癫痫患儿照顾者习得性无助感现状及影响因素路径分析OA

Objective To analyze the current status of learned helplessness in caregivers of children with epilepsy and explore the pathways of its influencing factors based on a structural equation model,aiming to provide a reference for the development and implementation of interventions.Methods From January 2024 to June 2025,222 caregivers of children with epilepsy treated at Putian Children's Hospital were selected by convenience sampling.They were investigated using the General Information Questionnaire,Learned Helplessness Scale(LHS),Social Support Rating Scale(SSRS),Managing Uncertainty in Illness Scale-Family Member(MUIS-FM)and Zarit Burden Interview(ZBI).Results The LHS,SSRS,MUIS-FM and ZBI scores of the 222 caregivers of children with epilepsy were(55.38±5.54)points,(35.76±4.89)points,(89.29±9.06)points and(38.91±5.38)points,respectively.Correlation analysis showed that LHS scores were positively correlated with MUIS-FM and ZBI scores while negatively correlated with SSRS scores in caregivers of children with epilepsy(P<0.05 for all).Multivariate linear regression analysis revealed that ZBI,SSRS and MUIS-FM scores were independent factors influencing learned helplessness in caregivers of children with epilepsy(P<0.05 for all).The structural equation model indicated that social support had a direct effect on learned helplessness,accounting for 49.36%of the total effect,and an indirect effect through uncertainty in illness and caregiver burden,accounting for 50.64%of the total effect.Conclusion The learned helplessness in caregivers of children with epilepsy is at a moderate level.Social support not only directly influences learned helplessness but also exerts an indirect effect through the chain mediation of uncertainty in illness and caregiver burden.Healthcare professionals should pay attention to the social support status of caregivers.By enhancing caregivers'social support levels and reducing uncertainty in illness and caregiver burden,healthcare professionals can relieve their helplessness,improve mental health and enhance caregiving quality.