应对方式和社会支持在早产儿父母照顾负担和生活质量间的中介效应  

Mediating effects of coping styles and social support on parental care burden and quality of life

作　　者：许海娟 张迪[1] 杜志云[1] 高媛媛[1] 姚文秀[1] XU Haijuan;ZHANG Di;DU Zhiyun;GAO Yuanyuan;YAO Wenxiu(Department of Neonatology,the First Hospital of Qinhuangdao,Qinhuangdao,Hebei 066000,China)

机构地区：[1]秦皇岛市第一医院新生儿科,河北秦皇岛066000

出　　处：《中国优生与遗传杂志》2024年第1期200-204,共5页Chinese Journal of Birth Health & Heredity

基　　金：2021年秦皇岛市科学技术研究与发展计划(202101A128)。

摘　　要：目的探讨应对方式和社会支持在早产儿父母照顾负担和生活质量间的作用。方法将秦皇岛市第一医院2021年10月至2022年10月收治的早产儿及其父母200例作为调查对象。采用自制一般资料表对调查对象社会学特征进行调查,分别采用父母应对方式量表(CHIP)、社会支持量表(SSRS)、照顾负担量表(ZBI)、家庭照顾者生活质量量表(FAMQOL)对早产儿父母应对方式、社会支持、照顾负担、生活质量水平进行调查。同时采用Pearson相关分析上述变量间的相关性;探究应对方式和社会支持在早产儿父母照顾负担和生活质量间的作用。结果剔除无效问卷12例,回收有效问卷188份,有效回收率为94.00%;Pearson相关性分析显示:照顾负担与应对方式、社会支持、生活质量呈显著负相关,生活质量与应对方式、社会支持呈显著正相关;Bootstrap法结果显示,3条路径总的中介效应显著,中介效应值为-0.445,总中介效应占总效应的52.66%,其中路径1(照顾负担→应对方式→生活质量)、路径2(照顾负担→社会支持→生活质量)及路径3(照顾负担→应对方式→社会支持→生活质量)相对中介占比14.79%、6.98%、30.89%。结论早产儿父母生活质量与照顾负担、应对方式和社会支持有关,应对方式和社会支持在早产儿父母照顾负担和生活质量间具有中介作用。Objective To explore the role of coping styles and social support in the relationship between parental care burden and quality of life.Methods A total of 200 premature infants and their parents who were admitted to the First Hospital of Qinhuangdao from October 2021 to October 2022 were investigated.Social characteristics of the subjects were investigated by using a self-made general data table.The coping style,social support,caring burden and quality of life of the parents of preterm infants were investigated by parental coping style scale(CHIP),social support scale(SSRS),caring burden scale(ZBI)and family caregiver quality of life scale(FAMQOL),respectively.Pearson correlation was used to analyze the correlation among the above variables.To explore the role of coping styles and social support in the relationship between care burden and quality of life of parents of preterm infants.Results 12 invalid questionnaires were excluded,and 188 valid questionnaires were recovered,with an effective recovery rate of 94.00%.Pearson correlation analysis showed that caregiving burden was negatively correlated with coping style,social support and quality of life,while quality of life was positively correlated with coping style and social support.The results of Bootstrap method show that the total mediating effect of the three paths is significant,and the mediating effect value is-0.445,and the total mediating effect accounts for 52.66% of the total effect.Among them,path 1(caring burden→coping style→quality of life),path 2(caring burden→social support→quality of life)and path 3(caring burden→coping style→social support→quality of life)accounted for 14.79%,6.98%and 30.89%of the mediating factors.Conclusion The quality of life of new parents is related to care burden,coping style and social support.Coping style and social support play an intermediary role in the relationship between care burden and quality of life of new parents.

关 键 词：应对方式 社会支持 父母照顾负担 生活质量 

分 类 号：R174[医药卫生—妇幼卫生保健]