癫痫患儿父母心理弹性在积极感受与抑郁关系中的中介作用  

The mediating effect of parental resilience in the relationship between positive feelings and depression in children patients with epilepsy

作　　者：王维杰 张琴[2] 刘培培 李玉丽[2] WANG Weijie;ZHANG Qin;LIU Peipie;LI Yuli(Shandong Provincial Third Hospital,Jinan,250031,China)

机构地区：[1]山东省立第三医院,山东省济南市250031 [2]山东大学护理与康复学院 [3]济宁市微山县人民医院护理部

出　　处：《护理实践与研究》2022年第4期517-520,共4页Nursing Practice and Research

摘　　要：目的探讨癫痫患儿父母积极感受、心理弹性与抑郁的关系。方法2019年8—10月,采用横断面问卷调查的方法调查了山东省某三级甲等医院癫痫患儿父母109例,问卷包括一般人口学问卷、积极感受量表(PAC)、心理弹性简化版量表(CD-RISC10)、抑郁自评量表(SDS),采用Pearson分析法分析三者间的相关关系,并建立结构方程模型进行中介效应检验。结果癫痫患儿父母抑郁得分与心理弹性(r=-0.558,P<0.01)、积极感受(r=-0.368,P<0.01)均呈负相关。结构方程模型分析显示,积极感受正向预测心理弹性(β=0.434,P<0.001),心理弹性负向预测抑郁(β=-0.491,P<0.001),且心理弹性在积极感受与抑郁关系中起完全中介作用。结论照顾者积极感受有助于提高心理弹性水平,进而帮助照顾者减轻抑郁症状,维护心理健康,提高生活质量。Objective To explore the relationship between positive feelings,psychological resilience and depression in parents of children patients with epilepsy was as the study subject.Methods A cross-sectional questionnaire survey was used to investigate 109 parents of children with epilepsy in a tertiary and first-class hospital in Shandong province from August to October 2019.The questionnaires included general demographic questionnaire,positive aspects of caregiving(PAC),Connor-Davidson resilience scale(CD-RISC 10),and self-rating depression scale(SDS).Pearson analysis was used to analyze the correlation among the three,and a structural equation model was established to test the mediating effect.Results The depression scores of parents of children patients with epilepsy were negatively correlated with psychological resilience(r=-0.558,P<0.01)and positive feelings(r=-0.368,P<0.01).The structural equation model analysis showed that positive feelings positively predicted psychological resilience(β=0.434,P<0.001),and resilience negatively predicted depression(β=-0.491,P<0.001),and resilience played a complete mediating effect in the relationship between positive feelings and depression.Conclusion The application of positive feelings of caregivers can help to improve the level of psychological resilience,and then help caregivers to relieve depressive symptoms,maintain mental health,and improve the quality of life.

关 键 词：癫痫患儿 父母 积极感受 心理弹性 抑郁 中介效应 

分 类 号：R47[医药卫生—护理学]