摘要
目的调查1型糖尿病患儿父母感知脆弱现状,并对其影响因素进行路径分析,以为降低患儿父母感知脆弱水平提供参考依据。方法本研究为横断面研究。采用便利抽样法,于2019年1月—2020年5月选取在河南省4家医院治疗的500名1型糖尿病患儿父母作为研究对象,采用一般资料问卷、父母感知脆弱程度量表、领悟社会支持评价量表、一般自我效能感量表和父母养育压力量表进行调查,采用结构方程模型分析1型糖尿病患儿父母感知脆弱影响因素。本次共发放500份问卷,回收有效问卷489份,有效回收率为97.8%。结果489名1型糖尿病患儿父母感知脆弱程度量表得分为(6.40±2.17)分,领悟社会支持评价量表得分为(60.47±2.17)分,父母养育压力量表得分为(87.16±7.87)分,一般自我效能感量表得分为(24.85±1.42)分。结构方程模型显示,社会支持、自我效能及父母养育压力对患儿父母感知脆弱程度有直接效应,文化程度、人均月收入可通过自我效能和养育压力对患儿父母感知脆弱产生直接和间接效应,病程和父母年龄可通过社会支持和养育压力对患儿父母脆弱感知产生间接效应(P<0.05)。结论1型糖尿病患儿父母感知脆弱水平较高,且受社会支持、自我效能、养育压力、文化程度、人均月收入等因素影响,建议医护人员应对患儿父母进行疾病认知宣教,同时关注其心理变化,提升自我效能水平,鼓励其获得更多社会支持,减轻照护负担,及时采取多方面干预措施降低其感知脆弱程度。
Objective To investigate the current status of perceived vulnerability of parents of children with type 1 diabetes mellitus(T1DM)and to conduct a path analysis of its influencing factors,in order to provide a reference for reducing the level of perceived vulnerability of parents of children with T1DM.Methods This study was a cross-sectional study.Using the convenient sampling method,a total of 500 parents of children with T1DM who were treated in 4 hospitals in Henan Province from January 2019 to May 2020 were selected as the research objects.The survey was conducted using the General Information Questionnaire,Child Vulnerability Scale(CVS),Perceived Social Support Scale(PSSS),General Self-Efficacy Scale(GSES)and Parenting Stress Index-Short Form(PSI-SF).Structural equation modeling was used to analyze the influencing factors of parental perceived vulnerability in children with T1DM.A total of 500 questionnaires were distributed and 489 valid questionnaires were recovered,with an effective recovery rate of 97.8%.Results Scores of CVS,PSSS,PSI-SF and GSES of 489 parents of children with T1DM were respectively(6.40±2.17),(60.47±2.17),(87.16±7.87)and(24.85±1.42).The structural equation model showed that social support,self-efficacy and parenting stress had direct effects on the perceived vulnerability of children's parents,while education level and per capita monthly income had direct and indirect effects on the perceived vulnerability of children's parents through self-efficacy and parenting stress.The course of disease and parental age had indirect effects on parental vulnerability perception through social support and parenting stress(P<0.05).Conclusions Parents of children with T1DM have a high level of perceived vulnerability,which is affected by factors such as social support,self-efficacy,parenting pressure,educational level and per capita monthly income.It is suggested that medical staff should carry out disease awareness education for parents of children,pay attention to their psychological change,impro
作者
党晓丽
古建平
朱冬梅
任冉
邢乐
孙许转
Dang Xiaoli;Gu Jianping;Zhu Dongmei;Ren Ran;Xing Le;Sun Xuzhuan(Department of Endocrine Genetic Metabolism,Children's Hospital Affiliated of Zhengzhou University/Henan Children's Hospital/Zhengzhou Children's Hospital,Zhengzhou 450000,China;Department of Critical Care Medicine,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Department of Pediatrics,South Hospital of the First Affiliated Hospital of Zhengzhou University,Zhengzhou 451162,China;First Ward of Department of Pediatrics,Lingbao First People's Hospital,Sanmenxia 472500,China)
出处
《中华现代护理杂志》
2022年第7期857-862,共6页
Chinese Journal of Modern Nursing
关键词
糖尿病
1型
儿童
父母
感知脆弱
结构方程模型
Diabetes mellitus,type 1
Child
Parents
Perceived vulnerability
Structural equation model
