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Objectives:The purpose is to distinguish family care (FC) pattes of childhood rheumatic diseases in Chinese families and to determine the predictors of FC pattes.Methods:This secondary analysis contained two cross-section surveys with a convenient sample of totally 398 caregivers who have a child with rheumatic diseases from four pediatric hospitals.Caregivers were required to completed Family Management Measure questionnaire.Cluster analysis was used to distinguish pattes and multinomial logistic regression analysis was used to find predictors.Results:Four pattes were identified:the normal-perspective and collaborative (28.4％),the effortless and contradictory (24.6％),the chaotic and strenuous (18.3％),and the confident and conceing (28.7％).Disease category (x2 =21.23,P =0.002),geographic location (x2 =8.41,P =0,038),mateal educational level (x2 =12.69,P =0.048) and family monthly income (x2 =33.21,P ＜ 0.001) predicted different pattes.Conclusions:FC pattes were different among families.Disease-related and family-related factors were vital predictors to distinguish pattes consistent with the Family Management Style Framework.The result assisted that clinicians recognize FC pattes and predictors effectively to provide tailored advice in time.