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Safiyah Kamilah
Universitas ‘Aisyiyah Palembang, Indonesia

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The Effectiveness of Family-Centered Care on Anxiety Levels in Children with Chronic Illnesses: A Cross-Sectional Study Andrafikar; Mila Sari; Safiyah Kamilah
Miracle Journal Get Press Vol 3 No 2 (2026): May, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v3i2.657

Abstract

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.