Welcome to visit Zhongnan Medical Journal Press Series journal website!

Influence of parental care burden on quality of life of school-age children with asthma: mediating role of coping style

Published on Dec. 25, 2023Total Views: 1991 timesTotal Downloads: 694 timesDownloadMobile

Author: Fang YANG 1 Jing-Ru ZHOU 1 Xiao-Yan SONG 1 Ting-Ting HU 1 Chun-Ping DU 2 Ying-Juan CUI 3 Lan YANG 4 Si-Lin ZHENG 5

Affiliation: 1. Nursing Department, Deyang People's Hospital, Deyang 618000, Sichuan Province, China 2. Rehabilitation Medical Center of West China Hospital of Sichuan University, Chengdu 610000, China 3. Major Surgery Department of Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, Sichuan Province, China 4. Divisionof Medical Affairs, Zhongnan Hospital of Wuhan University, Wuhan 430000, China 5. Teaching and Research Office, The Affiliated Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, China

Keywords: School age Parents of children with asthma Quality of life Caregiver burden Coping style

DOI: 10.12173/j.issn.1004-5511.202303004

Reference: Yang F, Zhou JR, Song XY, Hu TT, Du CP, Cui YJ, Yang L, Zheng SL. Influence of parental care burden on quality of life of school-age children with asthma: mediating role of coping style[J]. Yixue Xinzhi Zazhi, 2023, 33(6): 429-437. DOI: 10.12173/j.issn.1004-5511.202303004. [Article in Chinese]

  • Abstract
  • Full-text
  • References
Abstract

Objective To explore the mediating role of coping methods between the parental care burden and quality of survival in school-aged asthma children.

Methods Using the method of convenient sampling, the parents of school-age asthmatic children in pediatric clinics of three first-class hospitals in Sichuan Province from January 2021 to July 2021 were selected as the research objects. The general information questionnaire, the parents' coping style scale, the caregiver's burden questionnaire, and the short form of the quality of life measurement scale were used to investigate. Structural equation modeling was used to examine the mediating relationship among coping style, caregiver burden, and quality of life.

Results  A total of 380 questionnaires were collected in this study, of which 366 were valid questionnaires, with an effective rate of 96.3%. The average age of parents was (34.37±5.08) years old, and the average age of children was (7.71±1.70) years old. The average total scores of the caregiver burden scale, coping style scale, and quality of life measurement scale of parents of school-age asthmatic children were (29.56±17.42) points, (163.58±26.47) points, and (88.81±13.29) points; the caregiver burden of parents of school-age asthmatic children There is a pairwise correlation with coping style and quality of life (P < 0.05). Coping style (seeking social support, maintaining self-esteem and psychological stability) plays a partial mediating role in the relationship between caregiver burden and quality of life, with a mediating effect value of 15.1%.

Conclusion School-age asthma children parents quality of survival is not optimistic, caregivers burden overall low burden, overall response in the medium level, coping (seek social support, maintain self-esteem and psychological stability) in school-age asthma parents intermediary burden and quality of survival, suggested that based on this path intervention children parents coping and caregivers burden, to improve the quality of survival.

Full-text
Please download the PDF version to read the full text: download
References

1.杨志彦, 宋春丽.个体化系统性护理干预对支气管哮喘疾病控制效果的影响[J]. 河北医学, 2016, 22(7): 1179-1182. [Yang ZY, Song CL. Effect of individualized systemic care interventions on the control of bronchial asthma disease[J]. Hebei Medicine, 2016, 22(7): 1179-1182.] DOI: 10.3969/j.issn.1006-6233.2016.07.050.

2.李建生, 王至婉, 余学庆, 等.支气管哮喘不同分期证素演变规律研究[J].中医杂志, 2015, 56(13): 1131-1135. [Li JS, Wang ZW, Yu XQ, et al. Evolution rule of syndrome elements on different stages of bronchial asthma[J]. Journal of Traditional Chinese Medicine, 2015, 56(13): 1131-1135.] DOI: 10.13288/j.11-2166/r.2015.13.015.

3.Stern J, Pier J, Litonjua AA. Asthma epidemiology and risk factors[J]. Seminars in Immunopathology, 2020, 42(1): 5-15. DOI: 10.1007/s00281-020-00785-1.

4.全国儿科哮喘协作组, 中国疾病预防控制中心环境与健康相关产品安全所.第三次中国城市儿童哮喘流行病学调查[J].中华儿科杂志, 2013, 51(10): 729-735. [The National Cooperative Group on Childhood Asthma, Institute of Environmental Health and Related Product Safety, Chinese Center for Disease Control and Prevention. Third nationwide survey of childhood asthma in urban areas of China[J]. Chinese Journal of Pediatrics, 2013, 51(10): 729-735.] DOI: 10.3760/cma.j.issn.0578-1310.2013.10.003.

5.甘雯, 赵静维, 王晶晶, 等.学龄期哮喘儿童急性应激障碍的危险因素分析[J].现代预防医学. 2020, (19): 72-75. [Gan W, Zhao JW, Wang JJ, et al. Influencing factors of acute stress disorder in asthma patients with school-aged childen[J]. Modern Preventive Medicine. 2020, 47(19): 72-75.] https://d.wanfangdata.com.cn/periodical/ChhQZXJpb2RpY2FsQ0hJTmV3MjAyMzA4MDYSD3hkeWZ5eDIwMjAxOTAxOBoIdXNycndsdmE%3D.

6.牟京辉, 邵明, 刘传合, 等. 中国城市支气管哮喘儿童与非支气管哮喘儿童食物过敏患病情况比较[J].中华实用儿科临床杂志, 2018, 33(9): 684-687. [Mou JH, Shao M, Liu CH, et al. Comparison of food allergy prevalence of food allergy in children with or without bronchial asthma in city of China[J]. Chinese Journal of Applied Clinical Pediatrics, 2018, 33(9): 684-687.] DOI: 10.3760/cma.j.issn.2095-428X.2018.09.008.

7.陈红敏,陈亚兰.心理行为干预配合家长心理辅导对尿道下裂患儿社会心理与社会生活质量的影响[J].中国健康心理学杂志, 2019, 27(11): 1722-1725. [Chen HM, Chen YL. Influence of psychological behavior intervention combined with parental psychological guidance on the social psychology and quality of social life of children with hypospadias[J]. China Journal of Health Psychology, 2019, 27(11): 1722-1725.] DOI: 10.13342/j.cnki.cjhp.2019.11.030.

8.Roncada C , Medeiros TM, Strassburger MJ, et al. Comparison between the health-related quality of life of children/adolescents with asthma and that of their caregivers: a systematic review and Meta-analysis[J]. J Bras Pneumol, 2020, 46(3): e20190095. DOI: 10.36416/1806-3756/e20190095.

9.Ibrahim NK, Alhainiah M, Khayat M, et al. Quality of life of asthmatic children and their caregivers[J]. Pak J Med Sci, 2019, 35(2): 521-526. DOI: 10.12669/pjms.35.2.686.

10.Bellin MH, Osteen P, Kub J, et al. Stress and quality of life in urban caregivers of children with poorly controlled asthma: a longitudinal analysis[J]. J Pediatr Health Care. 2015, 29(6): 536-546. DOI: 10.1016/j.pedhc.2015.04.018.

11.中华医学会儿科学分会呼吸学组, 《中华儿科杂志》编辑委员会. 儿童支气管哮喘诊断与防治指南(2016年版)[J].中华儿科杂志, 2016, 54(3): 167-181.  [Respiratory Group, Chinese Pediatrics Society of Chinese Medical Association, Editorial Board of Chinese Journal of Pediatrics. Guidelines for the diagnosis and prevention of bronchial asthma in children (2016 edition)[J]. Chinese Journal of Pediatrics, 2016, 54(3): 167-181. DOI: 10.3760/cma.j.issn.0578-1310.2016.03.003.

12.崔焱,仰曙芬.儿科护理[M] .北京:人民卫生出版社, 2017: 302-303. [Cui Y, Yang SF, Pediatric Nursing[M]. Beijing: People's Medical Publishing House, 2017: 302-303.]

13.Novak M, Guest C. A comparison of the impact of institutionalization on spouse and nonspouse caregivers[J]. J Appl Gerontol, 1992, 11(4): 379. DOI: 10.1177/073346489201100401.

14.岳鹏, 付艺, 尚少梅,等. 照顾者负担问卷的信度和效度检验[J].中国心理卫生杂志, 2006(8): 562-564. [Yue P, Fu Y, Shang SM, et al. Reliability and validity of the caregiver burden inventory[J]. Chinese Mental Health Journal, 2006(08): 562-564.] DOI: 10.3321/j.issn:1000-6729.2006.08.026.

15.Mccubbin HI, Mccubbin MA, Patterson JM , et al. CHIP—Coping Health Inventory for Parents: An assessment of parental coping patterns in the care of the chronically ill child[J]. J Marriage Fam, 1983, 45(2): 359-370. https://doi.org/10.2307/351514.

16.李杨,魏珉.父母用应对方式量表在我国慢性病患儿家长中的适用性研究[J].中华护理杂志, 2007, 42(11): 972-975. [Li Y, Wei M. Study of application of the Chinese version of CHIP for parents of children with chronic disease[J]. Chinese Journal of Nursing, 2007, 42(11): 972-975.] https://d.wanfangdata.com.cn/periodical/ChhQZXJpb2RpY2FsQ0hJTmV3MjAyMzA4MDYSD3poaGx6ejIwMDcxMTAwMxoINXJ6eXd0NXo%3D.

17.Irena I, Sandra S, Jovan G, et al. Psychometric properties of the World Health Organization's quality of life (WHOQOL-BREF) questionnaire in medical students[J]. Medicina(Kaunas), 2019, 55(12), 772. DOI: 10.3390/medicina55120772.

18.程敏,张晓琴,何淑贞. 肛门闭锁患儿父母生活质量评价及其影响因素[J].护理研究, 2020, 34(15): 2727-2732. [Cheng M, Zhang XQ, He SZ. Evaluation on quality of life of parents with children having anal atresia and its influencing factors[J]. Chinese Nursing Research, 2020, 34(15): 2727-2732.] DOI: 10.12102/j.issn.1009-6493.2020.15.024.

19.方积乾,郝元涛.生存质量研究的设计与实施[J].中国肿瘤, 2001(2): 9-11. [Fang JQ, Hao YT. Design and implement for research on quality of life, China Cancer, 2001(2): 9-11.] DOI: 10.3969/j.issn.1004-0242.2001.02.004.

20.汤丹丹, 温忠麟. 共同方法偏差检验: 问题与建议[J]. 心理科学, 2020, 43(1): 215-223. [Tang DD, Wen ZL. Statistical approaches for testing common method bias: problems and suggestions[J]. Journal of Psychological Science, 2020, 43(1): 215-223.] DOI: 10.16719/j.cnki.1671-6981.20200130.

21.Roncada C, Dias CP, Goecks S, et al. Usefulness of the WHOQOL-BREF questionnaire in assessing the quality of life of parents of children with asthma[J]. Rev Paul Pediatr, 2015, 33(3): 268-274. DOI: 10.1016/j.rpped.2015.01.007.

22.Roncada C, Soldera K, Andrade J, et al. Evaluation of quality of life of parents and caregivers of asthmatic children[J]. Rev Paul Pediatr, 2018, 36(4): 451-456. DOI: 10.1590/1984-0462/;2018;36;4;00012.

23.朱冰. 支气管哮喘患儿生存质量现状及与家庭照顾者负担的关系分析[J].包头医学, 2020, 44(03): 46-49. [Zhu B. Analysis of the quality of life of children with bronchial asthma and its relationship with family caregiver burden[J]. Journal of Baotou Medicine, 2020, 44(03): 46-49.] DOI: 10.3969/j.issn.1007-3507.2020.03.022.

24.赵静维, 甘雯, 宋勉, 等. 支气管哮喘患儿家庭照顾者负担与应对方式的相关性分析[J].中华现代护理杂志, 2020, 26(34): 4839-4842. [Zhao JW, Gan W, Song M, et al. Correlation analysis between family caregiver burden and coping style in children with bronchial asthma[J]. Chinese Journal of Modern Nursing, 2020, 26(34): 4839-4842.] DOI: 10.3760/cma.j.cn115682-20200414-02721.

25.Everhart RS, Fedele DA, Miadich SA, et al. Caregiver quality of life in pediatric asthma: associations with beliefs and concerns about medications and emergency department use[J]. Clin Pediatr (Phila), 2015, 54(3): 249-256. DOI: 10.1177/0009922814551134.

26.Ekim A, Ocakci AF. Caregiver burden in pediatric asthma: a systematic review[J]. Health Science Journal, 2016, 10(6): 476. DOI: 10.21767/1791-809X.1000476.

27.Garro A. Coping patterns in Latino families of children with asthma[J]. J Pediatr Health Care, 2011, 25(6): 347-354. DOI: 10.1016/j.pedhc.2010.04.005.

28.王佳妮, 李爱求, 李田田,等.哮喘患儿照顾者照顾负担与患儿生存质量的相关性研究[J].中华现代护理杂志, 2018, 24(20): 2414-2418. [Wang JN, Li AQ, Li TT, et al. Correlation between caregiver burden and pediatric patients' life quality among pediatric patients with asthma[J]. Chinese Journal of Modern Nursing, 2018, 24(20): 2414-2418.] DOI: 10.3760/cma.j.issn.1674-2907.2018.20.014.

29.Heath G, Farre A, Shaw K. Parenting a child with chronic illness as they transition into adulthood: a systematic review and thematic synthesis of parents experiences.[J] Patient Educ Couns, 2017, 100(1): 76-92. DOI: 10.1016/j.pec.2016.08.011.

30.顾希茜, 段红梅, 侯小妮,等. 哮喘儿童照顾者家庭疾病管理体验的质性研究[J]. 中华现代护理杂志, 2014,  20(16): 1921-1925. [Gu XQ, Duan HM, Hou XN, et al. Disease management experiences of family caregivers of asthmatic children: a qualitative research[J]. Chinese Journal of Modern Nursing, 2014, 20(16): 1921-1925.] DOI: 10.3760/cma.j.issn.1674-2907.2014.16.009.

31.Cano-Garcinuño A, Mora-Gandarillas I,Bercedo-Sanz A, et al. Looking beyond patients:can parents quality of life predict asthma control in children?[J]. Pediatr Pulmonol, 2016, 51(7): 670-677. DOI: 10.1002/ppul.23336.

32.Chong YY , Mak YW , Loke AY . Psychological flexibility in parents of children with asthma: analysis using a structural equation model[J]. J Child Fam Stud, 2017, 26(9): 1-13. DOI: 10.1007/s10826-017-0757-x.

33.Sikorová L, Bužgová R. Associations between the quality of life of children with chronic diseases, their parents' quality of life and family coping strategies[J]. Cen Eur J of Nurs Midw, 2016, 7(4): 534-541. DOI: 10.15452/CEJNM.2016.07.0026.

34.Carver CS, Vargas S. The Oxford handbook of health psychology: stress, coping, and health[M]. Oxford University Press, 2011. https://doi.org/10.1093/oxfordhb/9780195342819.013.0008.

35.Fawcett R, Porritt K, Stern C, et al. Experiences of parents and carers in managing asthma in children: a qualitative systematic review[J]. JBI Database System Rev Implement Rep, 2017, 15(3): 657-665. DOI: 10.11124/JBISRIR-2017-004019.

36.陈国伟,黄燕林,王涵,等.腹膜透析病人自尊水平在病耻感与生活质量之间的中介效应分析[J].护理研究, 2021, 35(20): 3632-3636. [Chen GW, Huang YL, Wang H, et al. Mediating effect analysis of self-esteem level between stigma and quality of life in peritoneal dialysis patients[J]. Chinese Nursing Research, 2021, 35(20): 3632-3636.] DOI: 10.12102/j.issn.1009-6493.2021.20.011.