Family Resilience Factors Associated With Family Adaptation of Children With Acute Leukemia: A Cross-sectional Study.

IF 2.4 3区医学 Q1 NURSING

Cancer Nursing Pub Date : 2025-03-10 DOI:10.1097/NCC.0000000000001484

Luyao Wang, Xiaoliang Tong, Jojo Wong, Yuqiao Xiao, Guiyuan Ma, Can Gu

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引用次数: 0

Abstract

Background: Childhood leukemia critically disrupts family life, needing support for adaptation and resilience.

Objective: Having investigated the main factors influencing the adaptation of families with children with leukemia, we provide support for clinical nurses to develop effective interventions to promote the adaptation of families with children with leukemia in future clinical practice.

Method: This cross-sectional study surveyed 197 parents of children (≤14 years old) with acute leukemia from 4 hospitals in Changsha, China. Four questionnaires assessed family resilience: the Family Hardiness Index, Perceived Social Support Scale, Family Management Measure, and Family Crisis-Oriented Personal Evaluation Scale. Family adaptation was measured using the Family Adaptability and Cohesion Evaluation Scale.

Results: The average family adaptation score for families of children with acute leukemia was 48.58 ± 8.71. Key resilience factors included family hardiness (β = .493, P < .001), social support (β = .096, P < .05), parental marital status (β = -6.964, P < .05), parental education level (β = 1.53, P < .05), and family coping strategies (β = .127, P < .05). Together, these factors explained 33.6% of the variance in family adaptation (F = 19.724, P < .001).

Conclusion: Nurses should deliver family-centered care, bolster family resilience, and enhance coping skills, particularly for families with less education or single/divorced parents, to help them navigate the challenges of childhood leukemia.

Implications for practice: The findings hope to guide global nursing support for leukemia patient families.

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家庭弹性因素与急性白血病儿童家庭适应相关：一项横断面研究。

背景：儿童白血病严重扰乱家庭生活，需要支持适应和恢复能力。目的：探讨影响白血病患儿家庭适应的主要因素，为临床护士在今后的临床实践中制定有效的干预措施，促进白血病患儿家庭的适应提供支持。方法：对长沙市4家医院197例（≤14岁）急性白血病患儿家长进行横断面调查。四份问卷评估家庭弹性：家庭适应力指数、感知社会支持量表、家庭管理量表和家庭危机导向个人评价量表。家庭适应采用家庭适应性与凝聚力评价量表进行测量。结果：急性白血病患儿家庭适应得分平均为48.58±8.71。关键心理弹性因素包括家庭韧性（β = .493, P < .001）、社会支持（β = .096, P < .05）、父母婚姻状况（β = -6.964, P < .05）、父母受教育程度（β = 1.53, P < .05）和家庭应对策略（β = .127, P < .05）。这些因素共同解释了33.6%的家庭适应差异（F = 19.724, P < 0.001）。结论：护士应提供以家庭为中心的护理，增强家庭韧性，提高应对技能，特别是对受教育程度较低或单亲/离异的家庭，帮助他们应对儿童白血病的挑战。实践意义：研究结果希望能够指导全球对白血病患者家庭的护理支持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cancer Nursing 医学-护理

CiteScore

4.80

自引率

3.80%

发文量

244

审稿时长

6-12 weeks

期刊介绍： Each bimonthly issue of Cancer Nursing™ addresses the whole spectrum of problems arising in the care and support of cancer patients--prevention and early detection, geriatric and pediatric cancer nursing, medical and surgical oncology, ambulatory care, nutritional support, psychosocial aspects of cancer, patient responses to all treatment modalities, and specific nursing interventions. The journal offers unparalleled coverage of cancer care delivery practices worldwide, as well as groundbreaking research findings and their practical applications.