儿童肝移植受者父母的心理社会负担
Psychosocial Burden in Parents of Pediatric Liver Transplant Recipients.
摘要(中文译文)
接受肝移植儿童的父母面临巨大的照护需求，可能对其多个方面的心理健康产生不良影响。对该人群心理社会结局的系统性评估仍然有限，尤其是在包含移民家庭的环境中。这是一项单中心横断面研究，纳入50名肝移植后儿童的父母。主要社会人口学变量包括父母年龄、性别、教育程度、慢性疾病及移民状态。我们还记录了儿童的人口学资料、移植相关数据、随访结果及心理健康状态。精神科评估工具包括广泛性焦虑障碍7项量表（GAD-7；焦虑）、患者健康问卷-9（PHQ-9；抑郁）、感知压力量表-10（PSS-10；压力）和匹兹堡睡眠质量指数（PSQI；睡眠质量）。我们纳入了50名儿童肝移植受者的50名父母（43名土耳其公民，7名叙利亚移民；28名父亲，22名母亲；平均年龄：40.10 ± 6.65岁）。移植后时间与PHQ-9和GAD-7呈弱负相关。压力（PSS）水平与PSQI、PHQ-9和GAD-7呈弱至强正相关。睡眠质量（PSQI）与PHQ-9和GAD-7呈正相关。抑郁结果（PHQ-9）与GAD-7呈强正相关。在Firth惩罚多变量模型中，高PHQ-9评分与较短的移植后时间（= 0.001）和高PSS（= 0.003）独立相关。高GAD-7评分与较短的移植后时间（= 0.025）和高PSS（= 0.001）独立相关。儿童肝移植受者的父母经历高水平的压力、睡眠问题、抑郁和焦虑，这些表现出多重相关性。
Abstract
: Parents of children undergoing liver transplantation face substantial caregiving demands that may adversely affect their mental health across multiple domains. Systematic evaluation of psychosocial outcomes in this population remains limited, particularly in settings that include immigrant families. : This was a single-center, cross-sectional study including the parents of 50 children after liver transplantation. Major sociodemographic variables included parental age, sex, education, chronic disease, and immigration status. We also recorded children's demographics, transplant-related data, follow-up findings, and mental health status. Instruments for psychiatric assessment included the Generalized Anxiety Disorder 7-item scale (GAD-7; anxiety), Patient Health Questionnaire-9 (PHQ-9; depression), Perceived Stress Scale-10 (PSS-10; stress), and Pittsburgh Sleep Quality Index (PSQI; sleep quality). : We enrolled 50 parents of 50 pediatric liver transplant recipients (43 Turkish citizens, 7 Syrian immigrants; 28 fathers, 22 mothers; mean age: 40.10 ± 6.65). Time since transplantation showed weak negative correlation with PHQ-9 and GAD-7. Stress (PSS) levels had weak to strong positive correlation with PSQI, PHQ-9, and GAD-7. Sleep quality (PSQI) was positively correlated with PHQ-9 and GAD-7. Depressive findings (PHQ-9) were strongly and positively correlated with GAD-7. In Firth-penalized multivariable models, high PHQ-9 scores were independently associated with shorter time since transplantation ( = 0.001) and high PSS ( = 0.003). High GAD-7 scores were independently associated with shorter time since transplantation ( = 0.025) and high PSS ( = 0.001). : The parents of pediatric liver transplant recipients experience high levels of stress, sleep issues, depression, and anxiety, which demonstrate multiple correlations.
如何引用
AMA
Serkan Suren, Deniz Yavuz Baskiran, Irem Tulum, Adil Baskiran, Sezai Yilmaz. Psychosocial Burden in Parents of Pediatric Liver Transplant Recipients.. Healthcare (Basel, Switzerland). 2026; doi:10.3390/healthcare14101384.
APA
Serkan Suren, Deniz Yavuz Baskiran, Irem Tulum, Adil Baskiran, Sezai Yilmaz (2026). Psychosocial Burden in Parents of Pediatric Liver Transplant Recipients.. Healthcare (Basel, Switzerland). https://doi.org/10.3390/healthcare14101384
GB/T 7714
Serkan Suren, Deniz Yavuz Baskiran, Irem Tulum, Adil Baskiran, Sezai Yilmaz. Psychosocial Burden in Parents of Pediatric Liver Transplant Recipients.[J]. Healthcare (Basel, Switzerland), 2026 doi:10.3390/healthcare14101384.
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