Status Quo of Family Resilience Among Parents of Pediatric Liver Transplant Recipients and Its Influencing Factors
Objective To explore the status quo of family resilience among parents of pediatric liver transplant recipients and its influencing factors,and to provide a reference for developing intervention strategies accordingly.Methods From May to August 2023,216 parents of child liver transplant recipients who were regularly followed up after child liver transplantation in the Department of Liver Surgery of a hospital in Shanghai were selected by convenience sampling method.Family resilience assessment scale(FRAS),Zarit caregiver burden inventory(ZBI)and care transitions measure(CTM)were used for online questionnaire survey.Results The scores of family resilience,caregiver burden and care transitions quality were(134.56±24.04),(26.90±5.71)and(56.56±9.14),respectively.There were statistically significant differences in the number of postoperative complications,the number of postoperative hospitalization due to complications,the caregiver's education level,family monthly income,the caregiver's working status,family type,and the family resilience of the parents of child liver transplant recipients with or without public welfare fund(all P<0.05).The family resilience of parents was positively correlated with the quality of nursing during the transition period(r=0.771,P<0.001).There was a negative correlation with caregiver burden(r=-0.231,P<0.001).Family monthly income,parents'working status,caring burden and transitional nursing quality were the influencing factors of family resilience of parents of child liver transplant recipients(all P<0.05).Conclusions The family resilience of parents of pediatric liver transplant recipients is above the medium level.More attention should be paid to families with low monthly family income,unemployed parents,heavy burden of care and low quality of transitional care,and targeted measures should be taken to improve their family resilience.