压力下的照顾：ADHD家庭中照顾者压力、心理健康和自我效能的关系。

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2025-09-17 DOI:10.1016/j.pedn.2025.09.010

Mahmoud Abdelwahab Khedr , Nada Alqarawi , Rasha Mohammed Hussein

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引用次数: 0

摘要

目的：探讨ADHD患儿家庭中照顾者压力、心理健康和自我效能之间的关系。设计与方法：采用横断面设计，涉及来自沙特阿拉伯Unaizah的Abdullah Al-Tamimi自闭症中心的160名护理人员。参与者完成了一份评估社会人口统计信息、照顾者压力、心理健康和自我效能的在线问卷。结果：护理人员平均压力得分为21.56分（SD = 10.82），其中39.4%的人报告压力严重。心理健康评估表明，53.1%的照顾者被归类为健康。在自我效能感方面，49.4%的人表现出较高的自我效能感。照顾者压力与儿童心理健康呈显著负相关（r = -0.343, p）。结论：ADHD儿童的照顾者承受着显著的压力，并对其心理健康和自我效能产生不利影响。支持照顾者心理健康和增强自我效能的有针对性的干预措施对于改善照顾者的福祉和ADHD儿童的护理质量至关重要。实践启示：本研究强调了迫切需要采取干预措施，解决照顾者的心理健康和自我效能，将支持纳入治疗计划，以增强应对策略和恢复力。

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Caring under pressure: The relationship of caregivers’ stress, mental health, and self-efficacy in ADHD households

Purpose

Investigates the relationship between caregiver stress, mental health, and self-efficacy in families with children diagnosed with ADHD.

Design and methods

A cross-sectional design was utilized, involving 160 caregivers from the Abdullah Al-Tamimi Autism Center in Unaizah, Saudi Arabia. Participants completed an online questionnaire assessing sociodemographic information, caregiver stress, mental health, and self-efficacy.

Results

The average caregiver stress score was 21.56 (SD = 10.82), with 39.4% reporting severe stress levels. Mental health assessments indicated that 53.1% of caregivers were classified as flourishing. In terms of self-efficacy, 49.4% demonstrated high levels of self-efficacy. Significant negative correlations were found between caregiver stress and mental health (r = −0.343, p < 0.001), and between stress and self-efficacy (r = −0.269, p = 0.001). Multivariate regression analysis revealed that increased stress had a negative influence on self-efficacy (B = −0.091, p = 0.049), while improved mental health was positively correlated with self-efficacy (B = 0.164, p < 0.001). Mediation analysis indicated that mental health mediates the relationship between caregiver stress and self-efficacy (indirect effect = −0.062, p = 0.046).

Conclusion

Caregivers of children with ADHD experience significant stress that adversely affects their mental health and self-efficacy. Targeted interventions to support caregiver mental health and enhance self-efficacy are essential for improving caregiver well-being and the quality of care for children with ADHD.

Practice implications

This study underscores the urgent need for interventions that address the mental health and self-efficacy of caregivers, integrating support into treatment plans to enhance coping strategies and resilience.

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来源期刊

Journal of Pediatric Nursing-Nursing Care of Children & Families NURSING-PEDIATRICS

CiteScore

3.70

自引率

8.30%

发文量

291

审稿时长

65 days

期刊介绍： Official Journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society (PENS) The Journal of Pediatric Nursing: Nursing Care of Children and Families (JPN) is interested in publishing evidence-based practice, quality improvement, theory, and research papers on a variety of topics from US and international authors. JPN is the official journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society. Cecily L. Betz, PhD, RN, FAAN is the Founder and Editor in Chief. Journal content covers the life span from birth to adolescence. Submissions should be pertinent to the nursing care needs of healthy and ill infants, children, and adolescents, addressing their biopsychosocial needs. JPN also features the following regular columns for which authors may submit brief papers: Hot Topics and Technology.