应对方式在肾病综合征患儿父母心理韧性与照顾能力间的中介效应  

Mediating effect of coping style on parental resilience and caregiving ability in children with nephrotic syndrome

作　　者：冯晟铭 古丽苏木汗·阿布来提 梁颖[2] 阿衣古丽·阿巴斯 FENG Shengming;Gulisumuhan Abulaiti;LIANG Ying;Ayiguli Abasi(Department of Pediatrics,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China;不详)

机构地区：[1]新疆医科大学第一附属医院儿科,乌鲁木齐830054 [2]新疆医科大学公共卫生学院

出　　处：《浙江医学》2023年第9期939-944,共6页Zhejiang Medical Journal

基　　金：新疆维吾尔自治区自然科学基金资助项目(2019D01C224)。

摘　　要：目的探讨应对方式在肾病综合征(NS)患儿父母心理韧性与照顾能力间的中介效应。方法采用便利抽样法,选取2021年6月至2022年7月新疆医科大学第一附属医院265例NS患儿父母为研究对象,使用心理韧性量表(CDRISC)、应对方式问卷(MCMQ)、家属照顾能力量表(FCTI)进行问卷调查,采用Pearson相关分析心理韧性、应对方式、照顾能力间的相关性;运用AMOS 23.0软件构建结构方程模型,并用Bootstrap置信区间评估法对模型进行检验。结果共有251例NS患儿父母完成研究。CD-RISC总分为(60.48±9.20)分,MCMQ总分为(48.78±5.83)分,FCTI总分为(29.23±5.69)分;相关分析显示,NS患儿父母心理韧性与照顾能力呈正相关(P<0.01),面对应对方式与心理韧性、照顾能力均呈正相关(均P<0.01)。心理韧性对照顾能力、面对应对方式有直接正向效应(β=0.431和0.629,均P<0.01),并通过面对应对方式的中介效应间接影响照顾能力,其中介效应占总效应的35.38%。结论心理韧性对NS患儿父母照顾能力有直接预测作用,面对应对方式在心理韧性与照顾能力之间起部分中介作用。Objective To explore the mediating effect of coping style on parental resilience and caregiving ability in children with nephrotic syndrome(NS).Methods By convenience sampling method,265 parents of children with NS admitted in the First Affiliated Hospital of Xinjiang Medical University from June 2021 to July 2022 were enrolled in the study.The Connor-Davidson resilience scale(CD-RISC),medical coping modes questionnaire(MCMQ)and family caregiver task inventory(FCTI)were used for the survey.Pearson correlation was used to analyze the correlation among psychological resilience,coping style and caring ability.AMOS 23.0 was used for the structural equation model,which was tested by Bootstrap confidence interval evaluation method.Results A total of 251 parents of NS children completed the study.The total score of CD-RISC was(60.48±9.20),MCMQ was(48.78±5.83)and FCTI was(29.23±5.69).Correlation analysis showed that parents'psychological resilience was positively correlated with their caring ability(P<0.01),and coping styles were positively correlated with their psychological resilience and caring ability(both P<0.01).Psychological resilience had a direct positive effect on caring ability and coping style(β=0.431 and 0.629,both P<0.01),and indirectly affected caring ability through the mediating effect of coping style,which was accounted for 35.38% of the total effect.Conclusion Psychological resilience can directly predict the caring ability in parents of NS children,and coping style plays a partial mediating role between psychological resilience and caring ability.

关 键 词：肾病综合征患儿 应对方式 心理韧性 家属照顾能力 中介效应 

分 类 号：R473.72[医药卫生—护理学]