主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2026, Vol. 26 ›› Issue (5): 670-674.doi: 10.3969/j.issn.1672-1756.2026.05.007

• 论著 • 上一篇    下一篇

家庭照护者对儿童躯体化症状障碍的认知及照护体验

曾庆威 王菲菲 陈潇 卢秀丽 李倩 胡素芬   

  1. 深圳市龙岗区妇幼保健院(汕头大学医学院附属深圳妇儿医院(龙岗))康复医学科,518172 广东省深圳市(曾庆威,胡素芬);儿童心理科(陈潇,卢秀丽);护理部(李倩);深圳市宝安区石岩人民医院护理部(王菲菲)
  • 出版日期:2026-05-15 发布日期:2026-05-15
  • 通讯作者: 王菲菲,硕士,护师,护理部干事,E-mail:1276886907@qq.com
  • 作者简介:曾庆威,硕士,护师
  • 基金资助:
    深圳市龙岗区医疗卫生科技计划项目[LGWJ2023-(69)];深圳市龙岗区重点学科建设经费

Family caregivers' recognition and lived experiences of caring for children with Somatic Symptom Disorder

ZENG Qingwei, WANG Feifei, CHEN Xiao, LU Xiuli, LI Qian, HU Sufen   

  1. Rehabilitation Medicine Department, Longgang District Maternity & Child Healthcare Hospital of Shenzhen City (Affiliated Shenzhen Women and Children's Hospital (Longgang) of Shantou University Medical College), Shenzhen, Guangdong province, 518172, China
  • Online:2026-05-15 Published:2026-05-15
  • Contact: E-mail:1276886907@qq.com

摘要: 目的:探讨家庭照护者对儿童躯体化症状障碍的认知及照护体验,为制定家庭照护者支持策略提供参考。方法:采用现象学研究方法,于2024年6月至2025年2月对11名躯体化症状障碍儿童的家庭照护者进行半结构式深度访谈,运用Colaizzi 7步分析法进行资料分析和主题提炼。结果:共提炼出5个主题及11个亚主题:对疾病认知不足,存在识别障碍;多次检查后的暂时放松与错误归因;疾病威胁感知加剧,急切解码症状本质;确诊后的懊悔与应对困境;渴望获得更多疾病知识与支持。结论:家庭照护者对儿童躯体化症状障碍认知不足,在识别与应对中存在诸多困境。建议医护人员强化相关培训与宣传,逐步缓解家庭照护者对儿童精神心理问题的忽视与抵触,促进儿童躯体化症状障碍得到及时关注及治疗。

关键词: 躯体化症状障碍;儿童;照护者;质性研究

Abstract: Objective: To explore family caregivers' perceptions and care experiences of children with Somatic Symptom Disorder (SSD), and to provide references for developing family caregivers' support strategies. Methods: Using a phenomenological research approach, semi-structured in-depth interviews were conducted with 11 family caregivers of children with SSD from June 2024 to February 2025. Data were analyzed and themes were extracted using Colaizzi's 7-step analysis method. Results: A total of 5 themes and 11 subthemes were identified: insufficient disease knowledge and recognition barriers; "temporary relief" after multiple examinations and misattribution; heightened perception of disease threat and urgent "decoding" of symptom nature; post-diagnosis regret and coping difficulties; desire for more disease knowledge and supports. Conclusion: Family caregivers of children with SSD have insufficient knowledge of the disease and face numerous challenges in recognition and management. It is recommended that healthcare professionals strengthen related training and publicity to gradually reduce family caregivers' neglect and resistance toward children's mental health issues, thereby promoting timely attention and treatment for children with SSD.

Key words: Somatic Symptom Disorder; children; caregiver; qualitative research

中图分类号:  R47;R197