如何从家庭角度改善癌症儿童的生活质量？来自网络分析的见解

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing Pub Date : 2025-04-26 DOI:10.1016/j.apjon.2025.100709

Jingran Lyu , Dongyu Song , Yaoyi Pan , Weiyi Lin , Yuli Li , Yunpeng Dai , Ka Yan Ho , Yuanyuan Han

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引用次数: 0

摘要

目的儿童癌症诊断是一个重大的家庭事件，有必要从家庭角度探讨影响癌症儿童生活质量的因素。本研究旨在探讨癌症患儿父母职业倦怠、兄弟姐妹关系质量与生活质量之间的相互关系。方法采用方便抽样方法，对山东省三所三级医院218例肿瘤患儿及其家长进行横断面研究。儿童填写中文版《儿童生活质量量表4.0》，家长填写《父母对子女兄弟姐妹关系质量的感知问卷》和《马斯拉克倦怠量表》，并提供自己的社会人口学信息以及子女的社会人口学和临床特征。采用网络分析来检验变量之间的关系。结果在整个网络中，癌症患儿的社会功能表现出最高的桥梁强度（rs = 1.03），兄弟姐妹关系质量中的温暖表现出最高的桥梁强度（rs = 0.42）。社会功能与兄弟姐妹关系质量中的温暖度呈正相关（r = 0.15），与父母倦怠中的个人成就（r = - 0.13）和人格解体（r = - 0.09）呈负相关。情绪功能与父母倦怠中的情绪耗竭（r = - 0.10）和兄弟姐妹关系质量中的嫉妒（r = - 0.10）呈负相关。结论家庭相关变量网络结构与癌症患儿生活质量存在显著的相关关系。这些发现为注重以家庭为基础的干预措施以改善癌症儿童生活质量的医疗保健专业人员提供了指导。

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How to improve quality of life in children with cancer from family-based perspectives? Insights from network analysis

Objective

A child's cancer diagnosis is a significant family event, and there is a need to explore factors that influence the quality of life of children with cancer from family-based perspectives. This study aimed to explore the interrelationships between parental burnout, sibling relationship quality, and quality of life in children with cancer.

Methods

This cross-sectional study enrolled 218 children with cancer and their parents in three tertiary hospitals in Shandong Province using convenience sampling. Children completed the Chinese version of the Pediatric Quality of Life Inventory 4.0, while their parents completed the Parental Perceptions of Children's Sibling Relationship Quality Questionnaire and Maslach Burnout Inventory, and provided their own sociodemographic information, as well as their children's sociodemographic and clinical characteristics. Network analysis was employed to examine the relationships between variables.

Results

In the overall network, social functioning in children with cancer exhibited the highest strength (r_s = 1.03), while warmth in sibling relationship quality showed the highest bridge strength (r_bs = 0.42). Social functioning was positively associated with warmth in sibling relationship quality (r = 0.15), and negatively associated with personal achievement (r = −0.13) and depersonalization (r = −0.09) in parental burnout. Emotional functioning was negatively associated with emotional exhaustion in parental burnout (r = −0.10) and jealousy in sibling relationship quality (r = −0.10).

Conclusions

There are significant interrelationships between the network structure of family related variables and quality of life in children with cancer. These findings offer guidance for healthcare professionals focusing on family-based interventions to improve the quality of life of children with cancer.

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