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目的:探索不同家庭照护类型对术后脑肿瘤患儿的家庭韧性水平的影响。方法:选取2家三级甲等儿科医院210名术后脑肿瘤患儿照护者，采用一般资料问卷、中文版家庭照护测量量表和家庭韧性量表进行调查，使用SPSS 24.0软件对数据进行聚类分析。结果:(1)家庭照护6个量表中，患儿认可、管理能力、家长关系与家庭韧性水平呈显著正相关(n r＝0.312，n r＝0.470，n r＝0.391；均n P<0.05)，家庭困难、疾病负担、疾病影响与家庭韧性水平呈显著负相关(n r＝-0.346，n r＝-0.177，n r＝-0.348；均n P<0.05)；(2)家庭照护模式可分为四类：管理负担型(22.9%)、管理有效型(24.8%)、管理低下型(28.6%)及管理默契型(23.8%)；(3)四类家庭照护模式在家庭韧性得分[(197.21±20.08)分、(205.92±14.25)分、(181.47±18.13)分、(198.06±17.08)分]上差异有统计学意义(n F＝19.498，n P<0.01)。n 结论:脑肿瘤患儿家庭照护模式可分为四类，不同类别家庭的韧性水平存在差异，提示护士可以根据不同家庭的特征，实施改变家庭照护的针对性干预措施，帮助他们提高家庭韧性。“,”Objective:To explore the impact of different family management patterns on the family resilience of children with brain tumors.Methods:A total of 210 parents of children with postoperative brain tumors in 2 tertiary Grade A pediatric hospitals were investigated by the general information questionnaire, family management measure (FaMM) and family resilience rating scale.SPSS 24.0 was used for cluster analysis.Results:(1) Among the scores of FaMM, child identity, condition management ability and parental mutuality were significantly positively correlated with family resilience (n r=0.312, n r=0.470, n r=0.391, all n P<0.05), while view of condition impact, condition management difficulty and condition management effort were negatively correlated with family resilience (n r=-0.346, n r=-0.177, n r=-0.348, all n P<0.05). (2) Family management patterns could be divided into four categories: burden managing (22.9%), effective managing (24.8%), poor managing (28.6%) and tacit managing (23.8%). (3) Family resilience scores of the four patterns were (197.21±20.08), (205.92±14.25), (181.47±18.13) and (198.06±17.08), and their differences were statistically significant (n F=19.498, n P<0.01).n Conclusion:The family resilience level of children with brain tumor is associated with different family management patterns.Therefore, effective strategies according to different family characteristics should be developed to improve family resilience level.