Miracle Get Journal
Vol 3 No 2 (2026): May, 2026

The Effectiveness of Family-Centered Care on Anxiety Levels in Children with Chronic Illnesses: A Cross-Sectional Study

Andrafikar (Poltekkes Kemenkes Padang, Indonesia)
Mila Sari (STIKES Dharma Landbouw, Indonesia)
Safiyah Kamilah (Universitas ‘Aisyiyah Palembang, Indonesia)



Article Info

Publish Date
28 Jun 2026

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.

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Journal Info

Abbrev

miracle

Publisher

Subject

Public Health

Description

Miracle Get Journal is an open access and peer-reviewed journal. It refers to the word "MIRACLE" which stands for Manager, Innovator, Researcher, Apprenticer, Communitarian, Leader, and Educator. These components have important roles and functions required in the field of Public Health. Through ...