父母教养方式对肝移植术后儿童生活质量的影响:家庭质量的中介效应  

Influence of parenting styles on the quality of life of children after liver transplantation:mediating effect of family quali

作　　者：杨可鑫 周青[2] 张献玲[3] 任芳菲[3] 陈湘威[1] 朱丽萍 段孟岐 YANG Kexin;ZHOU Qing;ZHANG Xianling;REN Fangfei;CHEN Xiangwei;ZHU Liping;DUAN Mengqi(Pediatric Intensive Care Unit,the Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,China;Department of Nursing,the Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,China;Department of Liver Surgery and Liver Transplantation Center,the Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,China)

机构地区：[1]中山大学附属第三医院儿科重症监护室,广东广州510630 [2]中山大学附属第三医院护理部,广东广州510630 [3]中山大学附属第三医院肝脏外科暨肝移植中心,广东广州510630

出　　处：《新医学》2024年第11期894-901,共8页Journal of New Medicine

基　　金：广东省医学科学技术研究基金(A2021029)。

摘　　要：目的探索肝移植术后儿童的生活质量、父母教养方式、家庭质量之间的关系。方法选取2023年4月至2024年2月于中山大学附属第三医院就诊的136个肝移植术后儿童家庭为研究对象,研究工具包括一般情况调查、儿童生存质量量表(PedsQL4.0)、儿童生命质量家庭影响模块(Peds QLTMFIM)2.0及父母的养育方式和维度问卷(PSDQ)。家庭功能、父母教养方式及生活质量得分之前的相关性采用Pearson相关性分析,并进行中介效应分析。结果专制型父亲教养方式对肝移植术后儿童的总体生活质量(B=-0.93,95%CI为-1.44~-0.42)及家庭质量(B=-0.75,95%CI为-1.31~-0.18)均存在负面影响。家庭质量与肝移植术后儿童生活质量呈正相关(B=0.49,95%CI为0.35~0.62)。中介效应分析显示,存在父亲专制型教养方式通过家庭质量影响肝移植术后儿童生活质量的路径,且直接效应显著(直接效应为-0.64,95%CI为-1.12~-0.16)。结论改善父母的教养方式,特别是减少父亲的专制型教养方式,并提升家庭质量,对于促进肝移植术后儿童的生活质量具有重要意义。Objective To investigate the relationship among the quality of life,parenting styles,and family quality in children after liver transplantation.Methods One hundred and thirty-six families of pediatric liver transplantation recipients admitted to the Third Affiliated Hospital of Sun Yat-sen University between April 2023 and February 2024 were enrolled.The study instruments included a general survey,the Pediatric Quality of Life Questionnaire 4.0(PedsQL4.0),Pediatric Quality of Life Family Impact Module(PedsQLTMFIM)2.0 and the Parenting Styles and Dimensions Questionnaire(PSDQ).The correlation between family function,parental education style,and quality of life was analyzed by Pearson correlation analysis,and mediation effects were analyzed.Results Paternal authoritarian parenting styles were negatively correlated with the overall quality of life of pediatric recipients after liver transplantation(B=-0.93,95%CI:-1.44 to-0.42)and family quality(B=-0.75,95%CI:-1.31 to-0.18).Family quality was significantly positively associated with the quality of life in children after liver transplantation(B=0.49,95%CI:0.35 to 0.62).Mediating effect analysis revealed that paternal authoritarian parenting style could influence children’s quality of life after liver transplantation through family quality,and the direct effect was significant(direct effect=-0.64,95%CI:-1.12 to-0.16).Conclusion Improving parenting styles,especially reducing paternal authoritarian parenting styles,and elevating family quality are of significance for enhancing the quality of life in children after liver transplantation.

关 键 词：父母教养方式 生活质量 家庭质量 儿童 肝移植 

分 类 号：R473.72[医药卫生—护理学]