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Một đề tài hay, độc lạ về chủ đề hen phế quản tại Việt Nam. Từ trước đến nay tại Việt Nam chưa có nghiên cứu về các căn thẳng, áp lực trên người chăm sóc trẻ bị hen phế quản. Nghiên cứu này tìm hiểu về stress ở cha mẹ chăm sóc trẻ hen phế quản. Đề tài rất hay có thể làm tài liệu tham khảo tốt. Có trích dẫn endnote đầy đủ.
Meiho University Graduate Institute of Health Care Thesis PARENTAL STRESS: CARING FOR A CHILD WITH ASTHMA IN VIETNAM Graduate student: Tran Thi Truc Tam Supervisor:Assistant Professor Ya-Fen Lien July 2015 美美美美美美 美美美美美美美 美美美美 PARENTAL STRESS: CARING FOR A CHILD WITH ASTHMA IN VIETNAM 研研研研Tran Thi Truc Tam 研研研研研Ya-Fen Lien 2015 美 06 美 PARENTAL STRESS: CARING FOR A CHILD WITH ASTHMA IN VIETNAM Graduate student: Tran Thi Truc Tam Supervisor: AssistantProfessor Ya-Fen Lien Meiho University Graduate Institute of Healthcare Thesis A thesis submitted to the Graduate Institute of Health Care of Meiho University In partial fulfillment of the requirement for the degree of Master of Health Care July2015 Abstract Asthma is a public health problem beingcommon among children population.Having children with asthma is challenging for caregivers, especially their parents Elevated levels of stress in parents are associated with poor impacts for both parents and their children Parenting distress affects children’s quality of life, onset and the course of asthma, behavior and emotional functioning On the other side, parents, especially mothers who are always primary caregivers of children with asthma, tend to be more overprotective, overindulgent and rejecting than those of children without asthma In recent years, Vietnam is one of South Asian countries having growing incidence of asthma among school age children A large portion of Vietnamese studies on asthma in children focus mainly on identifying prevalence and incidence of asthma in general population and children subgroups as well However, to date there are no studies on parenting stress among parents taking care of asthmatic children It is therefore necessary to conduct an innovative study on parental stress among parents caring children with asthma A cross-sectional study was conducted from 15 April to 15 May 2015 at Hospital of Tropical Diseases The sampling population is parents of children with asthma visiting the hospital within the study time A structured questionnaire with three well-designed subscales (Parenting Stress Scale; PSS; The Carolina Parent Support Scale; CPSS; and the Patient Health Questionnaire-9; PHQ-9) was developed to serve as instruments used in face-to-face interviews There were a total of 171 parents of asthmatic children enrolled in the study and most of them were female (79.53%) Generally, the age of participants was relative young with 77.19% were under 39 years of age Most of respondents (94.15%) were married and lived with their spouses There were 38.01% participants who had length of marriage lasted from to 10 years and 36.26% had lived together with their spouses more than 10 years The education level of most of participants was not high with the proportions of participants who completed elementary school or secondary schools and participants who completed high school were 30.41% and 42.11%, respectively In general, participants received little social supports, especially from formal sources and informational supports.The mean total parenting stress score among parents of asthmatic children was 39.17 ± 9.69 with a range varied from 21 to 58 point The mean depression score among parents was 10.08 ± 7.32 It meant that 33.88% parents having depression from moderate severe to severe A multiple linear regression analysis showed that depression, education and duration of marriage were the predictors of parenting stress among parents of asthmatic children Acknowledgements First of all, I would like to express my deepest gratitude to my supervisor, Professor Ya-Fen Lien, and other professors who spent valuable time in instructing me to complete this thesis I could not fulfill my thesis without profound knowledge, invaluable advices and supports from my professors All of these made me put more efforts to finish my thesis Many special thanks were also sent to the Board of Directors of Nguyen Tat Thanh University for supporting me during my study I will always remember all university officers for their help, cooperation and kindness during my study period in Viet Nam as well as in Taiwan I would like to send my special thanks to health-care staff in departments of Hospital of Tropical Diseases who have provided precious documents used as reference in my study My great gratitude was also given to officers, librarians, staff of dormitory of Meiho Institute of Technology for their help and sharing as close friends during my time of studying in Taiwan I would like to express my thankfulness to all participants who had no hesitation in giving help and useful information during the data collection of the study process Finally, I am eternally indebted to my family who have always behind me in my career advancement and without their helps and concerns I could not complete my thesis Contents Page Appendix Appendix 1: The questionnaire Appendix 2: Informed consent Appendix 3: Ethical certification for conducting study Appendix 4: Consultant expert forms List of tables Pages List of figures Pages 10 Over the last weeks, how often have you been bothered by any of the following problems? Not at Several More than Nearly all days half the days every day Little interest or pleasure in doing things? Feeling down, depressed, or hopeless? Trouble falling or staying asleep, or sleeping too much? Feeling tired or having little energy? Poor appetite or overeating? Feeling bad about yourself - or that you are a failure or have let yourself or your family down? Trouble concentrating on things, such as reading the newspaper or watching television? Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual? Thoughts that you would be better off dead, or of hurting yourself in some way? Total= /27 THANK YOU FOR ANSWERING THE QUESTIONNAIRE Appendix The informed consent INFORM CONSENT My name: …………………………………………………… ……………………… I agree to participate in the study “PARENTAL STRESS: CARING FOR A CHILD WITH ASTHMA IN VIETNAM” after being explained about the following purposes of the study: Identifyparenting stress among parents of asthmatic children Identify the relationship between parenting stress and demographic characteristics, social supports, and depression among parents of asthmatic children As a participant in the study, I have following rights: All of my private information is only used for scientific purposes and kept absolute secrecy After interviewing, I am counseled about coping strategies in dealing with parenting stress I have the right of refusing to response to any questions that may affect my mental and physical health during the interviewing TP.HCM, day Participant month Interviewers years Appendix The certification of conducing study HO CHI MINH HEALTH SERVICE HOSPITAL OF TROPICAL DISEASES No /34 HĐĐĐ – QĐ THE SOCIALIST REPUBLIC OF VIETNAM Independence – Freedom – Happiness Ho Chi Minh city, The certification of conducting study To : TRAN THI TRUC TAM The Scientific and Ethical Committee on Biomedical Study of Hospital of Tropical Diseases approved for the following study to conduct: − Name of the study: “PARENTAL STRESS: CARING FOR A CHILD WITH − − − − ASTHMA IN VIETNAM” The study code: CS/ND/15/20 Researchers: Hospital Tropical Diseases The study setting: Pediatric department and clinical units Duration of implementation: 15April2015 to 15 April 2015 Sincerely./ The Director ... developing of parenting stress among parents of asthmatic children 2.2 Parental stress 2.2.1 The concepts of stress and parenting stress Lazarus and Folkman(1984)define psychological stress as “a relationshipbetween... dimension of stress Instead, the GIS provides a more comprehensive examination of the three major dimensions of stress: coping resources, environmental stressors, and the perception of stress Each... function as stressors (McCubbin & Patterson, 1991) The presence of these stressors is used as a means of determining the amount of stress being experienced by a family Using thenumber of stressors