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Health-Promoting Behaviors Between Parenting Stress and Health-related Quality of Life

機(jī)譯：父母教養(yǎng)壓力與健康相關(guān)生活質(zhì)量之間的健康促進(jìn)行為

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摘要

Background: Studies show that parents of children with cerebral palsy (CP) exhibit high parenting stress and low health-related quality of life (HRQOL). Health-promoting behaviors (HPB) may reduce the effect of parenting stress on HRQOL. However, no studies have examined the role of HPB in the parenting stress-HRQOL relationship among mothers of children with CP.;Objective: To explore overall and specific indirect effects of HPB on the parenting stress-HRQOL relationship in mothers of children with CP.;Theoretical framework: This study is based on transactional model of stress and coping to evaluate the joint and individual influences of health-promoting behaviors in the relationship between parenting stress and HRQOL among mothers of children with CP.;Methods: A convenience sample of 180 mothers of children with CP aged 10 months to 12 years was recruited in Korea. HPB were measured using Health-Promoting Lifestyle Profile II, consisting of health responsibility, physical activity, nutrition, spiritual growth, interpersonal relations, and stress management subscales. Multiple mediation analyses were conducted to separately explore mediating roles of individual HPB.;Results: HPB had a significant indirect effect on the relationship between parenting stress and mental HRQOL but not physical HRQOL. The total indirect effect was not significant, but health responsibility had a significant indirect effect on the parenting stress-physical HRQOL association. Regarding the parenting stress-mental HRQOL association, the total indirect effect of HPB was significant, as were the indirect effects of spiritual growth and stress management.;Conclusion: HPB should be promoted among mothers of children with CP to attenuate the effect of parenting stress on mental HRQOL. Multiple mediation analyses provide evidence for determining which specific HPB could be effective in improving HRQOL for family caregivers of children with disabilities, thus supporting development of interventions tailored for this population.
機(jī)譯：背景：研究表明，腦癱兒童的父母表現(xiàn)出較高的父母壓力，健康相關(guān)的生活質(zhì)量較低（HRQOL）。促進(jìn)健康的行為（HPB）可能會(huì)降低育兒壓力對(duì)HRQOL的影響。然而，尚未有研究探討HPB在CP兒童母親的父母壓力-HRQOL關(guān)系中的作用。目的：探討HPB對(duì)CP兒童母親的父母壓力-HRQOL關(guān)系的整體和具體間接影響。理論框架：本研究基于壓力和應(yīng)對(duì)的交易模型，以評(píng)估CP兒童的父母養(yǎng)育壓力與HRQOL之間健康促進(jìn)行為的聯(lián)合和個(gè)體影響。方法：便捷樣本180在韓國招募了10個(gè)月至12歲的CP兒童的母親。 HPB是通過“健康促進(jìn)生活方式簡(jiǎn)介II”進(jìn)行測(cè)量的，其中包括健康責(zé)任感，身體活動(dòng)，營養(yǎng)，精神發(fā)育，人際關(guān)系和壓力管理子量表。結(jié)果：HPB對(duì)父母壓力和心理HRQOL之間的關(guān)系具有顯著的間接影響，而對(duì)身體HRQOL沒有顯著的間接影響。間接總影響并不顯著，但健康責(zé)任對(duì)父母壓力-身體HRQOL關(guān)聯(lián)具有顯著間接影響。關(guān)于育兒壓力-心理HRQOL關(guān)聯(lián)，HPB的總間接作用是顯著的，精神生長(zhǎng)和壓力管理的間接作用也很顯著。結(jié)論：應(yīng)在CP兒童的母親中促進(jìn)HPB以減輕父母壓力的影響關(guān)于心理HRQOL。多種調(diào)解分析提供了證據(jù)，以確定哪種特定的HPB可以有效改善殘疾兒童家庭照護(hù)者的HRQOL，從而支持針對(duì)該人群的干預(yù)措施的開發(fā)。

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  • 作者

    Lee, Meen Hye.;

  • 作者單位

    University of Illinois at Chicago.;

  • 授予單位 University of Illinois at Chicago.;
  • 學(xué)科 Nursing.
  • 學(xué)位 Ph.D.
  • 年度 2017
  • 頁碼 108 p.
  • 總頁數(shù) 108
  • 原文格式 PDF
  • 正文語種 eng
  • 中圖分類 遙感技術(shù);
  • 關(guān)鍵詞

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