探討發展遲緩幼童之父母親職壓力與生活品質之相關－以親職效能為中介變項

The Mediating Role of Parenting Self-Efficacy on Parenting Stress and Quality of Life in Parents of Young Children With Developmental Delay

10.6224/JN.63.5.33

孫怡(Yi Sun)；吳維紋(Wei-Wen Wu)；林寬佳(Kuan-Chia Lin)；陳若琳(Jo-Lin Chen)

發展遲緩 ； 生活品質 ； 親職壓力 ； 親職效能 ； developmental delay ； quality of life ； parenting stress ； parenting self-efficacy

護理雜誌

63卷5期（2016 / 10 / 01）

33 - 43

繁體中文

背景　研究顯示，照顧發展遲緩孩童之父母其親職壓力較高，生活品質較低，親職效能可能成為兩者之間的中介角色。目的　本研究探討發展遲緩兒童父母的親職效能，在親職壓力與生活品質的中介角色與影響程度及父母間的差異。方法　本研究為橫斷面研究設計，收案人數共70對140人發展遲緩幼童之父母。使用工具包括：基本資料、親職壓力量表短表、親職效能量表及生活品質量表台灣簡明版。結果　本研究發現，父母有中等程度的生活品質、親職壓力及親職效能。父母之親職壓力與親職效能及生活品質呈顯著高度負相關，且其親職效能與生活品質呈顯著高度正相關。父親親職效能呈現完全中介，其中介影響力達62.2%（p ＜ .001）；母親的親職效能為部分中介，其中介影響力達59.5%（p ＜.05）。結論與實務應用　親職效能為親職壓力及生活品質的中介變項。父親之親職效能完全中介親職壓力對其生活品質的影響；母親的親職效能則部份中介親職壓力對其生活品質的影響。建議未來應持續研究影響遲緩兒童父母親生活品質的影響因子，並發展介入性措施，以提升父母親職效能，特別是父親。

Background: Previous studies indicate that parents of developmentally delayed children have higher parenting stress (PS) and lower quality of life (QoL) than parents of healthy children. Parenting self-efficacy (PSE) may mediate the effects of PS on the QoL of parents. Purpose: The present study explores the mediating role of PSE between PS and the QoL of parents of developmentally delayed children and compares the differences in several variables between fathers and mothers. Methods: A cross-sectional research design was used to study a sample of 70 parent dyads. Instruments used were the Basic Information Form, Parenting Stress Index Short Form (PSI-SF), Parenting Self-efficacy Scale (PSE Scale), and World Health Organization Quality of Life-BREF Taiwan version (WHOQOL-BREF). Results: (1) Participants had a moderate level of QoL, PS, and PSE. (2) The PS of participants was significantly and negatively correlated with both QoL and PSE while their PSE was significantly and positively correlated with QoL. (3) The PSE of the fathers completely mediated the effects of PS on their QoL (p ＜ .001), accounting for 62.2% of observed variation, while the PSE of the mothers partially mediated the effects of PS on their QoL (p ＜ .05), accounting for 59.5% of observed variation. Conclusions / Implications for Practice: PSE was identified as the mediator between PS and QoL in both fathers and mothers. The PSE of the fathers completely mediated the effect of PS on QoL, while the PSE of the mothers partially mediated the effect of PS on QoL. Further research that explores the factors that affect the QoL of parents and then uses the results to develop interventions to enhance the PSE of parents, especially fathers, is recommended.

1. 李佳宜、蔣伊真、黃雅鈴、李興中、李國鳳(2015)。初次診斷為發展遲緩兒童家長之親職壓力及生活品質探討。身心障礙研究季刊，13(3)，153-169。
   連結：
2. 林惠雅(2010)。父母共親職類型與親職壓力之探討。應用心理研究，46，125-151。
   連結：
3. 郭美娟、陳若琳(2012)。雙薪家庭幼兒父親的親職效能、母親的教養鼓勵與父職參與之相關研究。家庭教育與諮商學刊，13，57-79。
   連結：
4. 陳瑋婷(2012)。親職壓力、社會支持與生活品質之關係研究：身心障礙者家長與普通家長之比較。特殊教育研究學刊，37(3)，1-26。
   連結：
5. 鍾燕宜、潘雨辰、陳右振、郭煌宗(2010)。發展遲緩兒童母親親職壓力之初探。身心障礙研究季刊，8(2)，83-98。
   連結：
6. 鍾燕宜、潘雨辰、陳冠蘭、郭煌宗(2012)。發展遲緩兒童主要照顧者之生活品質研究。身心障礙研究季刊，10(1)，20-39。
   連結：
7. Abidin, R. R.(1990).Introduction to the special issue: The stresses of parenting.Journal of Clinical Child Psychology,19(4),298-301.
8. Bagner, D. M.(2013).Father's role in parent training for children with developmental delay.Journal of Family Psychology,27(4),650-657.
9. Bloomfield, L.,Kendall, S.(2012).Parenting self-efficacy, parenting stress and child behaviour before and after a parenting programme.Primary Health Care Research & Development,13(4),364-372.
10. Dabrowska, A.,Pisula, E.(2010).Parenting stress and coping styles in mothers and fathers of pre-school children with autism and Down syndrome.Journal of Intellectual Disability Research,54(3),266-280.
11. Doll, E. J.(1989).Review of 'Parenting Stress Index, 2nd ed.'.Professional School Psychology,4(4),307-312.
12. Edraki, M.,Kamali, M.,Beheshtipour, N.,Amoozgar, H.,Zare, N.,Montaseri, S.(2014).The effect of educational program on the quality of life and self-efficacy of the mothers of the infants with congenital heart disease: A randomized controlled trial.International Journal of Community Based Nursing and Midwifery,2(1),51-59.
13. Hsieh, R. L.,Huang, H. Y.,Lin, M. I.,Wu, C. W.,Lee, W. C.(2009).Quality of life, health satisfaction and family impact on caregivers of children with developmental delays.Child: Care, Health and Development,35(2),243-249.
14. Johnson, N.,Frenn, M.,Feetham, S.,Simpson, P.(2011).Autism spectrum disorder: Parenting stress, family functioning and health-related quality of life.Familes, Systems, & Health,29(3),232-252.
15. McStay, R. L.,Dissanayake, C.,Scheeren, A.,Koot, H. M.,Begeer, S.(2014).Parenting stress and autism: The role of age, autism severity, quality of life and problem behavior of children and adolescents with autism.Autism,18(5),502-510.
16. Parkes, J.,Caravale, B.,Marcelli, M.,Franco, F.,Colver, A.(2011).Parenting stress and children with cerebral palsy: A European cross-sectional survey.Developmental Medicine & Child Neurology,53(9),815-821.
17. Preacher, K. J.,Hayes, A. F.(2008).Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models.Behavior Research Methods,40(3),879-891.
18. Rezendes, D. L.,Scarpa, A.(2011).Associations between parental anxiety/depression and child behavior problems related to autism spectrum disorders: The roles of parenting stress and parenting self-efficacy.Autism Research and Treatment,2011,Article ID 395190.
19. Sevigny, P. R.,Loutzenhiser, L.(2010).Predictors of parenting self-efficacy in mothers and fathers of toddlers.Child: Care, Health and Development,36(2),179-189.
20. Shrout, P. E.,Bolger, N.(2002).Mediation in experimental and nonexperimental studies: New procedures and recommendations.Psychological Methods,7(4),422-445.
21. Sofronoff, K.,Farbotko, M.(2002).The effectiveness of parent management training to increase self-efficacy in parents of children with Asperger syndrome.Autism,6(3),271-286.
22. Son, H. K.,Lim, J.(2014).The effect of a web-based education programme (WBEP) on disease severity, quality of life and mothers' self-efficacy in children with atopic dermatitis.Journal of Advanced Nursing,70(10),2326-2338.
23. Weaver, C. M.,Shaw, D. S.,Dishion, T. J.,Wilson, M. N.(2008).Parenting self-efficacy and problem behavior in children at high risk for early conduct problems: The mediating role of maternal depression.Infant Behavior & Development,31(4),594-605.
24. Yamada, A.,Kato, M.,Suzuki, M.,Suzuki, M.,Watanabe, N.,Akechi, T.,Furukawa, T. A.(2012).Quality of life of parents raising children with pervasive developmental disorders.BMC Psychiatry,12,119.
25. 吳佳玲(2008)。台灣親職壓力相關研究之回顧與分析。臺南科技大學通識教育學刊，7，63-89。
26. 李佳玲(2012)。台北市，國立陽明大學臨床暨社區護理研究所=National Yang-Ming University。
27. 姚開屏(2005)。台灣簡明版世界衛生組織生活品質問卷之發展及使用手冊。台北市=Taipei City, Taiwan, ROC:世界衛生組織生活品質問卷台灣問卷發展小組=The WHOQOL group。
28. 翁毓秀(2011)。親職壓力量表簡式版指導手冊。台北市=Taipei City, Taiwan, ROC:心理=Psychology。
29. 郭孟瑜、王翠鳳(2006)。發展遲緩幼兒母親的自我效能、親職壓力與生活品質之研究。經國學報，24，28-46。
30. 劉百純、陳若琳(2010)。新手媽媽的配偶支持、親職效能與親職壓力之相關研究。幼兒教育，297，22-40。

1. Yen-Wen Hsiao,Ru-Ying Wen,I-Hwey Wu,Chia-Chen Chao(2022)。Correlations Among Mental Health, Social Support, and Parenting Self-Efficacy of Taiwanese Parents of Children With Autism Spectrum Disorder。家庭教育與諮商學刊，25，47-80。
2. 陳姵瑱、許君翎(2018)。發展遲緩兒童母親的親職壓力與相關因子探討。身心障礙研究，16(2)，121-137。
3. 陳品秀,唐愉君,林彣芷,林雁飛(2019)。台南某地區醫院學齡前發展遲緩兒童主要照顧者親職壓力與生活品質之相關。身心障礙研究季刊，17(1)，20-35。
4. 蔣姿儀、廖庭可(2017)。臺中市幼兒園家長親職效能與幸福感相關之研究。家庭教育與諮商學刊，21，67-91。
5. 賴禹霖,朱思穎(2021)。特殊需求幼兒家長親職壓力及效能感之實務分享。特殊教育季刊，161，33-40。
6. 田怡甄(2023)。家長對幼兒園服務品質滿意度之研究－以花蓮秀林鄉某公立幼兒園為例。計量管理期刊，20(2)，127-140。
7. 謝曼盈(2020)。中文阿拉巴馬親職問卷簡式版之信度與效度研究。輔導與諮商學報，42(1)，55-81。
8. 鄭雅莉(2022)。以系統性文獻回顧探討臺灣特殊幼兒家庭之親職壓力及其相關因素。特殊教育季刊，164，1-11。
9. (2022)。澳門融合生家長的親職壓力、親職效能、社會支持及生活品質的探討。澳門研究，103，111-130。