首页|父母教养方式对学龄期肺炎患儿服药依从性的影响及路径分析

父母教养方式对学龄期肺炎患儿服药依从性的影响及路径分析

Effect and impact path of parenting style on medication adherence in school-age children with pneumonia

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目的 探讨父母教养方式对学龄期肺炎患儿服药依从性的影响及作用路径,为制订个体化护理方案提供依据.方法 采用便利抽样法,选择 2020 年 2 月至 2023 年 2 月合肥市第八人民医院收治的学龄期肺炎患儿及其父母作为调查对象,采用一般资料调查表、简式父母教养方式问卷中文版、中文版服药依从性问卷、中文版一般自我效能感量表对其进行调查,构建结构方程模型,分析各变量之间的作用路径.结果 共纳入 118 例学龄期肺炎患儿,其服药依从性得分为(5.46±1.76)分.多元线性回归分析显示,母亲文化程度、父母教养方式、自我效能感得分是学龄期肺炎患儿服药依从性的影响因素(P<0.05).自我效能感在父母积极教养方式与服药依从性间具有中介效应,效应值为 0.44,占总效应的 33.8%;自我效能感在父母消极教养方式与服药依从性间具有中介效应,效应值为-0.45,占总效应的 35.7%.结论 自我效能感在学龄期肺炎患儿父母教养方式和服药依从性间具有部分中介作用,护理人员应提高患儿自我效能感,以改善父母教养方式对服药依从性的影响.
Objective To explore the effect and impact path of parenting style on medication adherence in school-age children with pneumonia,thus providing a management program for individualized nursing.Methods A total 118 school-age pneumonia children and their parents were enrolled in the Eighth People's Hospital of Hefei form February 2020 to February 2023 by a convenient sampling method.The surveys and analysis on questionnaires were conducted out by the General Questionnaire,Chinese version of short-form of the Egna Minnen Betraffande Uppfostran(s-EMBU),Medication Adherence Questionnaire(MAQ),and General Self-Efficacy Scale(GSES).Structural equation modeling was used to evaluate the mediation effect of each variable.Results Among eligible 118 school-age children with pneumonia,the scores of medication adherence were(5.46±1.76)points.Multiple linear regression analysis demonstrated that maternal education level,parenting style,and GSES score were the influential factors for medication compliance of school-age children with pneumonia(P<0.05).The relationships between positive parenting style(effect size[ES]:0.44,accounting for 33.8%of the total effect),negative parenting style(ES:-0.45,accounting for 35.7%of the total effect)and medication adherence were mediated by general self-efficacy.Conclusion Self-efficacy plays a partially mediating role between parenting style and medication adherence in school-age children with pneumonia,medical staff should promote the level of self-efficacy by improving the effect of parenting style on medication adherence.

pneumoniaparenting stylesparentmedication adherenceinfluencing factor analysismediating effect

邢乐苹、赵金凤、彭长媛、毕海霞

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238000 安徽省合肥市第八人民医院普儿科

238000 安徽省合肥市第八人民医院发热门诊

肺炎 教养方式 父母 服药依从性 影响因素分析 中介效应

合肥市卫生健康委应用医学研究项目

hwj2020zc007

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(7)
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