Development trajectory and influencing factors of pediatric medical traumatic stress in parents with children undergoing surgery: a latent growth mixture model
10.3760/cma.j.cn211501-20221031-03329
- VernacularTitle:手术患儿父母医疗创伤应激症状的发展轨迹及影响因素：基于潜变量增长混合模型研究
- Author:
Wangwang OU
1
;
Yuhong LI
;
Lianghui MA
;
Xiaorui HE
Author Information
1. 安徽医科大学护理学院，合肥 230601
- Keywords:
Child;
Surgical procedures, operative;
Parents;
Pediatric medical traumatic stress symptoms;
Development trajectory;
Influencing factors;
Latent growth mixt
- From:
Chinese Journal of Practical Nursing
2023;39(21):1620-1627
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the development trajectory and influencing factors of pediatric medical traumatic stress in parents of children undergoing surgery, so as to provide reference for targeted intervention measures in the later stage.Methods:Adopting prospective research design, from January 2022 to August 2022, convenience sampling was used to recruit 199 parents of children undergoing surgery in the pediatric surgery ward of the First Affiliated Hospital of University of Science and Technology of China as subjects. The level of medical traumatic stress symptoms in parents was investigated by the PTSD Checklist for DSM-5 at one day before surgery, during postoperative recovery, after discharge and 3 months after discharge. The general data questionnaire, Parents′ Perception of Uncertainty Scale, Hospital Anxiety and Depression Scale, Simplified Coping Style Questionnaire and Perceived Social Support Scale were used to investigate the influencing factors of medical traumatic stress symptoms in parents one day before the operation.Latent growth mixture model and binary Logistic regression were used to analyze the data.Results:The development trajectory of pediatric medical traumatic stress in parents of children undergoing surgery was divided into two categories: the first was low-level decline (90.5%, 180/199) and the second was high-level stability (9.5%, 19/199). Binary Logistic regression analysis showed that postoperative complications, surgical type and negative coping styles of parents were the main influencing factors of pediatric medical traumatic stress trajectory in parents of surgical children(all P<0.05). Conclusions:The pediatric medical traumatic stress in parents of children undergoing surgery have group heterogeneity trajectory, medical staff can formulate targeted and individualized intervention programs according to their trajectories and influencing factors.
