积极应对在早产儿母亲社会支持与出院后应对困难间的中介效应

The mediating role of positive coping style between social support and post-discharge coping difficulty among mothers of premature infants

目的探讨早产儿母亲积极应对方式在社会支持与出院后应对困难间的中介作用,以期为医护人员深入了解及改善早产儿母亲出院后应对困难提供指导。方法采用便利取样法于2023年3—6月选取山东省5所三级甲等医院新生儿重症监护室的310名早产儿母亲为研究对象,应用一般资料调查表、社会支持评定量表、简易应对方式问卷、住院儿童父母出院后应对困难量表进行横断面调查。结果共回收有效问卷280份,早产儿母亲年龄为(32.70±5.08)岁。早产儿母亲社会支持总分为(42.59±7.40)分;积极应对总分为(23.06±6.75)分;出院后应对困难总分为(3.64±1.74)分。社会支持与积极应对呈正相关(r=0.404,P<0.01),社会支持、积极应对与出院后应对困难均呈负相关(r=-0.368、-0.369,均P<0.01)。积极应对在社会支持和出院后应对困难间起部分中介作用,占总效应的31.11%。结论社会支持可通过积极应对方式影响早产儿母亲的出院后应对困难,医护人员在提高早产儿母亲社会支持的同时还应注重其积极应对方式的引导与培养,采取针对性措施,减少其出院后应对困难。

Objective To explore the mediating role of positive coping style between social support and post-discharge coping difficulty among mothers of premature infants,so as to provide guidance for medical staff to deeply understand and improve the post-discharge coping difficulty of mothers.Methods A convenience sampling method was employed to select 310 mothers of premature infants from the neonatal intensive care units of five tertiary level A hospitals in Shandong Province from March to June 2023 as the study population.A cross-sectional survey was conducted using the general information questionnaire,the Social Support Rating Scale,the Simple Coping Style Questionnaire,and the Post-Discharge Coping Difficulty Scale-Parent Form.Results A total of 280 valid questionnaires were returned,among which the age of mothers was(32.70±5.08)years.The score of social support,positive coping style and post-discharge coping difficulty in mothers of preterm infants was(42.59±7.40),(23.06±6.75)and(3.64±1.74)points respectively.Social support was positively associated with positive coping style(r=0.404,P<0.01),social support and positive coping style were negatively associated with post-discharge coping difficulty(r=-0.368,-0.369,both P<0.01).Positive coping style partially mediated the relationship between social support and post-discharge coping difficulty,which accounted for 31.11%of the total effect.Conclusions Social support can affect post-discharge coping difficulty of mothers of premature infants through positive coping style.Medical staff should pay attention to the enhancement of social support and the cultivation of positive coping style of mothers of premature infants,and take targeted measures to reduce the post-discharge coping difficulty.