摘要
目的:探讨心理弹性在肺炎患儿照顾者心理困扰与应对方式间的中介作用。方法:采用简单随机抽样法,选取本院2023年3月至2025年3月期间治疗的152名肺炎患儿及照顾者为研究对象,收集一般资料、中文版父母应对方式、心理弹性量表(CD-RISC)、凯斯勒心理困扰调查表(K10)等信息。采用Pearson相关分析其相关性;采用线性回归分析探讨各变量对应对方式的影响;使用Process中Model 4检验心理弹性的中介效应。结果:共纳入152名肺炎患儿照顾者,其K10平均得分(22.02±6.09)分,CD-RISC平均得分(51.18±11.99)分,应对方式平均得分(69.60±18.07)分。Pearson相关分析显示,CD-RISC得分与应对方式得分呈正相关(r=0.906,P<0.05),与K10得分呈负相关(r=-0.863,P<0.05);K10得分与应对方式得分呈负相关(r=-0.866,P<0.05)。线性回归分析显示,患儿病程、照顾者年龄、照顾者工作情况、照顾者文化程度、照顾时长、家庭月收入、K10得分、CD-RISC得分均是肺炎患儿照顾者应对方式的影响因素(P<0.05)。中介效应分析显示,心理困扰不仅负向影响应对方式(β=-2.572),还通过降低心理弹性间接负向影响应对方式(β=-1.589)。直接效应和中介效应分别占总效应的38.21%和61.79%。结论:心理弹性在肺炎患儿照顾者心理困扰与应对方式间起部分中介作用。提示临床干预应注重提升家长的心理弹性水平,以缓解心理困扰对其应对方式的负面影响。
Objective:To explore the mediating effect of psychological resilience on the relationship between psychological distress and coping styles among caregivers of children with pneumonia.Methods:A total of 152 caregivers of children with pneumonia treated in our hospital from March 2023 to March 2025 were selected as research subjects by simple random sampling.General data,scores of the Chinese version of Coping Styles Questionnaire for Parents,Connor-Davidson Resilience Scale(CD-RISC)and Kessler Psychological Distress Scale(K10)were collected.Pearson correlation analysis was used to test the correlations among variables;linear regression analysis was adopted to explore the influencing factors of positive coping styles;and Model 4 in Process macro was applied to verify the mediating effect of psychological resilience.Results:A total of 152 caregivers were enrolled.The mean K10 score was(22.02±6.09),the mean CD-RISC score was(51.18±11.99),and the mean coping style score was(69.60±18.07).Pearson correlation analysis showed that CD-RISC score was positively correlated with coping style score(r=0.906,P<0.05)and negatively correlated with K10 score(r=-0.863,P<0.05);K10 score was negatively correlated with coping style score(r=-0.866,P<0.05).Linear regression analysis indicated that the course of disease of children,caregiver's age,employment status,educational level,caregiving duration,monthly family income,K10 score and CD-RISC score were all influencing factors of coping styles in caregivers of children with pneumonia(P<0.05).Mediating effect analysis revealed that psychological distress not only exerted a negative impact on coping styles(β=-2.572),but also indirectly affected coping styles negatively by reducing psychological resilience(β=-1.589).The direct effect and mediating effect accounted for 38.21%and 61.79%of the total effect,respectively.Conclusion:Psychological resilience plays a partial mediating role between psychological distress and coping styles in caregivers of children with pneumonia.It suggests that clinical interventions should focus on improving caregivers'psychological resilience to alleviate the negative impact of psychological distress on their coping styles.
作者
苗辉
杨越
王兆平
井芳
张传仓
MIAO Hui;YANG Yue;WANG Zhaoping;JING Fang;ZHANG Chuancang(Department of Pediatrics,the 971 Hospital of the PLA Navy,Qingdao 266071,China;Department of Traditional Chinese Medicine,Qingdao Eighth People's Hospital,Qingdao 266121,China)
出处
《现代医学》
2026年第1期154-159,共6页
Modern Medical Journal
关键词
肺炎
患儿
照顾者
心理弹性
心理困扰
应对方式
中介效应
pneumonia
children
caregivers
psychological resilience
psychological distress
coping style
mediating effect
