Construction and application of family-positive behavior support programme for preschool children with malignant tumors

doi:10.3761/j.issn.0254-1769.2021.11.003

Abstract

Abstract:

Objective To construct a family-positive behavior support programme based on Family System Theory for preschool children with malignant tumors,and to explore effects of its application. Methods From March 2019 to February 2020,100 preschool children with malignant tumors were selected and randomly allocated into an experimental group（n=50） and a control group（n=50）. The experimental group was given interventions of the family- positive behavior support,while the control group was given the routine psychological care. The scores of Family Adaptation and Cohesion Evaluation Scales Ⅱ（FACES Ⅱ）,Parental Psychological Flexibility Questionnaire（PPFQ）and Strengths and Difficulties Questionnaire（SDQ） before and after the intervention between 2 groups were compared. Results After intervention,the total scores of SDQ in the experimental group and the control group were lower than those before intervention（P<0.001）,and the total scores of FACES Ⅱ were higher than those before intervention（P<0.001）;the total score of PPFQ in the experimental group after intervention was higher than it before intervention（P<0.001）. After intervention,the total score of SDQ in the experimental group was lower than those in the control group（P<0.001）;the total scores of FACES Ⅱ and PPFQ in the experimental group were higher than those in the control group（P<0.05）. Conclusion Regardless of whether the children with malignant tumors have emotional and behavioral problems,the family-positive behavior support programme can reduce the incidence of emotional behavior problems,improve family intimacy and adaptability and parental psychological flexibility.

Key words: Family System Theory, Positive Behavior Support, Malignant Tumors, Preschool Children, Emotional and Behavioral Problems, Pediatric Nursing

摘要：

目的构建家庭正向行为支持（positive behavior support,PBS）方案,并探讨其在学龄前恶性肿瘤患儿情绪行为影响中的应用效果。方法以家庭系统理论为框架构建家庭PBS方案,选取2019年3月—2020年2月于重庆市某三级甲等儿童医院就诊的100例学龄前恶性肿瘤患儿为研究对象,采用随机数字表法分为试验组（n=50）和对照组（n=50）。试验组在常规护理基础上接受为期3个月的家庭PBS方案,对照组实施常规护理。比较两组干预前后家庭亲密度与适应性量表得分、养育心理灵活性问卷得分及长处与困难问卷得分。结果两组干预后长处与困难问卷得分低于干预前（均P<0.001）,家庭亲密度与适应性量表得分高于干预前（均P<0.001）;试验组干预后养育心理灵活性问卷得分高于干预前（P<0.001）;干预后试验组长处与困难问卷得分低于对照组（P<0.001）,家庭亲密度与适应性量表得分和养育心理灵活性问卷得分高于对照组（均P<0.05）。结论应用家庭PBS方案可减少学龄前恶性肿瘤患儿情绪行为问题的发生,改善家庭亲密度与适应性,提高父母养育心理灵活性。

关键词: 家庭系统理论, 正向行为支持, 恶性肿瘤, 学龄前儿童, 情绪行为问题, 儿科护理学

PAN Xiaorong, MO Lin, LIU Qian, ZHANG Shiqun, GUO Xiaoli, YAO Juan, HUANG Xiaoyan. Construction and application of family-positive behavior support programme for preschool children with malignant tumors[J]. Chinese Journal of Nursing, 2021, 56(11): 1618-1626.

潘小容, 莫霖, 刘倩, 张世群, 郭小利, 姚娟, 黄晓燕. 家庭正向行为支持方案的构建及应用研究[J]. 中华护理杂志, 2021, 56(11): 1618-1626.

Figures/Tables 4

Table 1 Specific content of family positive behavior support program

Table 2 Sociodemographic characteristics of the participants[example （percentage,%）]

Table 1 Comparison of the total scores of SDQ、PPFQ and FACES Ⅱ in children with emotional behavior problems by treatment groups and protocol phases（socres,$\bar{x}$±s）

Table 4 Comparison of the total scores of SDQ、PPFQ and FACES Ⅱ in children without emotional behavior problems by treatment groups and protocol phases（socres,$\bar{x}$±s）

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