【摘要】 背景 慢性浅表性胃炎（CSG）是临床常见的疾病，受疾病困扰加之年龄较小，CSG患儿情绪行为易受影响。目的 探讨CSG患儿应对策略对其情绪行为的影响及家庭功能的作用，以期对存在情绪行为问题的CSG患儿进行干预提供参考。方法 选取2019年6月-2023年1月安徽省儿童医院收治的177例CSG患儿为研究对象。采用家庭关怀度指数问卷（APGAR）、长处与困难问卷（SDQ）和疼痛应对策略量表（CSQ）对CSG患儿的家庭功能、情绪和行为问题及应对策略进行调查，采用结构方程模型检验家庭功能在应对策略与情绪行为之间的中介效应。结果 CSG患儿APGAR与SDQ和CSQ消极应对策略评分均呈负相关（r=-0.507、-0.551,P均<0.01），与积极应对策略评分呈正相关（r=0.579,P<0.01），积极应对策略评分与SDQ评分呈负相关（r=-0.539,P<0.01），消极应对策略评分与SDQ评分呈正相关（r=0.543,P<0.01）。家庭功能在积极应对策略和情绪行为之间起部分中介作用[间接效应为-0.133(95%CI:-0.256～-0.079,P<0.01)，占总效应的29.40%]；家庭功能在消极应对策略和情绪行为之间起部分中介作用[间接效应为0.093(95%CI:0.198～0.045,P<0.01)，占总效应的28.50%]。结论 CSG患儿的应对策略可直接影响情绪行为，也可通过家庭功能间接影响情绪行为，家庭功能在应对策略与情绪行为之间起部分中介作用。更多还原

【Abstract】 Background Chronic superficial gastritis(CSG) is a common clinical disease in children. The emotional behavior of CSG children is susceptible due to them suffering from such disease at young age.Objective To explore the impact of coping strategies on emotional behavior and the effect of family function in children with CSG, and to provide references for clinical intervention in CSG children with emotional behavior problems.Methods A total of 177 children with CSG admitted to Anhui Children’s Hospital from June 2019 to January 2023 were selected as the research subjects. Investigation on family function, emotional and behavioral problems and coping strategies of children was conducted by employing the Family APGAR index(APGAR), the Strengths and Difficulties Questionnaire(SDQ) and Coping Strategies Questionnaire(CSQ). The structural equation model was used to test the mediating effect of family function between coping strategies and emotional behaviors.Results The APGAR score was negatively correlated with both SDQ score and negative coping strategies score(r=-0. 507,-0. 551, P<0. 01), but was positively correlated with positive coping strategy score(r=0. 579, P<0. 01). The positive coping strategy score was negatively correlated with SDQ score(r=-0. 539, P<0. 01), while the negative coping strategy score was positively correlated with SDQ score(r=0. 543, P<0. 01). The result showed that family function played a partial mediating role between positive coping strategies and emotional behavior [indirect effect was-0. 133(95% CI:-0. 256～-0. 079, P<0. 01), accounting for 29. 40% of the total effect]. The same mediating effect happened between negative coping strategies and emotional behavior [indirect effect was 0. 093(95% CI: 0. 198～0. 045, P<0. 01), accounting for 28. 50% of the total effect].Conclusion Coping strategies of CSG children can affect emotional behavior directly and indirectly with family function playing a partial intermediary effect.更多还原