Relationship between perceived social support and family function in parents of pediatric liver transplant recipients: a chain mediation effect analysis
10.3760/cma.j.cn115682-20231122-02189
- VernacularTitle:肝移植患儿父母领悟社会支持与家庭功能间的关系：链式中介效应分析
- Author:
Yaning ZHU
1
;
Yanhui LIU
;
Ying JIANG
;
Jing LI
;
Wei GAO
;
Zihang FENG
;
Ying SUN
;
Yiwei LUO
;
Ruzhen LUO
Author Information
1. 天津中医药大学护理学院，天津 301617
- Keywords:
Children;
Liver transplantation;
Parents;
Perceived social support;
Psychological flexibility;
Dyadic coping;
Family function;
Mediation effect
- From:
Chinese Journal of Modern Nursing
2024;30(23):3110-3116
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the chain mediation effect of psychological flexibility and dyadic coping between perceived social support and family function in parents of pediatric liver transplant recipients.Methods:Totally 320 parents of pediatric liver transplant recipients who were treated at the Department of Pediatric Organ Transplantation, Tianjin First Central Hospital from April to October 2023 were selected by convenience sampling. The participants were surveyed using a general information questionnaire, the Perceived Social Support Scale (PSSS), the Acceptance and Action Questionnaire-Ⅱ (AAQ-Ⅱ), the Dyadic Coping Inventory (DCI), and the Family APGAR Index (APGAR). Pearson correlation analysis was used to examine the relationships between perceived social support, psychological flexibility, dyadic coping, and family function in these parents. Structural equation modeling (SEM) was performed using Amos 26.0 to analyze the chain mediation effect of psychological flexibility and dyadic coping between perceived social support and family function, with the Bootstrap method used for model testing.Results:A total of 320 questionnaires were distributed, with 312 valid responses, yielding a response rate of 97.50% (312/320). The scores for the 312 parents were as follows: PSSS (59.29±15.64), AAQ-Ⅱ (20.35±9.07), DCI (124.64±32.65), and APGAR (6.98±2.74). Family function was positively correlated with perceived social support and dyadic coping ( P<0.01), and perceived social support was positively correlated with dyadic coping ( P<0.01). Psychological flexibility was negatively correlated with family function, perceived social support, and dyadic coping ( P<0.01). SEM results showed that psychological flexibility and dyadic coping had a significant chain mediation effect between perceived social support and family function, with a mediation effect value of 0.059. The chain mediation effect of psychological flexibility and dyadic coping accounted for 13.81% of the total effect (0.059/0.427) . Conclusions:Perceived social support directly affects family function in parents of pediatric liver transplant recipients and also indirectly influences family function through the chain mediation effect of psychological flexibility and dyadic coping.
