摘要
目的探讨癫痫患儿父母目的性反刍性沉思与感知脆弱在领悟社会支持和家庭功能间的链式中介作用。方法采用领悟社会支持量表(PSSS)、事件相关反刍性沉思问卷(C-ERRI)、父母感知脆弱程度量表(CVS)、家庭功能量表(FACESⅡ)对226例癫痫患儿父母领悟社会支持、目的性反刍性沉思、感知脆弱、家庭功能进行评价。运用SPSS软件Process插件构建链式中介模型,并用Bootstrap法检验各变量间的中介效应。结果癫痫患儿父母领悟社会支持总分为(55.56±11.72)分、目的性反刍性沉思总分为(15.37±4.64)分、感知脆弱总分为(20.41±4.19)分、家庭功能总分为(79.26±18.63)分;Pearson相关分析显示,癫痫患儿父母领悟社会支持与目的性反刍性沉思、家庭功能呈正相关(P均<0.01),癫痫患儿父母感知脆弱与领悟社会支持、目的性反刍性沉思、家庭功能呈负相关(P均<0.01);中介效应分析显示,癫痫患儿父母领悟社会支持对家庭功能的总效应为0.689,目的性反刍性沉思和感知脆弱在领悟社会支持对家庭功能的影响中起部分中介作用,中介效应分别占28.16%和29.03%,两者的链式中介效应占总效应的11.18%。结论癫痫患儿父母目的性反刍性沉思和感知脆弱在领悟社会支持与家庭功能间发挥链式中介作用。医护人员应重视帮助癫痫患儿父母建立有效的社会支持网络,引导癫痫患儿父母正向思考,缓解内心感知脆弱,保证家庭功能发挥到最佳状态。
ObjectiveTo explore the chain mediating effect of purposive rumination and perceived vulnerability between perceived social support and family function in parents of children with epilepsy.MethodsPerceived Social Support Scale(PSSS),Event Related Rumination Inventory(C-ERRI),Parent Perceived Vulnerability Scale(CVS)and Family Function ScaleⅡ(FACESⅡ)were used to evaluate the perceived social support,purposive rumination,perceived vulnerabilityand family function of theparents of 226 children with epilepsy.The process plug-in of SPSS software was used to construct the chain mediation model,and the Bootstrap method was used to test the mediating effect between variables.ResultsThe total scores of perceived social support,purposive rumination,perceived vulnerability and family function of theparents of children with epilepsy were(55.56±11.72),(15.37±4.64),(20.41±4.19)and(79.26±18.63)respectively.Pearson correlation analysis showed that perceived social support of the parents was positively correlated with purposive rumination and family function(all P<0.01),and perceived vulnerability of the parents was negatively correlated with perceived social support,purposive rumination and family function(all P<0.01).Mediating effect analysis showed that the total effect of perceived social support on family function of the parents of children was 0.689.Purposive rumination and perceived vulnerability played a partial mediating role in the effect of perceived social support on family function,accounting for 28.16%and 29.03%of the mediating effect respectively,and the chain mediating effect of the 2 accounted for 11.18%of the total effect.ConclusionsPurposive rumination and perceived vulnerability play a chain mediating role between perceived social support and family function in parents of children with epilepsy.Medical staff should pay attention to helping parents of children with epilepsy to establish an effective social support network,guide parents of children to think positively,alleviate their inner perception vulnerability,and ensure the best family function.
作者
张婷婷
古丽苏木汗·阿布来提
阿衣古丽·阿巴斯
冯晟铭
赵桃
张美
ZHANG Tingting;Gulisumuhan Abulaiti;Ayiguli Abasi;FENG Shengming;ZHAO Tao;ZHANG Mei(Department of Pediatric,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830011,China)
出处
《新疆医科大学学报》
CAS
2024年第12期1670-1675,共6页
Journal of Xinjiang Medical University
基金
新疆维吾尔自治区自然科学基金资助项目(2021D01C313)。
关键词
癫痫
儿童
父母
领悟社会支持
目的性反刍性沉思
感知脆弱
epilepsy
children
parents
perceived social support
purposive rumination
perceived vulnerability