急性淋巴细胞白血病患儿父母创伤后应激障碍与情绪调节的相关性研究  

The correlation of post-traumatic stress disorder and emotional regulation of parents with children having acute lymphoblastic leukemia

作　　者：向明丽[1] 麻彦[1] 李艺[1] 苟丽[1] 尼晓丽 Xiang Mingli;Ma Yan;Li Yi;Gou Li;Ni Xiaoli(Department of Pediatric Hematology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China)

机构地区：[1]郑州大学第一附属医院儿童血液肿瘤科,郑州450052

出　　处：《中华现代护理杂志》2019年第18期2282-2285,共4页Chinese Journal of Modern Nursing

基　　金：2017年科技厅社发攻关项目(172102310079).

摘　　要：目的探讨急性淋巴细胞白血病(ALL)患儿父母创伤后应激障碍(PTSD)与情绪调节的相关性。方法采用便利抽样的方法,选取2013年6月—2017年6月于郑州大学第一附属医院住院治疗的233名ALL患儿父母为研究对象。采用创伤后应激障碍自评量表平民版(PCL-C)和情绪调节问卷(ERQ)评估PTSD和情绪调节水平。共发放问卷233份,回收有效问卷233份,有效回收率100%。结果在本研究中,研究对象PCL-C评分为(35.82±4.93)分,其中,回避/麻木维度条目平均分最高,为(2.29±0.36)分;ERQ认知重评和表达抑制条目平均分分别为(4.27±0.64)分和(4.35±0.60)分。Pearson相关性分析发现,PCL-C总分及各维度评分与认知重评均呈负相关(P<0.05),与表达抑制水平呈正相关(P<0.05)。多元线性回归分析显示,认知重评和表达抑制水平是ALL患儿父母PTSD的影响因素(P<0.05)。结论ALL患儿父母存在较为严重的PTSD,且更倾向于采用表达抑制的情绪调节方式。ALL患儿父母PTSD程度与情绪调节能力存在相关性,因此,护理人员应辅导患儿父母提高情绪调节能力,以降低PTSD水平。Objective To explore the correlation between post-traumatic stress disorder (PTSD) and emotional regulation in the parents whose children have acute lymphoblastic leukemia (ALL). Methods By convenient sampling method, a total of 233 parents whose children had ALL were selected in the First Affiliated Hospital of Zhengzhou University from June 2013 to June 2017, and the levels of PTSD and emotional regulation were evaluated by The PTSD Checklist-Civilian Version (PCL-C) and Emotion Regulation Questionnaire (ERQ). A total of 233 questionnaires were distributed and 233 valid ones were retrieved, yielding an effective recovery rate of 100%. Results In this study, the participants got (35.82±4.93) points for PCL-C, among which the highest average item score was (2.29±0.36) points for "Avoid/Numb";the score of "cognitive reappraisal" and "expressive suppression" were (4.27±0.64) and (4.35±0.60) points in ERQ. Pearson correlation analysis showed that the total score and each dimension score in PCL-C were negatively correlated with cognitive reappraisal (P<0.05), and were positively correlated with expressive suppression (P<0.05). Multivariate linear regression analysis showed that cognitive reappraisal and expressive suppression were the influencing factors for PTSD of the parents with ALL children (P<0.05). Conclusions ALL children's parents have serious PTSD and tend to choose the emotional regulation way of expressive suppression. There is correlation between the degree of PTSD in ALL children's parents and their emotional regulating ability, therefore, nursing staff should assist them in the improvement of their emotional regulation ability to reduce the level of PTSD.

关 键 词：白血病 急性淋巴细胞白血病 创伤后应激障碍 情绪调节 

分 类 号：R473.73[医药卫生—护理学]