Mediating role of coping strategies in the relationship between disease uncertainty and post-discharge coping difficulties in mothers of preterm infants
10.3760/cma.j.cn115682-20240109-00187
- VernacularTitle:出院后应对方式在早产儿母亲疾病不确定感与出院后应对困难之间的中介作用
- Author:
Yarui ZHAO
1
;
Jin LIU
;
Jianli GAO
;
Xiaoqin LIU
;
Jingjing GONG
;
Yun ZHU
Author Information
1. 山东第一医科大学附属省立医院党委办公室，济南 250021
- Publication Type:Journal Article
- Keywords:
Coping style;
Mothers of preterm infants;
Disease uncertainty;
Post-discharge coping difficulties;
Mediating effect
- From:
Chinese Journal of Modern Nursing
2025;31(4):539-544
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating role of coping strategies in the relationship between disease uncertainty and post-discharge coping difficulties in mothers of preterm infants.Methods:A convenience sampling method was used to select 255 mothers of preterm infants from Shandong Provincial Hospital Affiliated to Shandong First Medical University, Linyi People 's Hospital, Weifang Maternal and Child Health Hospital, Maternal and Child Care Center of Dezhou, Dongying People 's Hospital between March and May 2023. General information surveys, the Parents ' Perception of Uncertainty Scale, the Simple Coping Style Questionnaire, and Post-Discharge Coping Difficulty Scale-Parent Form were administered on the day of discharge and 3 weeks post-discharge. Structural equation modeling was constructed using AMOS 23.0 software, and the mediating effect was tested using the Bootstrap method. Results:The disease uncertainty score for the 255 mothers of preterm infants was 66.00 (53.00, 77.00), the active coping score was 23.00 (17.00, 27.00), the passive coping score was 10.00 (7.00, 13.00), and the post-discharge coping difficulties score was 42.00 (26.00, 55.00). Mediating effect analysis showed that active and passive coping partially mediated the relationship between disease uncertainty and post-discharge coping difficulties, with mediating effects of 18.73% and 17.06%, respectively.Conclusions:Disease uncertainty can indirectly affect post-discharge coping difficulties through active and passive coping strategies. Healthcare providers should assist mothers of preterm infants in appropriately managing disease uncertainty and actively coping with challenges.
