首页|肾病综合征患儿心理行为适应的影响因素

肾病综合征患儿心理行为适应的影响因素

Influencing factors and path analysis of psychological adaption in children with nephrotic syndrome

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目的 分析肾病综合征患儿心理行为适应的影响因素及作用路径,为制订个体化干预措施提供参考.方法 采用便利抽样法,选取2021年8月至2023年4月南京医科大学附属儿童医院收治的肾病综合征患儿及其父/母作为调查对象.采用一般资料调查表、长处与困难问卷、父母感知脆弱程度量表、家庭复原力评估量表对其进行调查.通过构建结构方程模型分析各变量间的作用路径.结果 本研究最终纳入137例调查对象,肾病综合征患儿长处与困难问卷得分为(22.23±5.74)分.多元线性回归分析显示,父母感知脆弱程度量表得分、家庭复原力评估量表得分是肾病综合征患儿心理行为适应的影响因素(P<0.05).家庭复原力在父母感知脆弱与患儿心理行为适应间有中介效应,效应值为0.80,占总效应的51.6%.结论 家庭复原力在肾病综合征患儿父母感知脆弱与患儿心理行为适应间起中介效应,护理人员应提高家庭复原力,以减轻父母感知脆弱对患儿心理行为问题的影响.
Objective To analyze the influencing factors and action path of psychological adaption in children with nephrotic syndrome,thus providing a reference for individual intervention measures.Methods Children with nephrotic syndrome and their parents in Children's Hospital of Nanjing Medical University from August 2021 to April 2023 were enrolled using convenience sampling method,and they were investigated by General Information Questionnaire(GIQ),Strengths and Difficulties Questionnaire(SDQ),Child Vulnerability Scale(CVS),Family Resilience Assessment Scale(FRAS).A structural equation model was established to assess the action path of every variable.Results A total of 137 eligible children and their parents were enrolled in this study,their SDQ scores were(22.23±5.74)points.Multiple linear regression analysis showed that the scores of CVS and FRAS were the influencing factors for the psychological adaption of children with nephrotic syndrome(P<0.05).Family resilience played a mediating effect between parents'perceived vulnerability and children'psychological adaption,the effect size was 0.80,accounting for 51.6%of the total effect.Conclusion Family resilience plays mediating effect between parents'perceived vulnerability and children'psychological adaption.The family resilience should be enhanced to alleviate the effect of parents'perceived vulnerability on children's psychological adaption by the nursing staff.

nephrotic syndromepsychological adaptionfamily resilienceperceived vulnerabilityparentsmediating effect

许芳、王莹、倪丹红

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210008 南京市,南京医科大学附属儿童医院肾脏科

肾病综合征 心理行为适应 家庭复原力 感知脆弱 父母 中介效应

2021年南京市卫生科技发展专项资金项目

ZKX21046

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(15)
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