Immelt Susan
Johns Hopkins University School of Nursing, Baltimore, MD, USA.
J Pediatr Nurs. 2006 Oct;21(5):362-77. doi: 10.1016/j.pedn.2006.02.006.
Children with chronic medical conditions are at higher risk for behavioral and emotional problems compared to physically healthy children. This study used a conceptual model to examine factors associated with psychological adjustment in children aged 7-11 years old with any of four chronic illnesses. The variables most closely associated with child adjustment included the following: mothers' evaluation of the impact of the child's illness on the family; child's perceptions of parental acceptance; and child's self-perceptions of physical appearance, social acceptance, and athletic competence. These findings confirm the importance of maternal and child perceptions in understanding the psychological adjustment of children with chronic conditions.
与身体健康的儿童相比，患有慢性疾病的儿童出现行为和情绪问题的风险更高。本研究使用一个概念模型来检验与患有四种慢性病中任何一种的7至11岁儿童心理调适相关的因素。与儿童调适最密切相关的变量包括：母亲对孩子疾病对家庭影响的评估；孩子对父母接纳程度的认知；以及孩子对自己外貌、社会接纳度和运动能力的自我认知。这些发现证实了母亲和孩子的认知在理解慢性病患儿心理调适方面的重要性。
