家庭功能在恶性肿瘤患儿应对方式与疾病获益感间的调节作用

Moderating effect of family function in the relationship between coping style and benefit finding in children with malignant tumors

目的:了解恶性肿瘤患儿家庭功能现状及其与疾病获益感的关系,并分析家庭功能在应对方式与疾病获益感间的调节作用,为进一步改善恶性肿瘤患儿疾病获益感提供支持。方法:采用便利抽样法,于2022年2月—10月使用家庭关怀度量表、中文版癌症患儿疾病获益感量表、癌症患儿应对方式量表等,调查北京、河北、河南共3家儿童医院的284例恶性肿瘤患儿;使用多元线性回归分析家庭功能在恶性肿瘤患儿应对方式与疾病获益感间的调节作用。结果:恶性肿瘤患儿的家庭功能得分为(7.81±2.38)分,不同状况的家庭功能对于以问题为导向应对方式与疾病获益感之间的关系,以及防御应对方式与疾病获益感之间的关系均起到了调节作用。结论:在日常诊疗和护理中,应重点关注家庭功能存在障碍的患儿,发现家庭在合作度、成长度等方面的潜在问题,给予切实指导以促进家庭功能的调适,帮助患儿获得良好的疾病获益感。

Objective:To investigate the relationship between family function and benefit finding,and to analyze the moderating role of family function in the relationship between coping style and benefit finding in the children with malignant tumors,in order to provide basis for further improvement of the benefit finding of children with malignant tumors.Methods:By convenient sampling method,a total of 284 children with malignant tumors from three general children's hospitals(including Beijing,Hebei and Henan) were investigated with the Family APGAR Index Scale,the Chinese version of Benefit Finding Scale for Children,and Paediatric Cancer Coping Scale from February to October,2022.Multiple linear regression analysis was used to analyze the moderating effect of family function in the relationship between coping style and benefit finding.Results:The score of family function in children with malignant tumors was 7.81±2.38,and family function of different conditions played a moderating role in the relationship between problem-oriented coping style and benefit finding,as well as the relationship between defensive coping style and benefit finding.Conclusion:We should pay attention to children with family dysfunction,find out the potential problems of family cooperation and growth,and provide practical guidance to promote the adjustment of family function in order to improve benefit finding.