论文部分内容阅读
目的:了解化疗期癌症患儿父母应对方式、心理弹性和益处发现水平，探讨心理弹性在化疗期癌症患儿父母积极应对及益处发现间的中介效应。方法:采用方便抽样法，选取2020年9月—2021年9月在北京儿童医院血液肿瘤病房住院化疗的343名患儿父母，采用疾病获益感量表修订版量表、心理弹性量表、简易应对方式量表对化疗期癌症患儿父母的应对、心理弹性和益处发现水平进行横断面调查，并采用Amos 23.0软件建立结构方程模型并对三者之间的关系进行中介效应分析。结果:发放问卷343份，回收有效问卷324份，有效回收率为94.5%。324名化疗期癌症患儿父母益处发现水平得分为（85.35±16.91）分，接受维度在5个维度中得分最低。心理弹性水平得分为（93.74±16.19）分，积极应对维度得分为（24.14±6.42）分，消极应对维度平均得分为（11.70±5.25）分。结构方程模型拟合度指数良好，积极应对对益处发现的预测作用显著（β=0.771，n P0.05）。化疗期癌症患儿父母积极应对能通过心理弹性的中介作用预测益处发现，且为完全中介效应。n 结论:化疗期癌症患儿父母益处发现、积极应对及心理弹性处于中等以上水平，临床医护人员可以通过提高患儿父母积极应对和心理弹性的水平，从而提高患儿父母的益处发现水平，进而促进化疗期患儿父母身心健康。“,”Objective:To understand the coping style, psychological resilience and benefit finding in parents of children with cancer during chemotherapy, and to explore the mediating effect of psychological resilience in the positive coping and benefit finding of parents of children with cancer during chemotherapy.Methods:From September 2020 to September 2021, the parents of 343 children who were hospitalized for chemotherapy in the Hematology and Tumor Ward of Beijing Children\'s Hospital were selected by convenience sampling. A cross-sectional survey was conducted on the coping style, psychological resilience and benefit finding of parents of children with cancer during chemotherapy using the Revised Chinese Version of Benefit Finding Scale (BFS-C) , the Chinese Version of Connor-Davidson Resilience Scale (CD-RISC-C) , and Simplified Coping Style Questionnaire (SCSQ) . Amos 23.0 software was used to establish structural equation model and the mediating effect of the relationship among the three was carried out.Results:A total of 343 questionnaires were distributed, 324 valid questionnaires were recovered, with the valid recovery rate of 94.5%. The benefit finding score of 324 parents of children with cancer during chemotherapy was (85.35±16.91) , and the acceptance dimension had the lowest score among the five dimensions. The score of psychological resilience was (93.74±16.19) , the score of positive coping dimension was (24.14±6.42) , and the average score of negative coping dimension was (11.70±5.25) . Structural equation model fit index was good, positive coping had a statistically significant predictive effect on benefit finding (β=0.771,n P0.05) . Positive coping of parents of children with cancer during chemotherapy could predict benefit finding through the mediating effect of psychological resilience, and it was a complete mediating effect.n Conclusions:Benefit finding, positive coping and psychological resilience of parents of children with cancer during chemotherapy are at or above the moderate level. By improving the positive coping and psychological resilience of the parents of children, clinical medical and nursing staff can improve the benefit finding of children\'s parents, and then promote the physical and mental health of children\'s parents during chemotherapy.