目的:家庭抗逆力能帮助早产儿家庭应对困难和逆境,可促进家庭成员之间的联系和支持以及个人心理健康的提升.本文调查新生儿重症监护病房(Neonatal Intensive Care Unit,NICU)出院早产儿家庭抗逆力的现状及影响因素,为日后干预方案的制订提供参考依据.方法:通过方便抽样的方法,选取2022年11月至2023年1月收治于同济大学附属妇产科医院NICU治愈出院的192例早产儿及192例早产儿父母中的主要照护者为研究对象,基于生态系统理论应用中文版家庭抗逆力量表简化版(shortened Chinese version of the Family Resilience Assessment Scale,FRAS-C)、简易应对行为问卷(Simplified Coping Style Questionnaire,SCSQ)、Zarit照顾负担量表(Zarit Caregiver Burden Interview,ZBI)、中文版育儿胜任感量表(Chinese Version of Parenting Sense of Competence Scales,CV-PSOC)、家庭关怀度测评量表(Family Concern Index Questionnaire,APGAR)和社会支持评定量表(the Social Support Rating Scale,SSRS)对其进行调查.结果:NICU出院早产儿家庭抗逆力总评分为96.87±6.20,应对方式、育儿效能、家庭关怀度和社会支持均是其主要的影响因素(均P<0.05),可解释其89.6%的变异度.结论:NICU出院早产儿家庭抗逆力尚需提高,受到生态系统中各系统层面因素的共同作用,微系统层面对家庭抗逆力的预测作用最强,其中应对方式是关键因素,提示医务工作者应在早产儿从NICU到家庭过渡阶段有意识地引导早产儿家庭采取积极的应对方式,以提高NICU出院早产儿家庭的抗逆力水平.
Family resilience and its influencing factors in NICU discharged premature infants based on ecosystem theory
Objective:Family amily resilience can help families with premature infants cope with difficulties and adversity,promoting connections and support among family members and enhancing individual psychological health.This study aims to investigate the current status and influencing factors of family resilience in families of premature infants discharged from the Neonatal Intensive Care Unit(NICU)to provide a reference for future intervention plans.Methods:Using convenience sampling,192 premature infants discharged from the NICU of Obstetrics and Gynecology Hospital of Tongji University between December 2022 and February 2023,along with their primary caregivers,were selected as the study subjects.Based on ecosystem theory,the study utilized the shortened Chinese version of the Family Resilience Assessment Scale(FRAS-C),the Simplified Coping Style Questionnaire(SCSQ),the Zarit Caregiver Burden(ZBI),the Chinese Version of Parenting Sense of Competence Scales(CV-PSOC),Family Concern Index Questionnaire(APGAR)and the Social Support Rating Scale(SSRS)for the survey.Results:The total family resilience score for families of NICU-discharged premature infants was 96.87±6.20.Coping style,parenting efficacy,family concern,and social support were significant influencing factors(all P<0.05),accounting for 89.6%of the variance.Conclusion:Family resilience in families of NICU-discharged premature infants needs improvement and is influenced by factors at various levels within the ecosystem.The microsystem level has the strongest predictive effect on family resilience,with coping style being a key factor.This suggests that healthcare workers should consciously guide families of premature infants to adopt positive coping styles during the transition phase from NICU to the family,to improve their family resilience.
万方数据
维普
