中国儿童保健杂志 ›› 2016, Vol. 24 ›› Issue (9): 913-916.DOI: 10.11852/zgetbjzz2016-24-09-06

• 科研论著 • 上一篇    下一篇

孤独症谱系障碍患儿养育者育儿自我效能感的现状分析

周雅婷, 尹华英, 王敏建, 王娟, 程茜   

  1. 重庆医科大学附属儿童医院儿保心理科,重庆 400014
  • 收稿日期:2016-02-25 发布日期:2016-09-10 出版日期:2016-09-10
  • 通讯作者: 尹华英,E-mailsarah6524@126.com
  • 作者简介:周雅婷(1992-),女,硕士在读,研究方向为儿童保健和护理教育。
  • 基金资助:
    重庆市沙坪坝区科委决策咨询与管理创新项目(jc201512);2013-2014年度国家临床重点专科建设项目([2013]544)

Analysis of parenting self-efficacy of autistic spectrum disorder children's caregivers.

ZHOU Ya-ting, YIN Hua-ying, WANG Min-jian, WANG Juan, CHENG Qian   

  1. Department of Child Health Care,Children's Hospital of Chongqing Medical University,Chongqing 400014,China
  • Received:2016-02-25 Online:2016-09-10 Published:2016-09-10
  • Contact: YIN Hua-ying,E-mail:sarah6524@126.com

摘要: 目的 调查孤独症谱系障碍(ASD)患儿养育者育儿自我效能感(PSE)现状,为制定干预措施提供依据。方法 采用自制一般资料调查表和育儿自我效能感测评工具(TOPSE)对确诊为ASD的患儿养育者进行调查。结果 165名ASD患儿养育者接受调查,其PSE总均分为6.611±1.003,处于中等水平,各维度得分由高至低依次为:学习、自我接纳、共情、情感、玩耍、压力、控制力、自律/规则制定。共情(△R2=0.708,P<0.05)和自律/规则制定(△R2=0.153,P<0.05)自我效能感对PSE影响最大。女性养育者的PSE水平显著高于男性(P<0.05)。城镇患儿养育者的PSE显著高于农村(P<0.05)。养育者的PSE因学历不同存在差异,学历越高,PSE越高(P<0.05)。结论 应根据养育者受教育程度,采取个体化的亲子教育模式,对养育者进行培训,以提高其PSE水平,为ASD患儿的康复训练营造有利的家庭环境。

关键词: 孤独症谱系障碍, 照顾者, 育儿自我效能感

Abstract: Objective To investigate the status of parenting self-efficacy(PSE) of autistic spectrum disorder(ASD) children's caregivers and to provide evidence for intervention programs. Method ASD children's caregivers were surveyed by general demographic questionnaire and the tool to measure parental self-efficacy (TOPSE). Results A total of 165 caregivers of children with ASD received the investigation.The empathy (△R2=0.708,P<0.05)and discipline/setting boundaries(△R2=0.153,P<0.05) self-efficacy were good predictors,the level of PSE at middle level and the average total score was (6.611±1.003).By descending order,they were:learning,self-acceptance,empathy,emotion,play,pressure,control and discipline/setting boundaries.The score of maternal self-efficacy was significantly higher than that of paternal self-efficacy (P<0.05).PSE was significantly higher in caregivers who lived in cities than those who lived in the countryside (P<0.05).And caregivers' educational background had significant effect on PSE.The higher the diploma was,the higher the level of PSE (P<0.05). Conclusion Different parent-child education mode should be adopted to train caregivers and to improve PSE according to different caregivers' educational levels,in order to build a better family environment for rehabilitation training of children with ASD.

Key words: autistic spectrum disorder, caregivers, parenting self-efficacy

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