Abstract:

Objective To explore the effects of parent-involved painting therapy on psychological state，quality of life and family function for children with leukemia. Methods Using a non-parallel controlled clinical trial design，a total of 40 children with leukemia and their parents who were admitted to a tertiary cancer hospital in Anhui Province from July 2021 to January 2022 were selected as the experimental group by convenience sampling，and the parent-involved painting therapy intervention program was implemented on the basis of routine care. 40 children with leukemia admitted from December 2020 to June 2021 and their parents were selected as the control group with routine care. The intervention time lasted 6 weeks for both groups. The anxiety level，depression level，quality of life and family function of the 2 groups were evaluated by the Screen for Child Anxiety Related Emotional Disorders（SCARED），the Depression Self-rating Scale for Children（DSRSC），the Family Adaptability and Cohesion Scale（PedsQL^TM 3.0） and the Pediatric Quality of Life Inventory 3.0 Cancer Module（FACES Ⅱ-CV） before intervention，after 3 weeks and 6 weeks of intervention. Results A total of 6 cases dropped out，and finally 36 cases were included in the experimental group and 38 cases in the control group. The comparison of anxiety level and family function at different time points between the 2 groups showed that the time effect, between-group effect and interaction effect were statistically significant（P<0.05）. There was no significant difference in depression level and quality of life among time effect, between-group effect and interaction effect（P>0.05）. The simple effect analysis showed that the anxiety level of the experimental group was lower than that of the control group after 3 weeks and 6 weeks, and the family function of the experimental group was better than that of the control group after 6 weeks, and the difference was statistically significant（P<0.05）. Conclusion Implementing parent-involved painting therapy can effectively reduce the anxiety of children with leukemia and improve their family function.

Key words: Paintings, Leukemia, Anxiety, Depression, Quality of Life, Pediatric Nursing

摘要：

目的 探讨家长参与的绘画疗法对白血病患儿心理状态、家庭功能及生活质量的影响。方法 采用非同期对照临床试验设计，便利选取2021年7月—2022年1月安徽省某三级甲等肿瘤专科医院收治的40例白血病患儿及其家长作为试验组，在常规护理的基础上接受家长参与的绘画疗法；将2020年12月—2021年6月收治的40例白血病患儿及其家长作为对照组，予以常规护理。于干预前及干预3、6周后，采用中文版儿童焦虑性情绪障碍筛查表、儿童抑郁障碍自评量表、家庭亲密度和适应性量表、儿童生存质量癌症模块量表评估两组患儿的焦虑水平、抑郁水平、家庭功能及生活质量。结果 共脱落6例，最终试验组36例、对照组38例完成研究。两组不同时间点焦虑水平、家庭功能比较，时间效应、组间效应及交互效应均具有统计学意义（P<0.05）；抑郁水平、生活质量比较，时间效应、组间效应及交互效应均无统计学意义（P>0.05）。简单效应分析结果显示，干预3、6周后试验组焦虑水平低于对照组，干预6周后试验组家庭功能优于对照组，差异具有统计学意义（P<0.05）。结论 实施家长参与的绘画疗法可有效减轻白血病患儿的焦虑情绪，改善其家庭功能。

关键词: 绘画, 白血病, 焦虑, 抑郁, 生活质量, 儿科护理学