心理适应在早产儿母亲家属赋能与出院准备度间的中介作用

Mediating effect of psychological adaptation between family empowerment and discharge readiness in premature infants'mothers

目的探讨心理适应在早产儿母亲家属赋能与出院准备度间的中介作用。方法采用便利抽样法,选取2021年4月—2022年4月温州医科大学附属第二医院的210名早产儿母亲为研究对象。采用特殊儿童家属赋能量表、心理适应量表、产妇出院准备度量表对其进行调查。采用Pearson相关分析探讨早产儿母亲家属赋能、心理适应与出院准备度的相关性。采用AMOS 21.0软件构建结构方程模型并验证中介效应。本研究共发放问卷210份,回收有效问卷202份,有效回收率为96.19%(202/210)。结果202名早产儿母亲家属赋能总分为(93.72±12.96)分,心理适应总分为(54.25±9.14)分,出院准备度总分为(107.36±14.66)分。Pearson相关分析结果显示,早产儿母亲家属赋能与心理适应、出院准备均呈正相关(r值分别为0.473、0.554,P均<0.01),心理适应与出院准备度呈正相关(r=0.584,P<0.01)。结构方程模型结果显示,早产儿母亲家属赋能可正向预测出院准备度,效应值为0.586,心理适应在家属赋能与出院准备度间起部分中介效应,效应值为0.302。结论家属赋能不仅可以正向预测早产儿母亲的出院准备度,还可以通过心理适应间接影响出院准备度。护理人员应提高早产儿母亲的家属赋能和心理适应水平,从而提高其出院准备度。

Objective To explore the mediating effect of psychological adaptation between family empowerment and discharge readiness in premature infants'mothers.Methods From April 2021 to April 2022,210 premature infants'mothers from the Second Affiliated Hospital of Wenzhou Medical University were selected as the research objects by the convenience sampling method,and were investigated using Family Empowerment Scale,Psychological Adaptation Scale and Readiness for Hospital Discharge Study-New Mother Form.Pearson correlation analysis was used to analyze the relationship between family empowerment,psychological adaptation and discharge readiness in premature infants'mothers.AMOS 21.0 software was used to establish structural equation model and verify the mediation effect.A total of 210 questionnaires were distributed in this study,and 202 valid questionnaires were recovered,with an effective recovery rate of 96.19%(202/210).Results The score of family empowerment in 202 premature infants'mothers was(93.72±12.96),the score of psychological adaptation was(54.25±9.14),the score of discharge readiness was(107.36±14.66).Pearson correlation analysis results showed that family empowerment in premature infants'mothers was positively correlated with psychological adaptation and discharge readiness(r values were 0.473,0.554,all P<0.01),and psychological adaptation was positively correlated with discharge readiness(r=0.584,P<0.01).The structural equation model results showed that family empowerment of premature infants'mothers could positively predict discharge readiness with an effect value of 0.586,and psychological adaptation had a partial mediating effect between family empowerment and discharge readiness with an effect value of 0.302.Conclusions Family empowerment can not only positively predict discharge readiness of premature infants'mothers,but also indirectly affect the discharge readiness through psychological adaptation.Nurses staff should improve family empowerment and psychological adaptation of premature infants'mothers,so as to improve discharge readiness.