白血病患儿社交焦虑的现状调查

Survey on the Current Status of Social Anxiety in Children with Leukemia

目的探究白血病患儿社交焦虑的影响因素。方法调查昆明市儿童医院2022年8月至2023年8月血液科白血病患儿92例,通过问卷调查收集白血病患儿及其家属的基本信息和患儿社交焦虑水平。使用差异性分析探究社交焦虑与自身状况和家庭条件之间的外在联系,通过相关性分析找寻影响焦虑水平的内在因素,采用QCA组态分析探究白血病患儿社交焦虑水平的前置要素。结果白血病患儿在治疗维持期、单亲家庭、主要照顾者为祖父母/外祖父母、或家庭月收入4001~8000元时,社交焦虑水平较其他条件高(P<0.05);白血病患儿对他人评价和看法的感知程度显著影响其情绪和行为(P<0.05);影响白血病患儿社交焦虑水平共有评价驱动与自我协调2种前因组态。结论白血病患儿极易出现社交焦虑,应当重点关注在治疗维持期白血病患儿的情绪和心理状况,并及时对已有社交焦虑行为的患儿进行心理辅导;尝试护理或医务社工介入针对性开展团体活动,加强患儿与家庭之间的联系,提升患儿心理抗逆力,以减轻白血病患儿社交焦虑。

Objective To investigate the variables that affect social anxiety in leukemia-affected kids.Methods In order to better understand the 92 leukemia patients at the hematology unit of Kunming Children's Hospital,basic demographic data and measures of social anxiety were gathered through questionnaire surveys of the patients and their families.The external relationship between social anxiety and a child's own status and family circumstances was investigated using difference analysis,the internal factors affecting anxiety level were discovered using correlation analysis,and the pre-factors of social anxiety level in children with leukemia were investigated using QCA configuration analysis.Results Children with leukemia had higher levels of social anxiety at the maintenance phase of treatment,in homes with only one parent,when grandparents were the primary caregivers,and when the monthly family income ranged from 4001 to 8000 yuan(P<0.05).Children's emotions and behaviors were strongly influenced by how much they perceived other people's assessments and opinion(P<0.05).Evaluationdriven and self-coordinated antecedent configurations both have an impact on how much social anxiety leukemia patients experience.Conclusions Since children with leukemia are more likely to have social anxiety,it is important to monitor their emotional and psychological well-being during the course of their treatment and during the maintenance phase.Children who exhibit social anxiety symptoms should receive psychological counseling as soon as possible.In order to lessen social anxiety in children with leukemia,try using nursing or medical social workers to intervene in specific group activities,build the bond between kids and their families,and boost their psychological resilience.