慢性病患儿的心理社会行为和家庭功能调查

Investigation on Psychosocial Behavior and Family Function of Children with Chronic Diseases

目的评估慢性病患儿的心理社会行为问题和家庭功能,分析患儿行为问题的影响因素。方法运用儿童行为量表和Feetham家庭功能量表对慢性病患儿家长211人进行调查,并与正常儿童进行比较。结果6～11岁和12～16岁慢性病患儿的心理行为问题与正常儿童比较,差异有统计学意义(均P<0.05)。慢性病患儿家庭功能与正常家庭比较,差异有统计学意义(均P<0.05)。家庭功能、家庭结构和家庭经济状况影响患儿行为问题。结论对慢性病患儿家庭进行评估,并实施有针对性的、以家庭为导向的、促使家庭生活正常化的护理干预非常必要。

Objective To describe social competence, behavioral problems, and family function of children with chronic diseases and to explore the risk factors of the problems. Methods Totally, 211 caregivers whose children had chronic diseases participated in the study. Caregivers were asked to complete the Child Behavior Checklist （CBCL） and Feetham Family Functioning Survey （FFFS） when their children were hospitalized. Data were analyzed by t-tests and multiple linear regressions. Results Six to eleven year and 12--16 year children with chronic diseases appeared to have more emotional and behavioral problems than normal kids （P〈0.05 for all）. The family function of children with chronic diseases were less satisfactory than that of normal kids （P〈0.05 for all）. Family function, family structure and economic status were associated with children＇s behavioral problems. Conclusion In order to improve children＇s psychosocial function and the normalcy of their families, it is necessary to assess family-related factors and develop family-oriented interventions.