双相情感障碍儿童父母社会融入对养育倦怠的影响

戴一希; 李思思; 林小清; 陈德裕

doi:10.16766/j.cnki.issn.1674-4152.004297

双相情感障碍儿童父母社会融入对养育倦怠的影响

doi: 10.16766/j.cnki.issn.1674-4152.004297

1.
温州医科大学附属第二医院育英儿童医院普通儿童内科，浙江温州 325000
2.
温州市鹿城区第三人民医院鹿城精神卫生工作办公室，浙江温州 325000

基金项目:

浙江省温州市科技局项目 Y20210304

浙江省卫生健康科技计划项目 2021KY800

详细信息

通讯作者:
戴一希，E-mail: daiyixi888@163.com

中图分类号: R749.94 R395.6
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出版历程
- 收稿日期: 2025-04-07
- 网络出版日期: 2026-03-13

Impact of social integration on parenting burnout among parents of children with bipolar disorder

1.
General Pediatrics, the 2th Affiliated Hospital and Yuying Children' s Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China

摘要

摘要: 目的探讨双相情感障碍儿童父母社会融入与养育倦怠的现状，并分析二者之间的相关性及影响程度，以期为护理管理提供理论依据。方法于2024年7—12月采取便利抽样法使用自制的一般人口学调查表、社会融入量表、养育倦怠量表对浙江省某三甲医院心理门诊就诊的212名双相情感障碍儿童父母进行问卷调查。共回收有效问卷204份，有效问卷回收率为96.23%。使用SPSS 23.0统计学软件进行数据整理，采用单因素分析及分层回归分析研究双相情感障碍儿童父母社会融入对养育倦怠的影响。结果 204名双相情感障碍儿童父母社会融入得分为(35.75±7.10)分，养育倦怠得分为(89.29±15.23)分；不同与患儿关系、年龄、是否工作及自觉家庭关系情况双相情感障碍儿童父母养育倦怠得分差异有统计学意义(P＜0.01)；双相情感障碍儿童父母养育倦怠与社会融入总分及各维度均呈负相关关系(r=-0.633~-0.406，P＜0.01)；分层回归分析显示，除外一般资料的影响，社会融入能够对双相情感障碍儿童父母养育倦怠产生影响，共解释总变异的25.9%(P＜0.01)。结论双相情感障碍儿童父母养育倦怠水平有待提高，除与患儿关系、年龄、是否工作及自觉家庭关系情况等因素外，社会融入情况能够对养育倦怠产生一定程度的影响。这提示管理者应提高对双相情感障碍儿童父母养育倦怠的重视程度，通过多种举措有效降低养育倦怠水平。
- 双相情感障碍 /
- 父母 /
- 社会融入 /
- 养育倦怠
Abstract: Objective To explore the current status of social integration and parenting burnout among parents of children with bipolar disorder, and to analyze the correlation and degree of influence between the two, so as to provide a theoretical basis for nursing management. Methods A convenience sampling method was used to conduct a questionnaire survey among 212 parents of children with bipolar disorder attending the Psychological Outpatient Clinic of a tertiary hospital in Zhejiang Province from July to December 2024. The survey included a self-designed general demographic questionnaire, a social integration scale, and a parenting burnout scale. A total of 204 valid questionnaires was collected, with an effective response rate of 96.23%. SPSS 23.0 statistical software was used for data processing, and univariate analysis and hierarchical regression were employed to analyze the impact of social integration on parenting burnout among these parents. Results The social integration score of the 204 parents was (35.75±7.10) points, and the parenting burnout score was (89.29±15.23) points. Significant differences in parenting burnout scores were observed based on the relationship with the child, age, employment status, and perceived family relationship (P < 0.01). Parenting burnout was negatively correlated with the total social integration score and its subdimensions (r value from -0.633 to -0.406, P < 0.01). Hierarchical regression analysis showed that, after controlling for the influence of general demographic factors, social integration significantly contributed to parenting burnout, explaining 25.9% of the total variance (P < 0.01). Conclusion The level of parenting burnout among parents of children with bipolar disorder needs improvement. In addition to factors such as the relationship with the child, age, employment status, and perceived family relationship, social integration also exerts a certain degree of influence on parenting burnout. This suggests that managers should pay greater attention to parenting burnout in these parents and implement multiple measures to effectively reduce its level.
- Bipolar disorder /
- Parents /
- Social integration /
- Parental burnout

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表 1 不同一般人口学资料双相情感障碍儿童父母养育倦怠得分比较

Table 1. Comparison of parenting burnout scores of parents of children with bipolar disorder among different general population demographics

项目	例数(%)	养育倦怠得分 (x±s，分)	统计量	P直
与患儿关系			4.937^a	＜0.001
父亲	71(34.80)	82.46±14.44
母亲	133(65.20)	92.93±14.42
年龄(岁)			7.062^b	0.001
＜30	35(17.16)	96.34±15.06
30~40	89(43.63)	90.12±13.76
＞40	80(39.21)	85.28±15.77
受教育程度			0.642^b	0.589
初中及以下	31(15.20)	89.81±14.15
高中或中专	59(28.92)	91.15±15.87
大专或本科	83(40.68)	88.75±14.91
研究生	31(15.20)	86.68±16.14
家庭人均月收入(元)			2.166^b	0.093
＜1 000	31(15.20)	93.35±15.99
1 000~2 999	41(20.10)	90.78±14.44
2 000~4 999	70(34.31)	89.90±15.65
≥5 000	62(30.39)	85.58±14.43
是否工作			4.341^a	＜0.001
是	119(58.33)	85.54±13.40
否	85(41.67)	94.54±16.14
是否单亲			0.574^a	0.568
是	55(26.96)	90.33±15.95
否	149(73.04)	88.91±14.99
是否多子女			0.912^a	0.363
是	94(46.08)	88.23±15.48
否	110(53.92)	90.19±15.03
居住地			0.817^a	0.416
城市	147(72.06)	88.77±15.63
村镇	57(27.94)	90.63±14.21
自觉家庭关系情况			6.496^b	0.002
融洽	52(25.49)	84.29±15.49
一般	86(42.16)	88.63±13.11
较差	66(32.35)	94.09±16.37
自觉身体状况			1.771^b	0.173
较好	59(28.92)	86.34±16.69
一般	96(47.06)	89.92±14.90
较差	49(24.02)	91.61±13.72
注：^a为t值，^b为F值。

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表 2 双相情感障碍儿童父母社会融入与养育倦怠的相关性

Table 2. Correlation between social integration and parenting burnout among parents of children with bipolar disorder

项目	r值
社会接触	-0.457
社会接纳	-0.406
活动参与	-0.444
主观感受	-0.420
社会融入总分	-0.633
注：均P＜0.01。

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表 3 双相情感障碍儿童父母养育倦怠的分层回归分析

Table 3. Hierarchical regression analysis of parenting burnout among parents of children with bipolar disorder

分层	自变量	回归系数	标准误	标准回归系数	t值	P值
第一层^a	常数项	64.014	6.305		10.153	＜0.001
	与患儿关系	7.581	2.047	0.238	3.703	＜0.001
	年龄	-3.103	1.356	-0.147	-2.288	0.023
	是否工作	7.824	1.944	0.254	4.025	＜0.001
	家庭关系	4.138	1.263	0.206	3.275	0.001
第二层^b	常数项	33.646	5.950		5.655	＜0.001
	与患儿关系	5.810	1.676	0.182	3.465	0.001
	年龄	-2.605	1.106	-0.123	-2.357	0.019
	是否工作	3.403	1.643	0.110	2.071	0.040
	家庭关系	2.724	1.038	0.136	2.623	0.009
	社会融入	-1.157	0.115	-0.540	-10.101	＜0.001
注：^aR²=0.240，F=15.732，P＜0.01；^bR²=0.499，F=39.380，P＜0.01。

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