恶性肿瘤患儿心理行为问题与家庭管理方式的相关性研究

Study on the relationship of behavioral problems of children with cancer and family management style

【目的】探讨恶性肿瘤患儿的心理行为问题与家庭管理方式的相关性。【方法】采取整群随机抽样方法,抽取2011-2012年在北京市4家、唐山市4家三级甲等医院内就诊的白血病等恶性肿瘤患儿的母亲或父亲240名为研究对象,采用家长用儿童行为量表(Chiild Behavior Checklist,CBCL)和家庭管理测量量表(Family Management Meas-ure,FaMM)中文版进行调查。【结果】恶性肿瘤患儿的心理行为问题检出率为25.4%,高于国内常模(12.97%)(P<0.05);男童主要表现为交往不良、社交退缩和攻击性表现,女童主要表现为抑郁、社交退缩和分裂样;患儿的交往不良、社交退缩等行为异常表现与患儿的日常生活状况[(14.37±2.48)分]、父母疾病管理能力[(38.37±7.37)分]和父母相互支持[(34.25±6.22)分]呈负相关(P<0.05),与父母对疾病担心状况[(38.67±4.54)分]、父母疾病管理困难状况[(50.12±10.17)分]和父母疾病精力消耗状况[(16.21±5.21)分]呈正相关(P<0.05)。【结论】恶性肿瘤患儿的心理行为问题检出率较高,家庭管理方式呈忍耐型,医护人员应积极提供家庭支持,改善患儿的家庭管理方式,促进患儿的心理行为健康。

[Objective] To explore the relationship of behavioral problems of children with cancer and family manage- ment style. [Method] A cluster random sampling was conducted to recruit 240 caregivers whose children with cancer in 8 first-class hospitals in Beijing and Tangshan from 2011 to 2012,and they were investigated by Chiild Behavior Checklist （CBCL） and Family Management Measure （FaMM）. [Results] The rate of abnormal behavior was higher in cancerous children （25.4%） than that in healthy children （12. 97%）, （P〈0. 05）. Cancerous children＇s behavioral problems mainly manifested as bad communication,social withdrawn, aggressive behaviour for boys and as depression, social withdrawn and schizoid behavior for girls. Cancerous children＇s behavioural problems were negatively associated with children＇s daily life （14.37±2.48） ,condition management ability（38.37±7.37）and parental mutuality（34.25±6.22）（P〈0.05） ,and positively correlated with view of condition impact（38.67 ± 4.54）, family life difficulty （50.12± 10.17）and condition management effort （16.21± 5.21）（P〈0.05）. [Conclusion] The rate of abnormal behavior is high in children with cancer. The family management is mainly enduring style for cancerous child. Medical staff should provide family support to enhance cancerous children＇s behavioral health.