社区婴儿母亲育儿支持与育儿胜任感及生活质量关系模型探讨  

Discussion on the relationship model among parenting support,parenting competence and quality of life of infant mothers in community

作　　者：刘丹[1] 马国平[1] 郭娟[1] LIU Dan;MA Guoping;GUO Juan(Department of Nursing,Heze Medical College,Heze 274000,China)

机构地区：[1]菏泽医学专科学校护理系,山东菏泽274000

出　　处：《社区医学杂志》2023年第7期367-371,共5页Journal Of Community Medicine

基　　金：山东省教育科学“十三五”规划2020年度课题(2020ZC389);山东省职业技术教育学会2020年度科研课题(ZJXH2020Y35)。

摘　　要：目的 探讨社区婴儿母亲育儿支持、育儿胜任感和生活质量的现状,明确3者的关系模型。方法 2021-03-01-2022-04-30采用便利抽样的方法,分别选取山东省17个地市20个社区的960名婴儿母亲作为研究对象。采用网络问卷进行横断面调查,包括一般情况调查表、婴儿母亲育儿支持问卷、中文版育儿胜任感量表和世界卫生组织生存质量测定量表简表,发放当天回收问卷。共发放问卷960份,回收有效问卷946份,有效回收率为98.54%。应用结构方程模型进行数据分析。结果 社区婴儿母亲的育儿支持、育儿胜任感和生活质量总均分依次为(3.22±0.58)分、(2.93±0.67)分和(2.46±0.80)分;育儿支持总分与育儿胜任感总分(r=-0.425,P<0.001)、生活质量总分(r=-0.691,P<0.001)呈负相关,育儿胜任感总分与生活质量总分呈正相关(r=0.673,P<0.001);社区婴儿母亲的育儿支持、育儿胜任感和生活质量的结构方程模型拟合较好,育儿支持对育儿胜任感和生活质量的直接作用效应分别为-0.27和-0.38(均P<0.05),育儿支持对生活质量的间接作用效应为-0.09(P<0.05),育儿胜任感对生活质量的直接作用效应为0.32(P<0.05)。结论 社区婴儿母亲的育儿支持与育儿胜任感及生活质量存在相互影响作用。社区工作人员应及时评估婴儿母亲的育儿支持需求和育儿胜任感水平,多方配合为其提供有力的育儿支持,提高婴儿母亲的育儿能力,最终促进母亲身心健康。Objective To explore the levels of parenting support and parenting competence of infant mothers in community, as well as their quality of life, and explicit the relationships among the three variables. Methods From March 1, 2021 to April 30, 2022, a total of 960 infant mothers from 20 communities in 17 cities in Shandong Province were selected as research objects by the method of convenience sampling. A cross-sectional survey was conducted using online questionnaires, including the general situation questionnaire, the parenting support questionnaire for infant mothers, the Chinese versionof parenting sense of competence scale and the world health organization the quality of life-BREF. Questionnaires were collected on the day of distribution. A total of 960 questionnaires were sent out, and 946 were effectively received, with effective recovery rate of 98.54%. The structural equation model was used to analyze the data. Results The infant mothers' parenting support, parenting competence and quality of life were 3.22±0.58,2.93±0.67 and 2.46±0.80. There was a negativecorrelation between parenting support and parenting competence(r=-0.425, P<0.001) and quality of life(r=-0.691, P<0.001), and a positive correlation between parenting competence and quality of life(r=0.673, P<0.001). The structural equation model fit well for the parenting support, parenting competence and quality of life of infant mothers in the community. The direct effect of parenting support on parenting competence and quality of life were-0.27 and-0.38(all P<0.05), and the indirect effect of parenting support on quality of life was-0.09(P<0.05). The direct effect of parenting competence on quality of life was 0.32(P<0.05). Conclusions The parenting support of infant mothers in community has interaction with parenting competence and quality of life. Community workers should timely assess the needs of mothers for parenting support and the level of parenting competence, provide effective parenting support for them in various ways, improve the parent

关 键 词：婴儿母亲 育儿支持 育儿胜任感 生活质量 

分 类 号：R749.4[医药卫生—神经病学与精神病学]