关键词: 肿瘤, 儿童, 家庭管理, 潜在剖面分析, 儿科护理学

Abstract:

Objective To identify the latent class of family management characteristics in children with malignant tumor,and to compare the differences in socio-demographic data of different classes,so as to provide ideas for targeted interventions. Methods From July to December 2021,230 caregivers of children with malignant tumor were selected from the department of hematology,oncology and neurosurgery of a tertiary A children’s hospital in Chongqing as the research subjects by convenience sampling. They were investigated by general information scale,Family Management Measure. Latent profile analysis was used to explore the latent class of family management,and multinomial Logistic regression analysis was used to compare the characteristics of each latent class. Results The family management of children with malignant tumor could be divided into 3 classes,including inefficient coping type（49.57%）,effective coping type（43.91%） and struggling coping type（6.52%）. The results of multiple logistic regression showed that less time of hospitalization,diagnosis time of 1~<7 months,the current residence in the town,monthly family income of 5 000~10 000 yuan,family income from other source of income,application for economic assistance are more likely to be sorted into the inefficient coping type. Children with bone malignancy are more likely to be classed into the effective coping type. Family income derived from wage income and children with leukemia are more likely to belong to the struggling coping type. The differences were all statistically significant（P<0.05）. Conclusion There is heterogeneity in the family management of children with malignant tumor. Medical staff should carry out targeted interventions according to the characteristics of different family management classes,so as to improve family management level and the quality of care for children.

Key words: Neoplasms, Children, Family Management, Latent Profile Analysis, Pediatric Nursing