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基于压力评估的家庭应对模式对自闭症学龄儿童照顾行为的影响

The Effect an Stress Assessment-Based Family Coping Model on Caring Behavior of School-Age Children with Autism.

作者信息

As'ari Hasyim, Suriana Suriana, Yumni Hilmi

机构信息

Department of Pediatric Nursing, Nursing Department, Health Polytechnic of the Ministry of Health, Surabaya, Indonesia.

Department of Maternity Nursing, Nursing Department, Politeknik Kesehatan Kemenkes, Surabaya, Indonesia.

出版信息

Iran J Nurs Midwifery Res. 2025 Jul 24;30(4):481-485. doi: 10.4103/ijnmr.ijnmr_40_23. eCollection 2025 Jul-Aug.

Abstract

BACKGROUND

Families who assume the limitations and negative impacts of having an autistic child as a major stressor tend to have a severe stress level, which results in maladaptive family coping and low caring behavior, so failure of autistic children occurs. This study aimed to analyze the effect of family coping models based on stress assessment to caring behavior of school-aged autistic children.

MATERIALS AND METHODS

Quasi-experimental research was conducted on parents of 7-12 years old autistic children in center autism Surabaya, Indonesia. A large sample was used and the rule of thumb was used in sem, 9 indicators × 12 observed variables = 108. Parents were classified into a control group of 54 people without treatment and a control group of 54 people with treatment, who were given an application of randomly determined coping model. Data were collected from May to July 2022 using a questionnaire. Two-way test of variance using Wilcoxon signed ranks was used, and the difference test between groups uses Mann-Whitney U.

RESULTS

The difference test between in the controlled group shows any significant differences in family coping (z = 0.13) and ability the care for school-age autistic children (z = 0.08). The difference test between samples in the treatment group shows that there are significant differences in family coping (z = 5.04) and ability to care for school-age children autistic (z = 5.08). The difference test between the control and treatment groups shows that there are significant differences in family coping (z = 5.75) and the ability to care for school-age children autistic (z = 7.00).

CONCLUSIONS

There is a significant difference on family coping and caring behavior between the control and treatment groups, which is going to be good. It was shown that creating an adaptive family coping was necessary.

摘要

背景

将自闭症儿童的局限性和负面影响视为主要压力源的家庭往往压力水平严重,这会导致家庭应对方式 maladaptive 且关爱行为不足,进而导致自闭症儿童出现问题。本研究旨在分析基于压力评估的家庭应对模式对学龄期自闭症儿童关爱行为的影响。

材料与方法

在印度尼西亚泗水自闭症中心对 7 - 12 岁自闭症儿童的家长进行了准实验研究。采用大样本,根据经验法则,在标准误中,9 个指标×12 个观测变量 = 108。家长被分为 54 人未接受治疗的对照组和 54 人接受治疗的对照组,后者被给予随机确定的应对模式应用。2022 年 5 月至 7 月使用问卷收集数据。使用 Wilcoxon 符号秩进行双向方差检验,组间差异检验使用 Mann - Whitney U。

结果

对照组的差异检验显示,家庭应对(z = 0.13)和照顾学龄期自闭症儿童的能力(z = 0.08)无显著差异。治疗组样本间的差异检验显示,家庭应对(z = 5.04)和照顾学龄期自闭症儿童的能力(z = 5.08)有显著差异。对照组和治疗组之间的差异检验显示,家庭应对(z = 5.75)和照顾学龄期自闭症儿童的能力(z = 7.00)有显著差异。

结论

对照组和治疗组在家庭应对和关爱行为上存在显著差异,这是有益的。结果表明建立适应性家庭应对是必要的。

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