恶性肿瘤患儿心理行为问题及家庭功能特征研究

Study on the features of psychosocial behavioural problems and family function of child with cancer

目的 探讨恶性肿瘤患儿的心理行为问题及家庭功能特征.方法 采取整群随机抽样方法,抽取2012年6～ 12月在北京市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Achenbach儿童行为量表（Chiild Behavior Checklist,CBCL）和Feetharn家庭功能量表（Feetham Family Functioning Survey,FFFS）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）；患儿的FFFS总均分[（1.41±0.75）分]、家庭与社会关系[（2.21±1.08）分]和家庭与个体关系[（1.25±0.89）分]高于正常儿童家庭（P＜0.05）；患儿为男孩、患病时间＞3年、家庭与个体关系低下的患儿容易发生心理行为问题（P＜0.05）.结论 恶性肿瘤患儿的心理行为问题检出率较高,家庭功能低于正常家庭,医护人员应积极协助患儿父母改善家庭功能,促进恶性肿瘤患儿的心理行为健康.

Objective To explore the features of psychosocial behavioural problems and family function of child with cancer.Methods Cluster random sampling was conducted to recruit 240 caregivers whose children with cancer in 8 general hospitals in Beijing and Tangshan from 2012 to 2013.Achenbach Child Behavior Checklist （CBCL） and Feetham Family Functioning Survey （FFFS）were used to investigate.Results The rate of abnormal behavior was higher in cancerous child （25.4%） than that in healthy child （12.97%） （P 〈 0.05）.The total score of FFFS（1.41 ± 0.75）,the score of the relationship between the family and broader social units （2.21 ± 1.08） and the score of the relationship between the family and each individual （1.25 ± 0.89） were higher in cancerous child than that in healthy child （P 〈 0.05）.The predictors for child＇ s psychosocial behavioral problems were gender,duration of illness for 〉 3years,and lower relationships between the family and each individual （P 〈0.05）.Conclusion Healthcare professionals should actively provide family support to improve family functioning and decrease psychosocial behavioural in child with cancer.