唇腭裂患儿母亲病耻感现状及影响因素分析OA

Objective This study aimed to investigate the current status and influencing factors of stigma among mo-thers of children with cleft lip and palate(CLP),providing new perspectives and intervention evidence for psychological support for CLP families.Methods A total of 127 mothers serving as primary caregivers for children with CLP were se-lected as the study subjects.Surveys were conducted using the social impact scale,social support rating scale,psychologi-cal resilience scale,caregiver burden scale,and a self-designed demographic questionnaire.Scores from each scale were statistically analyzed,and correlation analysis was performed.Results The extent of stigma among mothers of children with CLP showed significant relationships with monthly household income and the child's age(<3 years vs.7-12 years;P<0.05).This stigma was significantly associated with social support(P<0.05),but the correlation was not li-near.It was negatively correlated with psychological resi-lience(β=-0.241,P=0.002)and positively correlated with caregi-ver burden(β=0.428,P<0.001).Chain mediating effect analysis revealed that caregiver burden-psychological re-silience-social support partially mediated the stigma ex-perienced by these mothers(P<0.05).Conclusion Stigma is prevalent among mothers of children with CLP.The factors influencing this stigma include the child's age,economic status,psychological resilience,caregiver burden,and social support.Healthcare professionals should implement targeted interventions to reduce maternal stigma and improve the long-term quality of life for these child-centered families.