目的 探讨0～3岁高危儿家庭收入、育儿信心、回应性照护之间的关系,为促进高危儿的康复干预提供参考依据。 方法 采用横断面调查,抽取2023年10月—2024年2月在南京市妇幼保健院早期干预康复门诊体检的0～3岁高危儿361例,采用一般资料调查表、卡瑞坦尼育儿信心量表和婴幼儿回应性照护量表进行问卷调查。分析家庭收入、育儿信心、回应性照护之间的关系,并采用结构方程模型检验家庭收入在育儿信心和回应性照护之间的中介效应。 结果 1)高危儿育儿信心总分为40.20±3.93,回应性照护总分为66.56±12.33;2)高危儿家庭收入与育儿信心总分(r=0.119,P＜0.05)和回应性照护总分(r=0.215,P＜0.01)均呈正相关,高危儿照护者育儿信心总分与回应性照护总分呈正相关(r=0.451,P＜0.01);3)高危儿家庭收入是回应性照护的重要预测变量(β=0.398,P=0.006),高危儿育儿信心在家庭收入和回应性照护之间起部分中介效应(β=0.154,P=0.021),中介效应占总效应的27.90%。 结论 0～3岁高危儿照护者的育儿信心在家庭收入和回应性照护水平之间发挥部分中介作用,儿童保健人员可通过加强高危儿照护者的育儿信心促进其回应性照护水平。
Abstract
Objective To examine the relationships between household income, parenting confidence, and responsive caregiving among caregivers of high-risk infants aged 0 - 3 years, in order to provide evidence to support rehabilitation interventions for this population. Methods A cross-sectional survey was conducted among 361 high-risk infants (aged 0 - 3 years) who attended the early intervention clinic at Obstetrics and Gynecology Hospital Affiliated to Nanjing Medical University between October 2023 and February 2024.Data were collected using a general information questionnaire, the Karitane Parenting Confidence Scale (KPCS), and the Infant-Toddler Responsive Caregiving Scale (IT-RCS).The relationships among household income, parenting confidence, and responsive caregiving were analyzed, and a structural equation model (SEM) was employed to test the mediating role of parenting confidence in the association between household income and responsive caregiving. Results 1) The total score for parenting confidence in high-risk children is 40.20±3.93, and the total score for responsive care is 66.56±12.33.2) Household income was significantly positively correlated with total parenting confidence scores (r=0.119, P<0.05) and total responsive caregiving scores (r=0.215, P<0.01). Parenting confidence scores was also significantly positively correlated with responsive caregiving scores (r=0.451, P<0.01).3) Household income significantly predicted responsive caregiving (β=0.398, P=0.006).Parenting confidence partially mediated the relationship between household income and responsive caregiving (β=0.154, P=0.021), accounting for 27.90% of the total effect. Conclusions Parenting confidence partially mediates the association between household income and responsive caregiving in caregivers of high-risk children aged 0 - 3 years.Healthcare professionals should focus on enhancing caregivers′ parenting confidence to improve responsive caregiving practices.
关键词
高危儿 /
回应性照护 /
育儿信心 /
家庭收入 /
中介作用
Key words
high-risk children /
responsive caregiving /
parenting confidence /
household income /
mediating effect
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参考文献
[1] 陈荣华,赵正言,刘湘云.儿童保健学[M].5版.南京:江苏凤凰科学技术出版社,2017.
Chen RH, Zhao ZY, Liu XY.Child health care[M].5th ed.Nanjing:Jiangsu Phoenix Science and Technology Publishing House, 2017.(in Chinese)
[2] 杨玉凤.高危儿健康管理新理念[J].中国儿童保健杂志, 2019, 27(2): 117-118, 122.
Yang YF.New concept of health management for high-risk children[J].Chin J Child Health Care, 2019, 27(2): 117-118, 122.(in Chinese)
[3] Feinberg ME, Jones DE, Kan ML, et al.Effects of family foundations on parents and children: 3.5 years after baseline[J].J Fam Psychol, 2010,24(5): 532-542.
[4] Miles MS, Holditch-Davis D, Schwartz TA, et al.Depressive symptoms in mothers of prematurely born infants[J].J Dev Behav Pediatr, 2007,28(1): 36-44.
[5] Mentro AM, Stewart DK, Garvin BJ.Infant feeding responsiveness: A conceptual analysis[J].J Adv Nurs, 2010, 37(2): 208-216.
[6] World Health Organization, World Bank Group, UNICEF.Nurturing care for early childhood development[R/OL].(2018-05-18)[2024-08-19].https://nurturing-care.org/,2021-3.
[7] 邵洁,童梅玲,张悦,等.婴幼儿养育照护专家共识[J].中国儿童保健杂志,2020,28(9):1063-1068.
Shao J, Tong ML, Zhang Y, et al.Expert consensus on infant and young child care[J].Chin J Child Health Care, 2020,28(9):1063-1068.(in Chinese)
[8] McIsaac JD, MacQuarrie M, Barich R, et al.Responsive feeding environments in childcare settings: A scoping review of the factors influencing implementation and sustainability[J].Int J Environ Res Public Health, 2022,19(19):11870.
[9] 刘潘婷,张蕾,洪琴,等.婴幼儿回应性照护水平和育儿信心的关系[J].中国儿童保健杂志,2024,32(2):133-137.
Liu PT, Zhang L, Hong Q, et al.Relationship between responsive caregiving for infants and young children and parenting confidence among caregivers[J].Chin J Child Health Care,2024,32(2):133-137.(in Chinese)
[10] 杨金柳行.中文版育儿信心量表信效度评价及母亲育儿信心与母婴依恋的关系研究[D].北京:中国疾病预防控制中心,2020.
Yang JLX.Validation of Chinese Parenting Confidence Scale and the relationship between maternal parenting confidence and mother-infant attachment[D].Beijing: Chinese Center for Disease Control and Prevention,2020.(in Chinese)
[11] 宋青.反复呼吸道感染患儿父母育儿自我效能影响因素研究[J].中国农村卫生,2020,12(23):59-60.
Song Q.Study on factors influencing parenting self-efficacy of parents of children with recurrent respiratory tract infections[J].Chin Rura Health,2020,12(23):59-60.(in Chinese)
[12] Fang Y, Boelens M, Windhorst DA, et al.Factors associated with parenting self-efficacy: A systematic review[J].J Adv Nurs,2021,77(6):2641-2661.
[13] Sokolovic N, Leckie G, Browne DT, et al.What makes for responsive family interactions? Disentangling individual, family-level, and socioeconomic contributions[J].J Fam Psychol,2021,35(8):1149-1159.
[14] 杨金柳行,张悦,张良芬,等.卡瑞坦尼家长育儿信心量表的汉化及信效度检验[J].中华预防医学杂志,2021,55(7):811-817.
Yang JLX, Zhang Y, Zhang LF, et al.Reliability and validity test of the Chinese version of the Karitane Parenting Confidence Scale[J].Chin J Prev Med, 2021, 55(7): 811-817.(in Chinese)
[15] 黄楹,张海峰,童连.婴幼儿回应性照护评价量表的初步编制与评价[J].中国儿童保健杂志,2022,30(4):386-391.
Huang Y, Zhang HF, Tong L.Preliminary development and evaluation of the Responsive Caregiving Rating Scale for Children Aged 0 to 4 Years[J].Chin J Child Health Care, 2022, 30(4): 386-391.(in Chinese)
[16] 江苏省人民政府.江苏省2024年政府工作报告[EB/OL].(2024-02-22)[2024-08-27].http://www.jiangsu.gov.cn/art/2024/2/22/art_88959_11158606.html.
[17] 国家统计局.2023年居民收入和消费支出情况[EB/OL].(2024-01-17)[2024-11-27].https://www.stats.gov.cn/sj/zxfb/202401/t20240116_1946622.html
[18] 张悦,邵洁,吴婕翎.高危儿规范化健康管理专家共识[J].中国儿童保健杂志,2023,31(6):581-585,622.
Zhang Y, Shao J, Wu JL.Expert consensus on standardized health management of high-risk infants[J].Chin J Child Health Care, 2023,31(6):581-585,622.(in Chinese)
[19] 潘虹地,张悦,唐鹤,等.中国城市地区婴幼儿家长卡瑞坦尼育儿信心量表常模研究[J].中华预防医学杂志,2021,55(10):1209-1213.
Pan HD, Zhang Y, Tang H, et al.Studies of the norm of Karitane Parenting Confidence Scale (KPCS) among parents of infants in urban areas of China[J].Chin J Prev Med, 2021, 55(10): 1209-1213.(in Chinese)
[20] Scherer E, Hagaman A, Chung E, et al.The relationship between responsive caregiving and child outcomes: Evidence from direct observations of mother-child dyads in Pakistan[J].BMC Public Health, 2019,19(1):252.
[21] Smith A.Parenting self-efficacy and its effects on child development: Evidence from a longitudinal study[J].Developmental Psychology, 2020, 56(3):453-467.
[22] Bradley RH, Corwyn RF.Socioeconomic status and child development[J].Annual Review of Psychology,2002,53(1):371-399.
基金
南京市卫生科技发展项目(YKK23152);江苏省妇幼保健协会(FYX202340);南京医科大学科技发展基金一般项目(NMUB 20220102,NMUB20220108)
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