失独者应对方式及其与社会支持的相关性
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摘要
背景:失独家庭是指独生子女因意外事故或疾病等死亡,而母亲已达到生育极限年龄(49岁以上),无法再生育子女的家庭;失独者则是指失独家庭中失去独生子女的父母。近年来失独者日益凸显的心理问题开始受到关注,不良的心理状态严重影响心身健康和社会功能,应对方式能体现失独者的心理状态,因此了解失独者的应对方式并找出影响因素,将有利于采取针对性的干预措施促进心身健康。目的:了解失独者的应对方式现况及其影响因素,并探讨失独者应对方式与社会支持的关系。方法:采用分层整群抽样,获得湖南省177例失独者为研究对象,采用一般资料问卷、简易应对方式问卷、社会支持评定量表调查失独者的应对方式和社会支持的情况。结果:(1)失独者的积极应对方式得分为(20.27?6.33)分,在不同身体状况、养老保险、主要经济来源的失独者间差异有统计学意义(P(27)0.05);(2)失独者的消极应对方式得分为(10.75?3.77)分,在不同身体状况、确诊疾病、有无住院治疗的失独者间差异有统计学意义(P(27)0.05);(3)失独者的社会支持得分为(31.72?8.25)分,低于国内常模(t=-4.312,P(27)0.001);(4)积极应对方式与社会支持呈正相关(r=0.278,P(27)0.01),消极应对方式与社会支持利用度呈负相关(r=-0.148,P(27)0.05)。结论:(1)失独者应对方式中积极、消极维度的影响因素不尽相同,稳定的经济保障可以促使失独者采取积极应对策略,健康的身体状况有助于其减少消极应对;因此,在改善失独者的应对方式时应当采取针对性的干预。(2)失独者所获得的社会支持较低,不利于其积极应对意识的形成,社会各界应予以失独者更多的关注,给以经济、养老、情感等支持;同时应当采取措施提高失独者对社会支持的利用度,从而减少消极应对促进心理健康。
Background:Bereaved parents in an only-child are known as shidu fumu in China. In such family, the only-child died in accident or disease while the mother had no fertility to obtain another baby as reaching the limited age(forty-nine years old). Nowadays, increasingly attention is payed to the mental situation of shidu fumu which play an important role in physical and mental health,social function and poor mental situation would have a bad impact in these. Coping style is able to reflect the mental situation of shidu fumu. To know about the shidu fumu's coping style and find out its influencing factors, which would be beneficial for us to take targeted measures promoting mental health. Object: To investigate the coping style in shidu fumu and analyze its influencing factors and its correlation with social support. Methods:By Stratified cluster sampling, General Information Questionnaire,Simplified Coping Style Questionnaire and Social Support Scale were administered to 177 shidu fumu in Hunan province. Results:(1)Shidu fumu' positive coping score was(20.27±6.33), there was significant difference between shidu fumu with different physical situation,pension insurance,getting the main source of income in different ways(P(27)0.05);(2)Shidu fumu' negative coping score was(10.75±3.77), there was significant difference between shidu fumu with different physical situation,number of diagnosed diseases,whether experience hospitalization(P(27)0.05);(3)Shidu fumu' social support score was(31.72±8.25), which was lower than the national norm(t=-4.312,P(27)0.001);(4)There was a positive relationship between positive coping and social support(r=0.278,P(27)0.01)while there was a negative relationship between negative coping and the utilization of social support(r=-0.148, P(27)0.05). Conclusion:(1)Influencing factors of shidu fumu' coping mode in the positive, negative dimension are not the same. Stable income can prompt shidu fumu to take positive coping strategies and healthy fitness is beneficial for them to reduce negative coping. As a result, to take targeted intervention while improving shidu fumu' coping style is essential.(2)The obtained social support of shidu fumu is not enough, which would be adverse for the formation of positive coping awareness. So the social should pay more attention to shidu fumu by giving support in economy and emotion. At the same time, measures should be taken to improve the utilization of social support of shidu fumu, which would reduce the negative coping to promote mental health.
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