目的 了解恶性肿瘤患儿的视屏时间现状并探讨其影响因素,为肿瘤患儿视屏时间的评估及管理提供参考依据。方法 于2023年11月—2024年5月通过便利抽样法,采用一般资料调查表、视屏时间问卷和家庭亲密度与适应性量表中文版(FACES Ⅱ-CV)对乌鲁木齐市某三级甲等医院232名恶性肿瘤患儿进行问卷调查。采用单因素分析及多元线性回归分析探讨恶性肿瘤患儿视屏时间的影响因素。结果 恶性肿瘤患儿每天的视屏时间为(4.31±2.29)h。多元线性回归分析结果显示患儿年龄(β=0.177)、住院次数＞12次(β=0.184)、非核心家庭(β=0.114)、溺爱型教养方式(β=0.157)、娱乐类＋学习类视屏行为(β=0.146)与患儿视屏时间呈正相关,家庭亲密度低(β=-0.309)和家庭适应性低(β=-0.182)与患儿视屏时间呈负相关(P＜0.05)。结论 恶性肿瘤患儿的视屏时间较正常儿童更长,可引导和鼓励家长积极与儿童沟通,制定个性化的亲子游戏干预方案,减少视屏时间,促进患儿身心健康发展。
Abstract
Objective To investigate the current status of screen time among pediatric patients with malignant tumors, and to explore its influencing factors, so as to provide reference for the assessment and management of screen time in children with malignant tumor. Methods From November 2023 to May 2024, a convenience sampling method was used to conduct a questionnaire survey among 232 pediatric patients with malignant tumors in a tertiary hospital in Urumqi, using a General Information Questionnaire, a Screen Time Questionnaire, and the Family Adaptability and Cohesion Evaluation Scale-Ⅱ Chinese Version (FACES Ⅱ-CV). Univariate analysis and multiple linear regression analysis were employed to explore the influencing factors of screen time among pediatric patients with malignant tumors. Results The average daily screen time for pediatric patients with malignant tumors was (4.31±2.29) hours. The results of multiple linear regression analysis showed that patient age (β=0.177), more than 12 hospitalizations (β=0.184), non-nuclear family structure (β=0.114), indulgent parenting style (β=0.157), and combined entertainment and learning-related screen activities (β=0.146) were positively correlated with screen time. In contrast, low family cohesion (β=-0.309) and low family adaptability (β=-0.182) were negatively correlated with screen time (P<0.05). Conclusions Pediatric patients with malignant tumors have longer screen time compared to healthy children. Parents should be guided and encouraged to actively communicate with their children, develop personalized parent-child game intervention programs, reduce screen time, and promote the physical and mental health development of these patients.
关键词
视屏时间 /
恶性肿瘤 /
家庭功能 /
教养方式 /
儿童
Key words
screen time /
malignant tumor /
family function /
parenting style /
children
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基金
国家自然科学基金面上项目(82272924);湖南省哲学与社会科学基金(19YBA348)
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