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| 发育性髋关节脱位患儿父母创伤后成长对照护能力的影响：家庭抗逆力的中介作用 |
| The impact of post-traumatic growth and caregiving ability of parents of children with developmental dislocation of the hip: the mediating role of family resilience |
| 投稿时间：2024-06-12 修订日期：2024-11-01 |
| DOI： |
| 中文关键词: 发育性髋关节脱位 创伤后成长 照护能力 家庭抗逆力 |
| 英文关键词: Developmental dysplasia of the hip post-traumatic growth caregiving ability family resilience |
| 基金项目:省卫健委医学科技攻关计划项目(LHGJ20190902) |
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| 中文摘要: |
| 目的 探讨发育性髋关节脱位患儿父母创伤后成长与照护能力、家庭抗逆力之间的关系,并分析家庭抗逆力在创伤后成长与照护能力之间的中介作用。方法 2023年04月~12月便利选取某省儿童医院就诊的发育性髋关节脱位患儿的父母221名作为研究对象,采用一般资料问卷、创伤后成长评定量表、家庭照顾者照护能力量表和中文版家庭抗逆力量表进行调查,采用Pearson相关分析创伤后成长、照护能力和家庭抗逆力之间的相关性；采用AMOS 26. 0软件构建结构方程模型检验家庭抗逆力在发育性髋关节脱位患儿父母创伤后成长与照护能力间的中介效应。结果 221名发育性髋关节脱位患儿父母PTGI总均分为(69.58±9.87)分,FCTI总均分为(14.75±3.41)分,FRAS-C总均分为(94.37±12.11)分。Pearson相关分析结果显示,PTGI总分与FRAS-C总分呈负相关(r=-0.568, P<0.05),PTGI总分与FCTI总分呈负相关(r=-0.683, P<0.05),FRAS-C总分与FCTI总分呈正相关(r=0.653, P<0.05)。结构方程模型结果显示,家庭抗逆力在创伤后成长与照护能力之间起部分中介作用,中介效应占总效应的23.69%。结论 家庭抗逆力在发育性髋关节脱位患儿父母创伤后成长与照护能力之间起中介作用,医护人员可通过促进家庭抗逆力和创伤后成长入手,帮助患儿父母提升照护能力。 |
| 英文摘要: |
| Objective To explore the relationship between post-traumatic growth, caregiving ability and family resilience in parents of children with developmental dislocation of the hip, and to analyze the mediating role of family resilience in the relationship between post-traumatic growth and caregiving ability. Methods From April to December 2023, 221 parents of children with developmental hip dislocation who were treated at a children"s hospital in a certain province were conveniently selected as the research subjects.General information questionnaire, post-traumatic growth assessment scale, family caregiver care ability scale and Chinese version of family resilience scale were used for investigation. Pearson correlation analysis was used to analyze the correlation between post-traumatic growth, care ability and family resilience. AMOS 26.0 software was used to construct a structural equation model to test the mediating effect of family resilience between post-traumatic growth and care ability of parents of children with developmental dislocation of the hip. Results The mean total PTGI score of 221 parents of children with developmental hip dislocation was (69.58±9.87), the mean total FCTI score was (14.75±3.41), and the mean total FRAS-C score was (94.37±12.11). Pearson correlation analysis showed that the total PTGI score was negatively correlated with the total FRAS-C score (r=-0.568, P<0.05), the total PTGI score was negatively correlated with the total FCTI score (r=-0.683, P<0.05), and the total FRAS-C score was positively correlated with the total FCTI score (r=0.653, P<0.05). The results of structural equation modeling showed that family resilience partially mediated the relationship between post-traumatic growth and caregiving ability, and the mediating effect accounted for 23.69% of the total effect. Conclusion Family resilience plays a mediating role in the post-traumatic growth and caregiving ability of parents of children with developmental dislocation of the hip. Medical staff can help parents of children with developmental dislocation of the hip improve their caregiving ability by promoting family resilience and post-traumatic growth. |
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