肿瘤患儿家庭坚韧性现状及影响因素分析  

Status and influencing factors of the resilience in families with tumor children

作　　者：王佳琪[1] 刘迎春[1] 于杰[2] 张驰[3] 

机构地区：[1]吉林大学第一医院儿外科,长春130021 [2]吉林大学第一医院小儿血液科,长春130021 [3]吉林大学第一医院神经外科,长春130021

出　　处：《中华现代护理杂志》2016年第27期3888-3892,共5页Chinese Journal of Modern Nursing

摘　　要：目的：探讨肿瘤患儿家庭坚韧性现状并分析其影响因素。方法采用横断面调查法,调查2015年5月—2016年5月在长春市某三甲医院就诊的135名肿瘤患儿的父亲或母亲,使用一般资料调查表、家庭坚韧性量表（ FHI）、一般自我效能感量表（ GSES）、简易应对方式问卷（ SCSQ）及抑郁自评量表（SDS）进行测量。结果肿瘤患儿家庭坚韧性总分为（59.48±5.89）分,属于中等偏上水平。多元线性回归分析显示,患儿疾病类型（t＝－2.565,P＝0.012）、家庭人均月收入（t＝3.156,P＝0.002）、父母的自我效能（t＝－2.509,P＝0.013）、积极应对（t＝3.123,P＝0.002）和抑郁情绪（t＝－5.658,P＝〈0.001）是家庭坚韧性的影响因素,可解释家庭坚韧性总变异的52.4％。结论肿瘤患儿家庭坚韧性水平有待提高,护理人员应积极帮助患儿家庭寻求社会支持,并采取针对性措施改善患儿父母的自我效能、积极应对能力和负性情绪,实现家庭坚韧性水平的提高,提升家庭为中心护理的效果。Objective To explore the status and influencing factors of the resilience in families with tumor children.Methods Totally 135 parents whose children had tumor and hospitalized in a tertiary hospital of Changchun from May 2015 to May 2016 were evaluated by general information questionnaire, family hardiness index （ FHI） , general self-efficacy scale （ GSES） , simplified coping style questionnaire （ SCSQ） and self-rating depression scale （SDS） in a cross-sectional study.Results For the parents of tumor children, the total score of psychological resilience was （59.48±5.89） and was above the medium level. According to the multivariate linear regression analysis, for the resilience of family with tumor children, it could be seen that the influencing factors mainly included the disease type （t=-2.565,P=0.012）, each person income of family per mouth （t=3.156, P=0.002）, parents′self-efficacy （t=-2.509,P=0.013）, positive coping style （t=3.123,P=0.002） and depression （t=-5.658,P〈0.001）, which could be used to explain the 52.4% of the total variance of family resilience.Conclusions The level of resilience needs to be improved in families with tumor children. Health-care workers should actively help stricken families to seek social support, and adopt targeted measures to improve the self-efficacy, positive coping ability and negative emotion of the children′s parents, so as to enhance the resilience, and promote the effect of family-centered care.

关 键 词：肿瘤 患儿 家庭坚韧性 影响因素 

分 类 号：R473.73[医药卫生—护理学]