育儿自我效能在早产儿母亲社会支持与出院后应对困难间的中介效应  

Mediating effect of parenting self-efficacy between social support and post-discharge coping difficulty in mothers of preterm infants

作　　者：赵亚瑞 刘进 高建莉 刘晓芹 公晶晶 祝筠 ZHAO Yarui;LIU Jin;GAO Jianli;LIU Xiaoqin;GONG Jingjing;ZHU Yun(Party Committee Office,Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250021,China;Dept.of Neonatology,Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250021,China;Dept.of Neonatology,Dezhou Women and Children’s Hospital,Dezhou 253049,China;Dept.of Neonatology,linyi People’s Hospital,Linyi 276000,China)

机构地区：[1]山东第一医科大学附属省立医院党委办公室,山东济南250021 [2]山东第一医科大学附属省立医院新生儿科,山东济南250021 [3]德州市妇幼保健院新生儿科,山东德州253049 [4]临沂市人民医院新生儿科,山东临沂276000

出　　处：《护理学报》2025年第7期1-5,共5页Journal of Nursing(China)

基　　金：山东省中医药科技项目(M-2023164)。

摘　　要：目的探讨育儿自我效能在早产儿母亲社会支持与出院后应对困难间的中介作用。方法采用便利抽样法,于2023年3—5月选取山东省5所医院的251例早产儿母亲作为调查对象。采用社会支持评定量表、育儿胜任感量表—效能分量表、住院儿童父母出院后应对困难量表进行调查,构建并检验中介模型。结果早产儿母亲社会支持总分、育儿自我效能得分和出院后应对困难总分分别为(42.64±7.47)分、(34.82±7.10)分、(3.73±1.79)分;社会支持与育儿自我效能呈正相关(r=0.331,P<0.001),社会支持与出院后应对困难呈负相关(r=-0.412,P<0.001),育儿自我效能与出院后应对困难呈负相关(r=-0.409,P<0.001);育儿自我效能在社会支持与出院后应对困难间存在中介作用,中介效应值为-0.101,占总效应的24.51%。结论本组早产儿母亲的出院后应对困难总分处于中等偏下水平,育儿自我效能在社会支持与出院后应对困难间发挥中介作用。Objective To explore the mediating effect of parenting self-efficacy between social support and post-discharge coping difficulty in mothers of preterm infants.Methods With convenience sampling,251 mothers of preterm infants were selected as participants from five hospitals in Shandong Province from March to May 2023.Social Support Rating Scale,Parenting Sense of Competence Scale-Efficacy Subscale and Post-Discharge Coping Difficulty Scale were used to conduct an investigation among the mothers.Results The score of social support,parenting self-efficacy and post-discharge coping difficulty in mothers of preterm infants was 42.64±7.47,34.82±7.10 and 3.73±1.79 respectively.Social support was positively related with parenting self-efficacy(r=0.331,P<0.001),but negatively with post-discharge coping difficulty(r=-0.412,P<0.001).Parenting self-efficacy was negatively related with post-discharge coping difficulty(r=-0.409,P<0.001).Parenting self-efficacy mediated the relationship between social support and post-discharge coping difficulty,with a mediation effect value of-0.101,which accounted for 24.51%of the total effect.Conclusion Post-discharge coping difficulty of mothers of preterm infants are generally at a medium low level,and parenting self-efficacy mediates the relationship between social support and post-discharge coping difficulty.

关 键 词：早产儿 社会支持 育儿自我效能 出院后应对困难 中介效应 

分 类 号：R473.72[医药卫生—护理学]