应对方式在腹股沟疝手术患儿母亲家庭关怀度与心理压力的中介效应  

The mediating effect of coping style on degree of family care and maternal psychological stress in children with inguinal hernia surgery

作　　者：王秋霞[1] 徐琪 付彬[1] 梁晏惠 丁金霞[2] WANG Qiuxia;XU Qi;FU Bin;LIANG Yanhui;DING Jinxia(Department of General Surgery,Pediatric Surgery,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,China;Department of Oncology,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,China)

机构地区：[1]安徽医科大学第一附属医院普外科小儿外科病区,安徽合肥230022 [2]安徽医科大学第一附属医院肿瘤科,安徽合肥230022

出　　处：《安徽医学》2023年第10期1250-1254,共5页Anhui Medical Journal

基　　金：安徽省教育厅基金(编号:2019jyxm0983)。

摘　　要：目的探讨应对方式在腹股沟疝手术患儿母亲家庭关怀度与心理压力的中介效应。方法采用横断面调查方法,选择2021年2月至2022年2月安徽医科大学第一附属医院因腹股沟疝行手术治疗的105例患儿母亲为研究对象。采用一般资料调查表、家庭关怀指数(APGAR)、简易应对方式问卷表、压力知觉量表(PSS)对患儿母亲家庭关怀度、应对方式及心理压力进行调查,分析家庭关怀度、应对方式与心理压力间的关系。结果患儿母亲APGAR平均得分为(5.82±0.68)分,而积极应对和消极应对的平均分分别为(1.75±0.48)和(1.58±0.62)分,总体PSS评分为(29.31±5.02)分。APGAR总分、各维度评分与患儿母亲积极应对方式(r=0.368~0.573,P<0.05)及PSS评分(r=0.677~0.703,P<0.05)均呈正相关,而与消极应对方式(r=-0.347~-0.672,P<0.05)存在负相关,且应对方式评分与PSS间也存在明显的相关性(r=0.634或-0.620,P<0.001)。应对方式在家庭关怀度与患儿母亲心理压力之间存在中介效应,占比为43.21%。结论腹股沟疝手术患儿母亲心理压力与家庭关怀度有关,其中应对方式在其中可能具有中介效应,良好的家庭关怀度有助于减轻母亲心理压力。Objective To investigate the mediating effect of coping style on family caring degree and psychological stress of mothers with inguinal hernia surgery.Methods A total of 105 mothers of children with inguinal hernia who underwent surgical treatment in the First Affiliated Hospital of Anhui Medical University from February 2021 to February 2022 were enrolled in cross-sectional investigation.The family caring degree,coping style and psychological stress were investigated by using the general data questionnaire,Family Caring Index(APGAR),simple coping style questionnaire and stress perception Scale(PSS),and the relationship between family caring degree,coping style and psychological stress was analyzed.Results The average APGAR score of the mothers was(5.82±0.68),the average score of positive coping and negative coping was(1.75±0.48)and(1.58±0.62),respectively,and the overall PSS score was(29.31±5.02).The total APGAR score and the scores of each dimension were positively correlated with the positive coping style(r=0.368~0.573,P<0.05)and PSS score(r=0.677~0.703,P<0.05),but negatively correlated with the negative coping style(r=-0.347~0.672,P<0.05).There was also a significant correlation between coping style scores and PSS(r=0.634 or-0.620,P<0.001).There was a mediating effect between the degree of family care and the psychological stress of the mother,accounting for 43.21%.Conclusions The mother’s psychological stress is related to the degree of family care in children with inguinal hernia surgery,and the coping style may have a mediating effect,and a good degree of family care can help alleviate the mother’s psychological stress.

关 键 词：小儿腹股沟疝 家庭关怀度 应对方式 心理压力 

分 类 号：R473.72[医药卫生—护理学]