NHỮNG TÁC NHÂN GÂY CĂNG THẲNG VÀ CHIẾN LƯỢC ỨNG PHÓ VỚI CĂNG THẲNG CỦA TRẺ VỊ THÀNH NIÊN MẮC BỆNH MẠN TÍNH

Abstract

Objectives: We performed this study with the goal of describing stressors and analyzing the association between stressors and stress coping strategies in adolescents with chronic disease. Methods: This is a cross-sectional descriptive study, conducted on 81 patients aged 10 to 16 years (58.1% male) currently being treated for type 1 diabetes and nephrotic syndrome at Vietnam National Children's Hospital. Assessment tools included a questionnaire on illness specific stressors and the Coping with a Disease Questionnaire (CODI). Results: Children with nephrotic syndrome reported significantly higher levels of stress related to changes in daily life due to illness, and family anxiety-related stress was significantly higher than children with type 1 diabetes (p<0.05). There was no significant difference in the use of coping strategies between the two disease groups. In which, wishful thinking was used the most (4.52), followed by avoidance (2.90), acceptance (2.77), cognitive–palliative (2.42), distance (2.08), and emotional reaction (1.91). Coping strategies such as acceptance, avoidance, cognitive–palliative, and wishful thinking were not correlated with any of the stressors. However, emotional reaction was positively correlated with p<0.01 for all three types of stressors, namely life change, health status, and disease uncertainty.