癌症患儿父母社会支持的重要性：基于偏最小二乘路径模型的多组分模型。
Importance of Social Support of Parents of Children with Cancer: A Multicomponent Model Using Partial Least Squares-Path Modelling.
机构信息
Department of Social Psychology, Social Work and Social Anthropology, University of Malaga, 29071 Málaga, Spain.
Department of Applied Economics, Statistics and Econometrics, University of Malaga, 29071 Málaga, Spain.
出版信息
Int J Environ Res Public Health. 2023 Jan 18;20(3):1757. doi: 10.3390/ijerph20031757.
The purpose of the present study is to build a model combining some variables that have been previously studied separately to improve our understanding on how they relate in parents of children with cancer. A total of 112 parents with an average age of 41 completed the self-assessment questionnaires containing the factors studied: social support received, social support provided, stress, adjustment of parents and life satisfaction. Two models were developed: one for social support received and one for social support provided. Structural equation models based on the variance estimated through partial least squares were used to analyze factors involved in quality of life based on an exploratory model of second order. The estimated model was robust in terms of quality of measurement (reliability and validity). According to results from the structural model, in the model of social support received, the impact of social support received on stress was considerable (β = -0.26; = 0.02) and it explained 16% of the variance. The impact of social support received by parents on their adjustment (β = -0.56; < 0.001) was also considerable, explaining 32% of the variance. Finally, adjustment of parents also showed an effect on life satisfaction (β = -0.33; < 0.001) and it explained 26% of the variance. However, the relation between social support received (β = 0.15; = 0.11) and life satisfaction, the relation between stress (β = -0.15; = 0.08) and life satisfaction, and the relation between adjustment of parents (β = 0.20; = 0.07) and stress were not significant. In the model of social support provided by parents, social support provided (β = 0.35; < 0.001), and adjustment of parents (β = -0.31; < 0.01) impacted life satisfaction, explaining 36% of the variance. Social support provided (β = -0.34; < 0.01) impacted adjustment of parents and it explained 12% of the variance. Adjustment of parents (β = 0.28; < 0.05) also impacted parents' perception of stress, explaining 14% of the variance. However, the relation between social support provided (β = -0.17; = 0.06) and stress, and the relation between stress (β = -0.13; = 0.08) and life satisfaction, were not significant. Social support received showed a strong connection with stress and parents' adjustment. Additionally, social support received showed a decrease in stress and parents' adjustment. Social support provided by parents and the adjustments they experience are linked to their life satisfaction. Additionally, social support provided showed a decrease in adjustment and an increase in parents' life satisfaction. The models can be used to improve parents' situations and it has strong practical implications.
本研究的目的是建立一个模型，将之前分别研究的一些变量结合起来，以提高我们对它们在癌症患儿父母中如何相互关联的理解。共有 112 名平均年龄为 41 岁的父母完成了自我评估问卷，其中包含了所研究的因素：所获得的社会支持、所提供的社会支持、压力、父母的调整和生活满意度。建立了两个模型：一个用于所获得的社会支持，另一个用于所提供的社会支持。使用基于偏最小二乘估计的方差的结构方程模型，根据二阶探索性模型分析了基于生活质量的因素。估计模型在测量质量（可靠性和有效性）方面是稳健的。根据结构模型的结果，在所获得的社会支持模型中，所获得的社会支持对压力的影响相当大（β=-0.26； = 0.02），解释了 16%的方差。父母所获得的社会支持对其调整（β=-0.56； < 0.001）的影响也相当大，解释了 32%的方差。最后，父母的调整也对生活满意度产生影响（β=-0.33； < 0.001），解释了 26%的方差。然而，所获得的社会支持（β=0.15； = 0.11）与生活满意度之间的关系、压力（β=-0.15； = 0.08）与生活满意度之间的关系以及父母调整（β=0.20； = 0.07）与压力之间的关系并不显著。在父母提供的社会支持模型中，提供的社会支持（β=0.35； < 0.001）和父母的调整（β=-0.31； < 0.01）对生活满意度产生影响，解释了 36%的方差。提供的社会支持（β=-0.34； < 0.01）对父母的调整产生影响，解释了 12%的方差。父母的调整（β=0.28； < 0.05）也对父母对压力的感知产生影响，解释了 14%的方差。然而，提供的社会支持（β=-0.17； = 0.06）与压力之间的关系以及压力（β=-0.13； = 0.08）与生活满意度之间的关系并不显著。所获得的社会支持与压力和父母的调整有很强的联系。此外，所获得的社会支持与压力和父母的调整呈负相关。父母提供的社会支持和他们经历的调整与他们的生活满意度有关。此外，提供的社会支持与调整呈负相关，与父母的生活满意度呈正相关。这些模型可用于改善父母的状况，具有很强的实际意义。
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