注意缺陷多动障碍患儿母亲生活质量的结构方程模型

Chan Gyeong Park, M. Jeon
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引用次数: 1

摘要

目的:探讨ADHD儿童特征对母亲社会支持、育儿压力、育儿能力感、应对和生活质量的影响。概念模型基于Lazarus和Folkman的压力评估-应对理论。方法:收集208例ADHD患儿母亲的资料。采用SPSS 18.0和AMOS 18.0软件对数据进行分析。结果:根据模型拟合指标,所建模型与数据拟合良好。父母压力、父母能力感和应对方式对生活质量有直接影响,而儿童特征和社会支持对生活质量有间接影响。这些变量的解释能力为52.1%。结论:本研究结果表明,护理策略可以增加ADHD母亲的社会支持,降低育儿压力,提高育儿能力感,引导父母选择适当的应对方式。特别是,由于社会支持对生活质量的影响最大,因此有必要制定护理干预计划,利用ADHD儿童父母的社会支持。
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A Structural Equation Model on Quality of Life of Mothers of Children with Attention Deficit Hyperactivity Disorder
Purpose: The aim of this study was to explore how characteristics of ADHD children affect social support for mothers, parenting stress, parenting sense of competence, coping, and quality of life. The conceptual model was based on the Lazarus and Folkman’s stress-evalua-tion-coping theory. Methods: Data were collected 208 mothers of children with ADHD. Data were analysed using SPSS 18.0 and AMOS 18.0 programs. Results: The proposed model was good fit for the data based on the model fit indices. Parenting stress, parenting sense of competence and coping directly affected quality of life but characteristics of the children and social support had only an indirect effect. The explanatory power of these variables was 52.1%. Conclusion: The results of this study indicate that nursing strategies to increase social support for mothers with ADHD children, lowers parenting stress, improves parenting sense of competence, and guides the parents to choose appropriate coping. In particular, as social support has the strongest influence on the quality of life, it is necessary to develop nursing intervention programs that utilize social support for parents with ADHD children.
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