بررسي سطح استرس، اضطراب و افسردگي والدين كودكان مبتلا به لوسمي: گزارش كوتاه

Evaluation of stress, anxiety and depression in parents of children with leukemia: brief report

زمینه و هدف: تشخیص و درمان سرطان در كودك تنش روانی ایجاد می‌كند كه اغلب اثر منفی بر سلامت والدین دارد. این مطالعه با هدف تعیین سطح استرس و اضطراب و افسردگی والدین با كودك مبتلا به لوسمی انجام شد. روش بررسی: پژوهش حاضر مطالعه‌ای مقطعی بر روی والدین با كودك مبتلا به لوسمی مراجعه‌كننده به كلینیك بیمارستان دكتر شیخ مشهد در سال 94 بود كه با روش نمونه‌گیری آسان انجام شد. گردآوری داده‌ها با پرسشنامه DASS-21 صورت گرفت. یافته‌ها: مطالعه بر روی 48 والد انجام شد. نتایج پژوهش نشان داد در مطالعه حاضر 37% استرس، 79% اضطراب و 67% افسردگی داشتند. بین سطح درآمد والدین و اضطراب و بین سطح تحصیلات و افسردگی ارتباط معنادار وجود داشت، ولی بین سن و جنس با سه متغیر فوق ارتباطی یافت نشد. نتیجه‌گیری: این مطالعه نشان داد كه سطح استرس و افسردگی به ویژه اضطراب در بین والدین كودكان مبتلا به لوسمی قابل توجه می‌باشد.

Background: Cancer diagnosis is the biggest stress for the child and his family. Diagnosis and treatment of cancer in children can cause stress, which often has a negative effect on the health of parents. Psychological reactions such as anxiety, depression, denial and loss of confidence in parents observed that because of the fear of recurrence and future of children. This study aimed to determine the level of stress and anxiety and depression in parents of children with leukemia who were in the maintenance phase of treatment. Methods: This cross-sectional study has been conducted on 48 parents have referred to the clinic of Dr. Sheikh Hospital of Mashhad City, Iran, whom selected using easy sampling method. DASS-21 questionnaire was used for data collection. Another questionnaire containing demographic information such as age, sex, income, educational level and duration of illness was filled under supervision of the psychologist and pediatric physician. Data with SPSS software, ver. 20 (IBM, Armonk, NY, USA), descriptive statistics and Pearson correlation analysis was performed. Results: The results showed that in this study, 37% had abnormal stress levels (33% and 2% of mild stress, moderate stress and severe stress 2%) and 79% had abnormal anxiety level (mild 19%, moderate 31% and severe 29%) and 67% had abnormal depression level (mild 33%, moderate depression 33%) tests, respectively. In our study, there was no relationship between age, sex and duration of illness with these variables. Conclusion: According to this study, in addition to the classic treatment of patients, parent’s mental performance should be paid attention.