Zhou Tianji, Xiong Wenjin, Meng Zhenyu, Yu Nancy Xiaonan, Zhang Jingping, Luo Yuanhui
Xiangya School of Nursing, Central South University, Changsha, Hunan, China.
Department of Social and Behavioural Sciences, City University of Hong Kong, Hong Kong, China.
J Clin Nurs. 2024 Nov 5. doi: 10.1111/jocn.17528.
To explore the mediating roles of family resources (at the individual [parental self-efficacy], family [family resilience] and social level [social support]) and parental problem-solving skills in the association between family functioning and family adaptation in families of children with cancer.
A cross-sectional study.
This study recruited 318 parents of children with cancer from three tertiary hospitals in mainland China. Self-report questionnaires were used to collect data on key variables, including family functioning, parental self-efficacy, family resilience, social support, parental problem-solving skills and family adaptation. Data analyses were carried out using descriptive analysis, univariate analysis, Pearson correlation analysis, hierarchical linear regression and bootstrapping.
Family functioning was significantly and positively correlated with family adaptation. Family resources (parental self-efficacy at the individual level, family resilience at the family level or social support at the social level) and parental problem-solving skills both independently mediated the relationship between family functioning and family adaptation. Additionally, family resources at all three levels mediated the relationship through their effects on cumulatively parental problem-solving skills, constructing a chain mediating model.
The study underscores the significance of family functioning, family resources at the individual, family and social levels and parental problem-solving skills in promoting adaptation in families of children with cancer. It highlights the need for family-centred interventions targeted at these factors to improve family adaptation.
This study extended related theories and previous studies to confirm the mediating role of family resources and parental problem-solving skills, both independently and sequentially. Moreover, parental problem-solving skills were confirmed as key elements that can be incorporated into future interventions, suggesting that problem-solving skills training may serve as a highly promising program for families of children with cancer.
This study was reported according to the STROBE checklist.
No Patient or Public Contribution.
探讨家庭资源（个体层面的父母自我效能感、家庭层面的家庭复原力和社会层面的社会支持）以及父母解决问题的能力在癌症患儿家庭中家庭功能与家庭适应之间的关联中所起的中介作用。
横断面研究。
本研究从中国大陆的三家三级医院招募了318名癌症患儿的父母。采用自填式问卷收集关键变量的数据，包括家庭功能、父母自我效能感、家庭复原力、社会支持、父母解决问题的能力和家庭适应。数据分析采用描述性分析、单变量分析、Pearson相关分析、分层线性回归和自抽样法。
家庭功能与家庭适应显著正相关。家庭资源（个体层面的父母自我效能感、家庭层面的家庭复原力或社会层面的社会支持）以及父母解决问题的能力均独立中介了家庭功能与家庭适应之间的关系。此外，所有三个层面的家庭资源通过对父母累积解决问题能力的影响来中介这种关系，构建了一个链式中介模型。
该研究强调了家庭功能、个体、家庭和社会层面的家庭资源以及父母解决问题的能力在促进癌症患儿家庭适应方面的重要性。它突出了针对这些因素进行以家庭为中心的干预以改善家庭适应的必要性。
本研究扩展了相关理论和以往研究，以确认家庭资源和父母解决问题的能力的独立和顺序中介作用。此外，父母解决问题的能力被确认为可纳入未来干预措施的关键要素，这表明解决问题能力培训可能是癌症患儿家庭非常有前景的项目。
本研究按照STROBE清单进行报告。
无患者或公众贡献。
