To investigate the family resilience of children with diabetes and analyze its influencing factors.Methods A total of 143 parents of children with diabetes were selected as subjects by convenience sampling method.Questionnaire was used to collect general information,parents’coping style scores and Chinese version of event related rumination scores.The family tenacity scores(total 80 points)were surved,multiple linear regression was used to explore the influencing factors on family tenacity scores,and a restricted cubic spline was applied to explore the potential dose-response relationship among coping style scores,event related rumination scores,and family resilience scores.Results The average family tenacity score of children with diabetes was 58 points.Multiple linear regression analysis showed that the higher the family monthly income,the younger the children with diabetes.Family with diabetes history would scores higher in coping style.The low score of event related ruminant meditation was independent factors for the increase of family tenacity score.The curve fitting showed that there was a significant dose-response relationship between coping style scores and family resilience scores(curve relationship P<0.001),and the relationship was inconsistent among different ages of children(interaction term P<0.001).Conclusion The family resilience of children with diabetes is at a medium level.The medical staff formulate and implement intervention plans for the factors affecting family resilience,improve the resilience of families with diabetes,improve their disease awareness and management ability,and promote the recovery of children with diabetes.
作者
徐春杰
张广超
程淑园
王宇鹰
李腾
XU Chunjie;ZHANG Guangchao;CHENG Shuyuan;WANG Yuying;LI Teng(Department of Pediatrics,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Ophthalmology Center,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《河南医学研究》
2025年第24期4444-4449,共6页
Henan Medical Research
基金
河南省医学科技攻关计划(联合共建)项目(LHGJ20190073)
郑州大学第一附属医院院内项目(HLKY2023011)。
关键词
糖尿病
儿童
家庭抗逆力
应对方式
影响因素
护理
diabetes
children
family resilience
response methods
influencing factor
nursing
