■为早产儿做父母可能是令人难以置信的挑战和压力,特别是在出院后的第一年。理想的父母角色适应导致适当的育儿行为和父母与婴儿的互动,这对儿童健康和发展至关重要。
■根据Belsky的育儿过程模型,调查早产儿父母出院后第一年父母角色适应水平及其影响因素。
■采用了方便采样的横断面研究设计。使用父母角色适应量表(PRAS)收集早产儿父母的数据,领悟社会支持量表(PSSS),应对适应处理量表(CAPS-15),还有一份社会人口调查问卷.描述性统计,非参数检验,斯皮尔曼相关分析,和多元线性回归分析数据。
■总共,300名中国父母被纳入分析。在多变量分析中,第一次父母(p=0.003),硕士及以上学历(p=0.042),应对适应处理(p=0.000),居住地点(城镇:p=0.019,城市:p=0.028),家庭月收入(6000-10000:p=0.000,>10000:p=0.000),和感知的社会支持(p=0.001)都是父母角色适应的重要预测因子,并共同占早产儿父母父母角色适应变化的56.8%(F=16.473,p<0.001)。应对适应过程介导了感知社会支持与父母角色适应之间的关系(95%bootstrapCI=0.022,0.130)。
■中国早产儿父母在孩子从医院出院回家时,经历了中等水平的父母角色适应。不是第一次父母的父母,拥有硕士或以上学位,住在城镇或城市,有较高的应对和适应能力,家庭月收入高,和更大的感知社会支持有更高的父母角色适应水平。医疗保健提供者应更加关注社会经济地位低下的父母,并鼓励他们提高应对和适应能力,并利用其正式和非正式的社会支持网络。
UNASSIGNED: Parenting a preterm infant can be incredibly challenging and stressful, particularly in the first year after discharge. Desirable parental role adaptation leads to appropriate parenting behaviors and parent-infant interaction, which are essential to child health and development.
UNASSIGNED: To investigate the level of parental role adaptation and its influencing factors among parents of preterm infants in the first year after hospital discharge according to Belsky\'s parenting process model among parents of preterm infants in the first year after hospital discharge.
UNASSIGNED: A cross-sectional study design was adopted using convenience sampling. Data were collected using the Parental Role Adaptation Scale (PRAS) in parents with preterm infants, the Perceived Social Support Scale (PSSS), the Coping Adaptation Processing Scale (CAPS-15), and a sociodemographic questionnaire. Descriptive statistics, non-parametric tests, Spearman correlation analyses, and multivariate linear regression were used to analyze the data.
UNASSIGNED: In total, 300 Chinese parents were included in the analysis. In the multivariate analysis, first-time parent (p = 0.003), master\'s degree and above (p = 0.042), coping adaptation processing (p = 0.000), residence location (towns: p = 0.019, city: p = 0.028), monthly family income (6000-10,000: p = 0.000, >10,000: p = 0.000), and perceived social support (p = 0.001) were all significant predictors of parental role adaptation and collectively accounted for 56.8% of the variation in parental role adaptation of parents with preterm infants (F = 16.473, p < 0.001). Coping adaptation processing mediated the relationship between perceived social support and parental role adaptation (95% bootstrap CI = 0.022, 0.130).
UNASSIGNED: Chinese parents of preterm infants experience a moderate level of parental role adaptation when their child is discharged from the hospital to home. Parents who are not first-time parents, have master\'s degrees or above, live in towns or cities, have higher coping and adaptation abilities, have high monthly family income, and greater perceived social support have a higher level of parental role adaptation. Healthcare providers should pay more attention to parents with low socioeconomic status and encourage them to improve their coping and adaptation abilities and to utilize their formal and informal social support networks.