Skip to main content
Top
Published in: BMC Pediatrics 1/2023

Open Access 01-12-2023 | Glaucoma | Research

Current situation and influencing factors of disease uncertainty in parents of children with Sturge‒Weber syndrome: a retrospective study

Authors: Na Du, Yue Wu, Shanshan Xiong, Hong Ji, Lulu Huang, Wenyi Guo, Changjuan Zeng

Published in: BMC Pediatrics | Issue 1/2023

Login to get access

Abstract

Background

Sturge Weber syndrome (SWS), can cause extensive capillary malformations on the face, head, trunk, and other parts of the body, and the eyes can also suffer optic nerve injury. Secondary glaucoma can cause blindness, which has the characteristics of a relatively hidden onset and unclear pathogenesis. The treatment of SWS secondary glaucoma has always been difficult, and due to the characteristics of the disease, there is uncertainty about the long-term efficacy and safety of various treatment methods for such patients.

Methods

A total of 105 parents of children with SWS completed a self-designed general information questionnaire, a generalized anxiety questionnaire (GAD-7), a patient health questionnaire (PHQ-2), a stress perception scale (PSS-4), a simple coping scale (SCSQ) and a disease-uncertainty scale (PPUS).

Results

The total uncertainty score of parents of children with SWS was 79.07 ± 13.24, and the average item score was 2.82 ± 0.47. Multiple linear regression analysis revealed that anxiety and simple coping were the main influencing factors of disease uncertainty among parents of children with SWS (P < 0.05).

Conclusions

Parents of children with SWS exhibit a high level of disease uncertainty. Medical staff should pay attention to the source of parents' disease uncertainty and provide targeted interventions, which are of great importance in reducing parents' disease uncertainty.
Literature
1.
go back to reference Zallmann M, Leventer RJ, Mackay MT, Ditchfield M, Bekhor PS, Su JC. Screening for Sturge-Weber syndrome: A state-of-the-art review. Pediatr Dermatol. 2018;35(1):30–42.CrossRefPubMed Zallmann M, Leventer RJ, Mackay MT, Ditchfield M, Bekhor PS, Su JC. Screening for Sturge-Weber syndrome: A state-of-the-art review. Pediatr Dermatol. 2018;35(1):30–42.CrossRefPubMed
2.
go back to reference Waelchli R, Aylett SE, Robinson K, Chong WK, Martinez AE, Kinsler VA. New vascular classification of port-wine stains: improving prediction of Sturge-Weber risk. Br J Dermatol. 2014;171(4):861–7.CrossRefPubMedPubMedCentral Waelchli R, Aylett SE, Robinson K, Chong WK, Martinez AE, Kinsler VA. New vascular classification of port-wine stains: improving prediction of Sturge-Weber risk. Br J Dermatol. 2014;171(4):861–7.CrossRefPubMedPubMedCentral
3.
go back to reference Mantelli F, Bruscolini A, La Cava M, Abdolrahimzadeh S, Lambiase A. Ocular manifestations of Sturge-Weber syndrome: pathogenesis, diagnosis, and management. Clin Ophthalmol. 2016;10:871–8. Mantelli F, Bruscolini A, La Cava M, Abdolrahimzadeh S, Lambiase A. Ocular manifestations of Sturge-Weber syndrome: pathogenesis, diagnosis, and management. Clin Ophthalmol. 2016;10:871–8.
5.
go back to reference Shirley MD, Tang H, Gallione CJ, Baugher JD, Frelin LP, Cohen B, et al. Sturge-Weber syndrome and port-wine stains caused by somatic mutation in GNAQ. N Engl J Med. 2013;368(21):1971–9.CrossRefPubMedPubMedCentral Shirley MD, Tang H, Gallione CJ, Baugher JD, Frelin LP, Cohen B, et al. Sturge-Weber syndrome and port-wine stains caused by somatic mutation in GNAQ. N Engl J Med. 2013;368(21):1971–9.CrossRefPubMedPubMedCentral
6.
go back to reference Wu Y, Yu RJ, Chen D, Xu L, Li M, Zhu L, et al. Glaucoma in Patients with eyes close to areas affected by port-wine stain has lateral and gender predilection. Chin Med J (Engl). 2017;130(24):2922–6. Wu Y, Yu RJ, Chen D, Xu L, Li M, Zhu L, et al. Glaucoma in Patients with eyes close to areas affected by port-wine stain has lateral and gender predilection. Chin Med J (Engl). 2017;130(24):2922–6.
7.
go back to reference Petrongolo JL, Zelikovsky N, Keegan RM, Furth SL, Knight A. Examining uncertainty in illness in parents and children with chronic kidney disease and systemic lupus erythematosus: a mediational model of internalizing symptoms and health-related quality of life. J Clin Psychol Med Settings. 2020;27(1):31–40.CrossRefPubMed Petrongolo JL, Zelikovsky N, Keegan RM, Furth SL, Knight A. Examining uncertainty in illness in parents and children with chronic kidney disease and systemic lupus erythematosus: a mediational model of internalizing symptoms and health-related quality of life. J Clin Psychol Med Settings. 2020;27(1):31–40.CrossRefPubMed
8.
go back to reference Cypress BS. Understanding uncertainty among critically ill patients in the intensive care unit using mishel’s theory of uncertainty of illness. Dimens Crit Care Nurs. 2016;35(1):42–9.CrossRefPubMed Cypress BS. Understanding uncertainty among critically ill patients in the intensive care unit using mishel’s theory of uncertainty of illness. Dimens Crit Care Nurs. 2016;35(1):42–9.CrossRefPubMed
9.
go back to reference Minton C, Batten L, Huntington A. A multicase study of prolonged critical illness in the intensive care unit: Families’ experiences. Intensive Crit Care Nurs. 2019;50:21–7.CrossRefPubMed Minton C, Batten L, Huntington A. A multicase study of prolonged critical illness in the intensive care unit: Families’ experiences. Intensive Crit Care Nurs. 2019;50:21–7.CrossRefPubMed
10.
go back to reference Wong P, Liamputtong P, Koch S, Rawson H. Barriers to regaining control within a constructivist grounded theory of family resilience in ICU: Living with uncertainty. J Clin Nurs. 2017;26(23–24):4390–403.CrossRefPubMed Wong P, Liamputtong P, Koch S, Rawson H. Barriers to regaining control within a constructivist grounded theory of family resilience in ICU: Living with uncertainty. J Clin Nurs. 2017;26(23–24):4390–403.CrossRefPubMed
11.
go back to reference Verberne LM, Kars MC, Schouten-van MA, van den Bergh E, Bosman DK, Colenbrander DA, et al. Parental experiences and coping strategies when caring for a child receiving paediatric palliative care: a qualitative study. Eur J Pediatr. 2019;178(7):1075–85.CrossRefPubMedPubMedCentral Verberne LM, Kars MC, Schouten-van MA, van den Bergh E, Bosman DK, Colenbrander DA, et al. Parental experiences and coping strategies when caring for a child receiving paediatric palliative care: a qualitative study. Eur J Pediatr. 2019;178(7):1075–85.CrossRefPubMedPubMedCentral
12.
go back to reference de Hosson M, Goossens P, De Backer J, De Wolf D, Van Hecke A. Needs and experiences of adolescents with congenital heart disease and parents in the transitional process: a qualitative study. J Pediatr Nurs. 2021;61:90–5.CrossRefPubMed de Hosson M, Goossens P, De Backer J, De Wolf D, Van Hecke A. Needs and experiences of adolescents with congenital heart disease and parents in the transitional process: a qualitative study. J Pediatr Nurs. 2021;61:90–5.CrossRefPubMed
13.
go back to reference Webster M. The cycle of uncertainty: parents’ experiences of childhood epilepsy. Sociol Health Illn. 2019;41(2):205–18.CrossRefPubMed Webster M. The cycle of uncertainty: parents’ experiences of childhood epilepsy. Sociol Health Illn. 2019;41(2):205–18.CrossRefPubMed
14.
go back to reference Yali P, Jing L. Correlation between parents’illness uncertainty and psychologic statusin children with idiopathic membranous nephropathy. Henan Med Res. 2021;30(32):6045–8. Yali P, Jing L. Correlation between parents’illness uncertainty and psychologic statusin children with idiopathic membranous nephropathy. Henan Med Res. 2021;30(32):6045–8.
15.
go back to reference Spitzer RL, Kroenke K, Williams JB, Lowe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166(10):1092–7.CrossRefPubMed Spitzer RL, Kroenke K, Williams JB, Lowe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166(10):1092–7.CrossRefPubMed
16.
go back to reference He XY, Li CB, Qian J, Cui HS, Wu WY. Reliability and validity of ageneralized anxiety disorder scale in general hospital outpatients. Shanghai Psych. 2010;22(04):200–3. He XY, Li CB, Qian J, Cui HS, Wu WY. Reliability and validity of ageneralized anxiety disorder scale in general hospital outpatients. Shanghai Psych. 2010;22(04):200–3.
17.
go back to reference Kroenke K, Spitzer RL, Williams JB. The Patient Health Questionnaire-2: validity of a two-item depression screener. Med Care. 2003;41(11):1284–92.CrossRefPubMed Kroenke K, Spitzer RL, Williams JB. The Patient Health Questionnaire-2: validity of a two-item depression screener. Med Care. 2003;41(11):1284–92.CrossRefPubMed
18.
go back to reference Arroll B, Goodyear-Smith F, Crengle S, Gunn J, Kerse N, Fishman T, et al. Validation of PHQ-2 and PHQ-9 to screen for major depression in the primary care population. Ann Fam Med. 2010;8(4):348–53.CrossRefPubMedPubMedCentral Arroll B, Goodyear-Smith F, Crengle S, Gunn J, Kerse N, Fishman T, et al. Validation of PHQ-2 and PHQ-9 to screen for major depression in the primary care population. Ann Fam Med. 2010;8(4):348–53.CrossRefPubMedPubMedCentral
19.
go back to reference Rong S, Hua Z, Hao Z, Qinyi S. The application value of PHQ-9 and PHQ-2 scales in the screening of depression in patients with malignant tumors. Elec J Clin Med Literature. 2019;6(A3):85–6. Rong S, Hua Z, Hao Z, Qinyi S. The application value of PHQ-9 and PHQ-2 scales in the screening of depression in patients with malignant tumors. Elec J Clin Med Literature. 2019;6(A3):85–6.
20.
go back to reference Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24(4):385–96.CrossRefPubMed Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24(4):385–96.CrossRefPubMed
21.
go back to reference Kang R. Research on the intervention effect of mindfulness-based stress reduction training on academic procrastination in nursing undergraduates. Anhui: Bengbu Medical College; 2020. Kang R. Research on the intervention effect of mindfulness-based stress reduction training on academic procrastination in nursing undergraduates. Anhui: Bengbu Medical College; 2020.
22.
go back to reference Yaning J. A preliminary study on the reliability and validity of the simplified coping style scale. Chin J Clin Psychol. 1998;02:53–4. Yaning J. A preliminary study on the reliability and validity of the simplified coping style scale. Chin J Clin Psychol. 1998;02:53–4.
23.
go back to reference Jiaxuan M, Wanhua X, Chunhua Ma, Yeqing D, Lili D. Initial revision of Chinese version of parents, perception of uncertainty scale. China J Pract Nurs. 2013;29(28):46–50. Jiaxuan M, Wanhua X, Chunhua Ma, Yeqing D, Lili D. Initial revision of Chinese version of parents, perception of uncertainty scale. China J Pract Nurs. 2013;29(28):46–50.
24.
go back to reference Hong S, Hong G. Effect of informational support on uncertainty in illness among mastectomy patients. Chin J Nurs. 2004;04:7–9. Hong S, Hong G. Effect of informational support on uncertainty in illness among mastectomy patients. Chin J Nurs. 2004;04:7–9.
25.
go back to reference Ren Ping Wu, Ying HG. Analysis on Factors that In fluence Parental Uncertainty in Illness among Children with Brain Tumors. Shanghai Nurs. 2021;21(06):28–33. Ren Ping Wu, Ying HG. Analysis on Factors that In fluence Parental Uncertainty in Illness among Children with Brain Tumors. Shanghai Nurs. 2021;21(06):28–33.
26.
go back to reference Fang T, Shun L, Ting C, Li Z, Weilang D, Hong Y. The status of uncertainty in illness and its influencing factors among parents of children with Kawasaki disease complicated by coronary artery aneurysm. China J Pract Nurs. 2019;10:727–32. Fang T, Shun L, Ting C, Li Z, Weilang D, Hong Y. The status of uncertainty in illness and its influencing factors among parents of children with Kawasaki disease complicated by coronary artery aneurysm. China J Pract Nurs. 2019;10:727–32.
27.
go back to reference Yan Z, Zhengyi W, Xiulan W. The effectiveness of IIFAR-based information support on the disease uncertainty of preterm infants, fathers. China Clin Nursing. 2021;10(13):614–8. Yan Z, Zhengyi W, Xiulan W. The effectiveness of IIFAR-based information support on the disease uncertainty of preterm infants, fathers. China Clin Nursing. 2021;10(13):614–8.
28.
go back to reference Tingting Zhu, Maojie Chen. Correlation analysis between disease uncertainty and negative psychology of parent in children with primary nephrotic syndrome. J Bengbu Med College. 2019;44(12):1710–3. Tingting Zhu, Maojie Chen. Correlation analysis between disease uncertainty and negative psychology of parent in children with primary nephrotic syndrome. J Bengbu Med College. 2019;44(12):1710–3.
29.
go back to reference Bin W, Chuanbo C, Yanjie Li. Disease uncertainty and its influencing factors of family members of young patients with breast cancer. General Nurs. 2017;15(10):1153–5. Bin W, Chuanbo C, Yanjie Li. Disease uncertainty and its influencing factors of family members of young patients with breast cancer. General Nurs. 2017;15(10):1153–5.
30.
go back to reference Kolemen AB, Akyuz E, Toprak A, Deveci E, Yesil G. Evaluation of the parents’ anxiety levels before and after the diagnosis of their child with a rare genetic disease: the necessity of psychological support. Orphanet J Rare Dis. 2021;16(1):402.CrossRefPubMedPubMedCentral Kolemen AB, Akyuz E, Toprak A, Deveci E, Yesil G. Evaluation of the parents’ anxiety levels before and after the diagnosis of their child with a rare genetic disease: the necessity of psychological support. Orphanet J Rare Dis. 2021;16(1):402.CrossRefPubMedPubMedCentral
31.
go back to reference Lina D, Tao L, Huijun Z. Uncertainty in illness and its influencing factors of family members of elder pafients with colostomy. Chin J Nurs. 2015;50(09):1047–51. Lina D, Tao L, Huijun Z. Uncertainty in illness and its influencing factors of family members of elder pafients with colostomy. Chin J Nurs. 2015;50(09):1047–51.
32.
go back to reference Chahal N, Jelen A, Rush J, Manlhiot C, Boydell KM, Sananes R, et al. Kawasaki Disease With Coronary Artery Aneurysms: Psychosocial Impact on Parents and Children. J Pediatr Health Care. 2017;31(4):459–69.CrossRefPubMed Chahal N, Jelen A, Rush J, Manlhiot C, Boydell KM, Sananes R, et al. Kawasaki Disease With Coronary Artery Aneurysms: Psychosocial Impact on Parents and Children. J Pediatr Health Care. 2017;31(4):459–69.CrossRefPubMed
33.
go back to reference Ho SH, Soong WJ, Wang KK. Stress and uncertainty in parents of children with tracheobronchial malacia and stenosis. Nurs Crit Care. 2019;24(6):399–406.CrossRefPubMed Ho SH, Soong WJ, Wang KK. Stress and uncertainty in parents of children with tracheobronchial malacia and stenosis. Nurs Crit Care. 2019;24(6):399–406.CrossRefPubMed
34.
go back to reference Zhirong H, Mei L, Zhengzhong L, Nini M, Dongmei X, Yujuan L,et al. Effect of running family empowerment program for parents of premature infants. J Nurs. 2021;21(36):37–40. Zhirong H, Mei L, Zhengzhong L, Nini M, Dongmei X, Yujuan L,et al. Effect of running family empowerment program for parents of premature infants. J Nurs. 2021;21(36):37–40.
Metadata
Title
Current situation and influencing factors of disease uncertainty in parents of children with Sturge‒Weber syndrome: a retrospective study
Authors
Na Du
Yue Wu
Shanshan Xiong
Hong Ji
Lulu Huang
Wenyi Guo
Changjuan Zeng
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2023
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-023-03857-x

Other articles of this Issue 1/2023

BMC Pediatrics 1/2023 Go to the issue