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Journal of Nursing ›› 2022, Vol. 29 ›› Issue (23): 1-6.doi: 10.16460/j.issn1008-9969.2022.23.001

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Status Quo of Parental Guilt of Parents of Children with Cancer and Its Influencing Factors：A 220-case Study

LIU Wen-chong1, GE Hong-xia1, CHENG Fang-fang2, SHEN Ting-ting1, LIN Huan1   

  1. 1. School of Nursing, Shandong University of Traditional Chinese Medicine, Jinan 250300, China;
    2. Dept.of Pediatric Oncology,Tumor Affiliated Hospital of Shandong First Medical University, Jinan 250117,China
  • Received:2022-07-04 Online:2022-12-10 Published:2023-01-13

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Abstract: Objective To investigate the current status of parental guilt in parents of children with cancer and analyze its influencing factors. Methods From November 2021 to April 2022, 220 parents of children with cancer from a tertiary grade-A hospital in Shandong Province were selected by convenience sampling method and they were surveyed by using general information questionnaire, Parental Guilt Scale, Psychological Adaptation Scale, the Chinese Perceived Stress Scale And Perceived Social Support Scale. Multiple regression analysis was used to analyze the influencing factors of parental guilt in parents of children with cancer. Results The total score of parental guilt of parents of children with cancer was 51.37±9.17. Multiple regression analysis showed that the number of children, health status during pregnancy, psychological adaptation and perceived stress entered the regression equation (P<0.01), which explained 47.9% of the total variation of parental guilt of parents of children with cancer. Conclusion The parental guilt of parents of children with cancer is at a medium or above level. The number of children, health status during pregnancy, psychological adaptation and perceived stress are the main influencing factors of parental guilt. Psychological counseling and stress coping are conducive to reducing parental guilt of parents of children with cancer.

Key words: parents of children with cancer, parental guilt, psychological adaptation, perceived stress, perceived social support

CLC Number: 

  • R473.72
[1] Steliarova-Foucher E, Colombet M, Ries LAG, et al.International Incidence of Childhood Cancer, 2001-10: A Population-based Registry Study[J]. Lancet Oncol, 2017,18(6):719-731. DOI:10.1016/S1470-2045(17)30186-9.
[2] Sung H, Ferlay J, Siegel RL, et al.Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries[J]. CA Cancer J Clin, 2021, 71(3):209-249. DOI:10.3322/caac.21660.
[3] Surkan PJ, Kreicbergs U, Valdimarsdóttir U, et al.Perceptions of Inadequate Health Care and Feelings of Guilt in Parents after the Death of a Child to a Malignancy: A Population-based Long-term Follow-up[J].J Palliat Med, 2006, 9(2):317-331. DOI:10.1089/jpm.2006.9.317.
[4] Haslam D, Filus A, Finch J.The Guilt about Parenting Scale (GAPS): Development and Initial Validation of A Self-report Measure of Parenting Guilt, and the Relationship between Parenting Guilt and Work and Family Variables[J]. J Child Fam Stud, 2020,29(3):880-894. DOI:10.1007/s10826-019-01565-8.
[5] Hawkins L, Centifanti LCM, Holman N, et al.Parental Adjustment following Pediatric Burn Injury: The Role of Guilt, Shame, and Self-compassion[J]. J Pediatr Psychol, 2019,44(2):229-237. DOI:10.1093/jpepsy/jsy079.
[6] Sánchez-Rodríguez R, Orsini é, Laflaquière E, et al.Depression, Anxiety, and Guilt in Mothers with Burnout of Preschool and School-aged Children: Insight from a Cluster Analysis[J]. J Affect Disord, 2019,259:244-250. DOI:10.1016/j.jad.2019.08.031.
[7] Racine NM, Khu M, Reynolds K, et al.Quality of Life in Pediatric Cancer Survivors: Contributions of Parental Distress and Psychosocial Family Risk[J]. Curr Oncol, 2018,25(1):41-48. DOI:10.3747/co.25.3768.
[8] 乔建中,王蓓. 霍夫曼虚拟内疚理论:内疚研究的心理学进展[J]. 中国临床康复, 2005,9(40):180-182. DOI:10.3321/j.issn:1673-8225.2005.40.046.
[9] Kim WO, Kang HS, Cho KJ, et al.Comparative Study on Parenting Stress, Guilt, Parenting Attitude, and Parenting Satisfaction between Mothers with a Hemophilic Child and a Healthy Child[J]. Korean J Women Health Nurs, 2008,14(4):270-277. DOI:10.4069/kjwhn.2008.14.4.270.
[10] Ortega J, Vázquez N, Flores C, et al.Mental Health and Psychological Adaptation on Parents of Children with Neuromuscular Diseases[J]. Child Health Care, 2022,51(1):62-78. DOI:10.1080/02739615.2021.1961581.
[11] 胡雁,王志稳.护理研究[M].5版.北京:人民卫生出版社,2017.
[12] 曾练平,陈诗,黄海坤.父母养育内疚感量表中文版测评小学生父母的效度和信度[J].中国心理卫生杂志, 2021,35(11):935-940. DOI:10.3969/j.issn.1000-6729.2021.11.009.
[13] Biesecker BB, Erby LH, Woolford S, et al.Development and Validation of the Psychological Adaptation Scale (PAS): Use in Six Studies of Adaptation to a Health Condition or Risk[J]. Patient Educ Couns, 2013, 93(2):248-254. DOI:10.1016/j.pec.2013.05.006.
[14] 王梦佳,张瑞星,常明钰,等.心理适应量表的汉化及信效度检验[J].中华护理杂志, 2021,56(1):155-159. DOI:10.3761/j.issn.0254-1769.2021.01.026.
[15] Cohen S, Kamarck T, Mermelstein R.A Global Measure of Perceived Stress[J]. J Health Soc Behav, 1983,24(4):385-396. DOI:10.2307/2136404.
[16] 杨廷忠,黄汉腾.社会转型中城市居民心理压力的流行病学研究[J].中华流行病学杂志, 2003(9):11-15. DOI:10.3760/j.issn:0254-6450.2003.09.004.
[17] Zimet GD, Dahlem NW, Zimet SG, et al.The Multidimensional Scale of Perceived Social Support[J]. J Pers Assess, 1988, 52(1):30-41. DOI:10.1207/s15327752jpa5201_2.
[18] 汪向东,王希林,马弘.心理卫生评定量表手册(增订版)[M].北京:中国心理卫生杂志社,1999:131-133.
[19] 谭香艺,杨玉云,杨祎玲,等.癌症患儿家长自悯能力现状及相关因素分析[J].护理学杂志, 2021,36(13):79-82. DOI:10.3870/j.issn.1001-4152.2021.13.079.
[20] 蒋琴,张彩霞,孟影,等.169例先天性心脏病患儿父母感知脆弱现状及影响因素分析[J].护理学报, 2019,26(20):33-37. DOI:10.16460/j.issn1008-9969.2019.20.033.
[21] 程爽,熊振芳,蔡艺,等.父母接受孤独症儿童诊断经历质性研究的系统评价[J].护理学报, 2021,28(9):35-42. DOI:10.16460/j.issn1008-9969.2021.09.035.
[22] Bursztejn AC, Shourick J, Bodemer C, et al.Feelings of Guilt in Parents of Children with Atopic Dermatitis[J]. J Eur Acad Dermatol Venereol, 2022,36(2):e155-e157. DOI:10.1111/jdv.17712.
[23] Biesecker BB, Erby L.Adaptation to Living with a Genetic Condition or Risk: A Mini-review[J]. Clin Genet, 2008, 74(5):401-407. DOI:10.1111/j.1399-0004.2008.01088.x.
[24] 王梦佳. 血液肿瘤患儿照顾者心理适应影响因素及心路历程研究[D].郑州:郑州大学,2021.
[25] Gurtovenko K, Fladeboe KM, Galtieri LR, et al.Stress and Psychological Adjustment in Caregivers of Children with Cancer[J]. Health Psychol, 2021,40(5):295-304. DOI:10.1037/hea0001070.
[26] Malek J, Pereira S, Robinson JO, et al.Responsibility, Culpability, and Parental Views on Genomic Testing for Seriously Ill Children[J]. Genet Med, 2019,21(12):2791-2797. DOI:10.1038/s41436-019-0570-6.
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