›› 2013, Vol. 33 ›› Issue (5): 531-.doi: 10.3969/j.issn.1674-8115.2013.05.002

• Monographic report (Clinical nursing and management) • Previous Articles     Next Articles

Impact of family management on family functioning of families with chronically ill children

ZHANG Ying1, WEI Min2, ZHANG Ya-qing1, |SHEN Nan-ping3   

  1. 1.School of Nursing, Shanghai Jiaotong University, Shanghai 200025, China; 2.Department of Pediatrics, Peking Union Medical College Hospital, Beijing 100730, China; 3.Department of Nursing, Shanghai Children´s Medical Center, Shanghai Jiaotong University School of Medicine, Shanghai 200127, China
  • Online:2013-05-28 Published:2013-05-28
  • Supported by:

    Innovation Program of Shanghai Municipal Education Commission, 12YS029;Shanghai Key Discipline Construction Project; Foundation of Shanghai Jiaotong University School of Medicine, YZ1016, JYh1008; International Postdoctoral Fellowship in Nursing, Sponsored Jointly by INDEN and Sigma Theta Tau International


Objective To investigate the impact of family management on family functioning of families with chronically ill children, and provide evidence for tailored family intervention. Methods A total of 618 primary caregivers for chronically ill children from 7 hospitals in Beijing and Shanghai were selected, and were surveyed with family management measure and Feetham family functioning survey. The influencing factors of family management and family functioning were identified by univariate analysis and correlation analysis, and the variables with P<0.05 in previous analysis were selected to enter the multiple regression model. Results Child´s daily life, condition management effort, family life difficulty, parental mutuality, living in urban area, employed mother, duration of condition (<1 year) and diagnosis (renal disorder or genetic condition) were predictors of family functioning. Conclusion Family management is an important determinant of family functioning. Improving the key aspects of family management may directly affect family functioning.

Key words: family management, chronic disease, child, Feetham family functioning survey, family functioning