Impact of Family-Centred Continuity of Care on Depression, Anxiety, Self-Esteem, and Quality of Life in Children With Leukemia.
Aims/Background Leukemia is the most prevalent pediatric malignancy and has a significant impact on the psychological, emotional well-being, and quality of life of affected children. This study aimed to evaluate the effects of family-centred continuity of care (FCCC) on the psychological state, self-esteem, and quality of life in children with leukemia. Methods A retrospective analysis was conducted on 243 pediatric leukemia patients admitted to the Fourth Hospital of Hebei Medical University between January 2019 and December 2022. Patients were divided into two groups: Routine care (n = 135), who received standard hospital care, and home care (n = 108), who received FCCC. Data were collected and analysed using the Self-Esteem Scale (SES), Screen for Child Anxiety Related Emotional Disorders (SCARED), Depression Self-Rating Scale for Children (DSRSC), and Pediatric Quality of Life Inventory Multidimensional Fatigue Scale (PedsQL MFS). Results Post-intervention, the home care group demonstrated significant improvements in self-management, emotional and mental health functioning, and physical and social functioning (p < 0.05). The group also demonstrated decreased depression, enhanced self-esteem, improved quality of life, and reduced anxiety levels, indicating the efficacy of FCCC. Conclusion FCCC significantly enhances psychological well-being and quality of life in pediatric leukemia patients by integrating family members into the care process and offering emotional support and empowerment.
Authors
Zhang Zhang, Shen Shen, Zhang Zhang, Wang Wang, Wang Wang, Zhao Zhao, Diao Diao, Xie Xie
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