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首页> 外文期刊>American journal of orthopsychiatry >Caregiving-Specific Worry, Affiliate Stigma, and Perceived Social Support on Psychological Distress of Caregivers of Children With Physical Disability in Hong Kong
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Caregiving-Specific Worry, Affiliate Stigma, and Perceived Social Support on Psychological Distress of Caregivers of Children With Physical Disability in Hong Kong

机译：在香港照顾肢体残疾儿童的照顾者的心理困扰所致的特殊照顾，忧虑，从属污名和可感知的社会支持

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The present study tested a model on the relationship between functional status of children with physical disability, caregiving-specific worry, affiliate stigma, and psychological distress among their caregivers. One hundred thirty-one caregivers of children with physical disability in Hong Kong completed a self-report questionnaire. Structural equation modeling showed that the final model had good fit to the data: chi(2) = 102.05, (df = 83, p = .08), comparative fit index = .98, nonnormed fit index = .98, standardized root mean square residual = .08, root mean square error of approximation = .04. Caregivers whose children had a lower functional status reported more caregiving-specific worry. Affiliate stigma had significant and positive indirect effect on psychological distress through increasing worry. Results also supported the direct and indirect effects of perceived social support in ameliorating worry, affiliate stigma, and psychological distress. Findings suggested that health care and social service providers should consider the functional impairment of each child when designing stress reduction interventions for their caregivers. Findings implicate the importance of establishing barrier-free environment and public facilities in the society. Caregivers are encouraged to distinguish those worries that are actionable and convert them into problem solving plans and to actively engage in peer support and social activities to reduce their affiliate stigma. To truly promote inclusion and well-being of individuals with disability and their caregivers, the scope and targets of social services and stigma reduction programs by the government should include not only the persons with disabilities, but also their caregivers and family members who play essential roles in the rehabilitation journey.
机译：本研究测试了一种模型，该模型关于身体残疾儿童的功能状态，特定照料者的担心，附属污名和他们照料者之间的心理困扰之间的关系。在香港，有113名身体残疾儿童的照顾者填写了一份自我报告调查表。结构方程模型表明，最终模型与数据拟合良好：chi（2）= 102.05，（df = 83，p = .08），比较拟合指数= .98，非标准拟合指数= .98，标准化均方根平方残差= .08，近似均方根误差= .04。孩子的功能状态较差的照护者报告了更多的照护特定的担忧。会员的污名通过增加忧虑对心理困扰产生了显着的积极影响。结果还支持感知到的社会支持对减轻忧虑，会员污名和心理困扰的直接和间接影响。研究结果表明，医疗保健和社会服务提供者在为照顾者设计减轻压力的干预措施时应考虑每个孩子的功能障碍。调查结果暗示了在社会中建立无障碍环境和公共设施的重要性。鼓励护理人员区分那些可付诸实践的忧虑，并将其转化为解决问题的计划，并积极参与同伴支持和社交活动，以减少其会员的污名。为了真正促进残疾人及其照顾者的包容和福祉，政府的社会服务和减少耻辱感计划的范围和目标不仅应包括残疾人，还应包括发挥关键作用的照顾者和家庭成员在康复旅程中。

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