School of Nursing, Wenzhou Medical University, China.
School of Nursing, Wenzhou Medical University, China.
J Pediatr Nurs. 2021 Sep-Oct;60:e6-e12. doi: 10.1016/j.pedn.2021.02.010. Epub 2021 Feb 21.
The purpose of this study was to investigate the characteristics of family resilience in a sample of Chinese families with children diagnosed with chronic illness using Latent Profile Analysis (LPA). In particular, we examined the association of family resilience profiles with the psychosocial adjustment of children, and identified the socio-demographic correlates of these latent profiles.
A cross-sectional study was conducted at comprehensive hospitals and children hospitals in three cities (Hangzhou, Ningbo and Wenzhou) of Zhejiang province, China. Parents (n = 277) of children diagnosed with a chronic illness completed a socio-demographic questionnaire, the Chinese version of the family resilience assessment scale, and the Strengths and Difficulties Questionnaire.
A three-class solution was found to demonstrate the best fit [low family resilience (74.7%), moderate family resilience (14.1%), and high family resilience (11.2%)]. One-way ANOVA revealed significant differences between the three groups with respect to peer relationship problems and pro-social behaviors of children. On multinomial logistic regression analysis, the type of childhood chronic disease, time since diagnosis, family monthly income, medical insurance, and parents employment status significantly predicted the profile membership.
Inadequate family resilience was found to be a common phenomenon in families with children affected by chronic illness. Family resilience profiles were associated with psychological adjustment of children.
Our findings may help inform tailored family-strength based interventions to promote better psychosocial adjustment of children with chronic illness.
本研究旨在采用潜在剖面分析（LPA）调查中国慢性病患儿家庭的家庭韧性特征。具体而言，我们探讨了家庭韧性特征与儿童心理社会适应的关系，并确定了这些潜在特征的社会人口学相关性。
在浙江省三个城市（杭州、宁波和温州）的综合医院和儿童医院进行了横断面研究。患有慢性病的儿童的父母（n=277）完成了社会人口学问卷、中文版家庭韧性评估量表和长处与困难问卷。
发现三分类方案最适合[低家庭韧性（74.7%）、中家庭韧性（14.1%）和高家庭韧性（11.2%）]。单因素方差分析显示，三组儿童在同伴关系问题和亲社会行为方面存在显著差异。多分类逻辑回归分析显示，儿童慢性疾病类型、诊断后时间、家庭月收入、医疗保险和父母就业状况显著预测了特征类别。
研究发现，患有慢性病的儿童家庭普遍存在家庭韧性不足的情况。家庭韧性特征与儿童的心理适应有关。
我们的研究结果可能有助于提供基于家庭优势的定制干预措施，以促进慢性病儿童更好的心理社会适应。
