Kim Dong H, Yoo Il Y
Sungshin Women's University College of Nursing, Seoul, Korea.
J Paediatr Child Health. 2010 Jul;46(7-8):431-6. doi: 10.1111/j.1440-1754.2010.01749.x. Epub 2010 Jun 8.
To identify factors associated with resilience of school age children with cancer.
The participants were 74 children, 10-15 years old who were diagnosed with cancer at least 6 months prior to data collection. The instruments used were; a self-reported questionnaire on resilience, Family Adaptability and Cohesion Evaluation Scale III, measurements of relationship with friends and teachers. Descriptive, Pearson correlation and multiple regression analyses were used to analyse the data.
The average score for resilience was 98.49 (range: 32-128). There was no statistically significant relationship with resilience for age, gender, religion, existence of siblings, mother's age, academic performance, duration of illness or type of cancer. In bivariate analysis, family adaptability and cohesion (r= 0.535, P < 0.001), relationship with friends (r= 0.520, P < 0.001) and teachers (r= 0.318, P < 0.01) were significantly related to resilience. However, the results of multiple regression analysis showed that only family function (beta= 0.257, P < 0.05) and relationship with friends (beta= 0.581, P < 0.01) were significantly associated with resilience.
School age children with cancer who reported higher family function and positive relationships with friends showed higher resiliency than their counterparts. Thus, it is important to help the families of children with cancer to enhance family function and help children to adjust to school re-entry by maintaining ties with school friends and teachers during treatment. Development of counselling programmes for parents to promote family adaptation and cohesion and educational programmes for classmates and teachers are recommended.
确定与患癌学龄儿童心理韧性相关的因素。
研究对象为74名年龄在10至15岁之间的儿童，他们在数据收集前至少6个月被诊断患有癌症。使用的工具包括：一份关于心理韧性的自填问卷、家庭适应性和凝聚性评估量表III、与朋友和老师关系的测量。采用描述性分析、皮尔逊相关性分析和多元回归分析对数据进行分析。
心理韧性的平均得分为98.49（范围：32 - 128）。年龄、性别、宗教、是否有兄弟姐妹、母亲年龄、学业成绩、患病时长或癌症类型与心理韧性之间无统计学显著关系。在双变量分析中，家庭适应性和凝聚性（r = 0.535，P < 0.001）、与朋友的关系（r = 0.520，P < 0.001）以及与老师的关系（r = 0.318，P < 0.01）与心理韧性显著相关。然而，多元回归分析结果显示，只有家庭功能（β = 0.257，P < 0.05）和与朋友的关系（β = 0.581，P < 0.01）与心理韧性显著相关。
报告家庭功能较高且与朋友关系积极的患癌学龄儿童比其他儿童表现出更高的心理韧性。因此，帮助患癌儿童家庭增强家庭功能，并帮助儿童在治疗期间通过与学校朋友和老师保持联系来适应重返学校非常重要。建议为家长制定促进家庭适应和凝聚的咨询项目，以及为同学和老师制定教育项目。
