学龄前孤独症患儿照顾者连带病耻感及影响因素分析
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女,本科,副主任护师,护士长

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莆田学院科研基金项目(2022082)


Status quo of affiliate stigma and its influencing factors among caregivers of preschool children with autism spectrum disorder
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    目的 探讨学龄前孤独症谱系障碍患儿照顾者连带病耻感现状及其与疾病获益感、心理弹性的相关性。 方法 采用一般资料问卷、连带病耻感量表、疾病获益感量表、心理弹性量表对258名学龄前孤独症谱系障碍患儿照顾者进行调查。 结果 学龄前孤独症谱系障碍患儿照顾者连带病耻感条目均分2.44±0.46,情感维度病耻感最高,且得分最高的5个条目均归属于情感维度。疾病获益感、心理弹性与连带病耻感呈显著负相关(均P<0.05)。分层回归分析结果显示,学龄前孤独症谱系障碍患儿照顾者连带病耻感主要受就业状态、夫妻关系、疾病严重程度和心理弹性因素影响,在控制照顾者及患儿一般资料后,疾病获益感未影响连带病耻感,而心理弹性能解释连带病耻感总变异的8%(P<0.05)。 结论 孤独症谱系障碍患儿照顾者连带病耻感处于较高水平,情感维度病耻感最为严重。医护人员应重视照顾者的心理感受,采取措施提高其心理弹性,引导其以积极的心态面对困难,从而降低连带病耻感。

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    Objective To analyse the current status of affiliate stigma among caregivers of preschoolers with autism spectrum disorder (ASD) and its correlation with benefit finding and psychological resilience. Methods A total of 258 caregivers of ASD preschoolers were surveyed by using the demographic questionnaire, the Affiliate Stigma Scale (ASS), the Benefit Finding Scale (BFS) and the Connor-Davidson Resilience Scale (CD-RISC). Results The caregivers of ASD preschoolers scored (2.44±0.46) points in affiliate stigma, with the affective dimension scoring the highest and the top 5 items with the highest scores being exclusively from the affective dimension.Benefit finding and psychological resilience total scores were negatively correlated with affiliate stigma dimension scores and total scores (all P<0.05).Hierarchical regression analysis showed that affiliate stigma among caregivers of ASD preschoolers was mainly affected by employment status, marital relationship, severity of ASD and psychological resilience; after controlling for general information of caregivers and children, benefit finding did not affect affiliate stigma among caregivers, while psychological resilience could explain 8% of the total variability of affiliate stigma (P<0.05). Conclusion Caregivers of ASD preschoolers had a high level of affiliate stigma with the affective dimension being the most severe.Medical staff should pay attention to the psycholo-gical feelings of caregivers, take measures to improve their psychological resilience, and guide them to face difficulties with a positive attitude, so as to reduce their affiliate stigma.

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吴淑琼,李真真,杨宁波,王桂芝,陈丽霞,吴素华,袁晓琴.学龄前孤独症患儿照顾者连带病耻感及影响因素分析[J].护理学杂志,2023,28(11):88-91

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  • 收稿日期:2023-01-31
  • 最后修改日期:2023-03-17
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  • 在线发布日期: 2024-01-13