The Effectiveness of Family-Centered Care on Anxiety Levels in Children with Chronic Illnesses: A Cross-Sectional Study
DOI:
https://doi.org/10.69855/mgj.v3i2.657Keywords:
Family-Centered Care, Child Anxiety, Chronic Illness, Pediatric Nursing, PsychosocialAbstract
Chronic illnesses in children often lead to significant psychological distress, particularly anxiety caused by repeated hospitalizations, invasive procedures, and uncertainty regarding prognosis. Family-Centered Care (FCC) is a family-oriented healthcare approach that may reduce anxiety by enhancing emotional support and fostering a sense of security. Purpose: This study aimed to analyze the effect of Family-Centered Care implementation on anxiety levels among children with chronic illnesses. Methods: An analytical observational study with a cross-sectional design was conducted involving 80 children aged 6–18 years diagnosed with chronic illnesses, recruited through purposive sampling. Family-Centered Care was assessed using the Family-Centered Care Questionnaire-Revised (FCCQ-R), while anxiety levels were measured using the Spence Children’s Anxiety Scale (SCAS). Data were analyzed using Pearson correlation and simple linear regression. Results: Most respondents perceived FCC implementation as good (60.0%), while 48.8% of children reported moderate anxiety. Pearson correlation analysis showed a significant negative relationship between FCC and anxiety levels (r = −0.621; p < 0.001). Linear regression revealed that FCC significantly predicted anxiety levels (B = −0.371; 95% CI: −0.475 to −0.267; β = −0.621; p < 0.001), explaining 38.6% of the variance (R² = 0.386). Conclusion: Higher levels of Family-Centered Care were associated with lower anxiety levels in children with chronic illnesses, suggesting that strengthening FCC implementation may improve psychosocial outcomes in pediatric nursing care.
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