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肾病综合征患儿母亲亲职压力现状及相关研究

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目的 了解肾病综合征患儿母亲亲职压力现状,探讨心理资本、家庭功能、家庭复原力与其亲职压力的相关性,并分析心理资本在家庭功能、家庭复原力和亲职压力间的中介效应。方法 采用便利抽样法,于2021年2月-2022年12月抽取新疆维吾尔自治区人民医院246名肾病综合征患儿母亲作为研究对象,采用一般情况量表、心理资本量表、家庭功能量表、家庭复原力量表和亲职压力量表对其进行调查。结果 (1)246名肾病综合征患儿母亲心理资本得分为(64。27±11。64)分,家庭功能得分为(126。82±27。46)分,家庭复原力得分为(122。92±21。81)分,亲职压力得分为(95。38±12。27)分。(2)不同文化程度、子女数、婚姻状况、医疗费支付方式、家庭结构、家庭人均月收入及患儿年龄的肾病综合征患儿母亲亲职压力得分差异有统计学意义(P<0。05)。(3)肾病综合征患儿母亲心理资本、家庭功能、家庭复原力与亲职压力分别呈负相关(r=-0。649、-0。588、-0。614,P<0。01),心理资本与家庭功能、家庭复原力分别呈正相关(r=0。618、0。744,P<0。01),家庭功能与家庭复原力呈正相关(r=0。548,P<0。01)。(4)心理资本在肾病综合征患儿母亲家庭功能、家庭复原力和亲职压力间起部分中介作用,中介效应分别占总效应的24。33%和26。97%。结论 肾病综合征患儿母亲亲职压力较高,心理资本在肾病综合征患儿母亲家庭功能、家庭复原力和亲职压力间起部分中介作用,提高其心理资本水平有助于降低亲职压力,改善患儿家庭功能,提高患儿生存质量。
Current situation and related research on parental pressure in mothers of children with nephrotic syndrome
Objective To investigate the current situation of parental stress in mothers of children with nephrotic syndrome,and explore the correlation between psychological capital,family function,family resilience,and parental stress,and analyze the mediating effect of psychological capital on family function,family resilience,and parental stress.Methods A total of 246 mothers of children with nephrotic syndrome were selected as the research objects in People's Hospital of Xinjiang Uygur Autonomous Region from February in 2021 to December in 2022 by using the method of random sampling,and were investigated by general situation scale,Psychological Capital Scale,Family Function Scale,Family Resilience Scale,and Parental Stress Scale.Results(1)The scores of psychological capital,family function,family resilience,and parental stress in 246 mothers of children with nephrotic syndrom were(64.27±11.64)points,(126.82±27.46)points,(122.92±21.81)points,and(95.38±12.27)points,respec-tively.(2)There were statistically significant differences in parental stress scores among mothers of children with nephrotic syndrome with different education level,number of children,marital status,payment method of medical expenses,family structure,family per capita monthly income,and age of children(P<0.05).(3)There were nega-tive correlation between parental stress and psychological capital,family function,family resilience of mothers of children with nephrotic syndrome(r=-0.649,-0.588,-0.614;P<0.01),psychological capital was positively correlated with family function and resilience(r=0.618,0.744;P<0.01),and family function was positively cor-related with family resilience(r=0.548,P<0.01).(4)Psychological capital played a partial mediating role in fam-ily function,family resilience,and parental stress of mothers of childMothers of children with nephrotic syndrome have higher parental stress,and psychological capital plays a partial mediating role between family function,family resilience and parental stress of mothers with nephrotic syndrome.Improving the level of psychological capital can help reduce parental stress,improve family function and improve the quality of life of children with nephrotic syn-drome.ren with nephrotic syndrome,with mediating effect accounting for 24.33%and 26.97%of the total effect,respectively.Conclusions The mothers of children with nephrotic syndrome have higher parental pressure,and psy-chological capital plays a part of intermediary role in the family function,family resilience,and parental pressure of the mothers of children with nephrotic syndrome.It is helpful to increase the level of psychological capital for reduc-ing their parental pressure,improving the family function and enhancing the quality of life of the children.

children with nephrotic syndromechild patientmotherparental stresspsychological cap-italfamily functionfamily resilience

丁梅梅、周轶鹏、王晓宇、张庆庆

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新疆维吾尔自治区人民医院,新疆乌鲁木齐 830001

肾病综合征 患儿 母亲 亲职压力 心理资本 家庭功能 家庭复原力

新疆维吾尔自治区自然科学基金

2021DOIC143

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(4)
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