中华心血管病杂志
中華心血管病雜誌
중화심혈관병잡지
Chinese Journal of Cardiology
2008年
5期
418-421
,共4页
张坤%王一彪%李艳萍%刘丰%张兆华%王振先%郝芳之
張坤%王一彪%李豔萍%劉豐%張兆華%王振先%郝芳之
장곤%왕일표%리염평%류봉%장조화%왕진선%학방지
心脏缺损,先天性%插管术%心血管外科手术%儿童心理学%儿童行为
心髒缺損,先天性%插管術%心血管外科手術%兒童心理學%兒童行為
심장결손,선천성%삽관술%심혈관외과수술%인동심이학%인동행위
Heart defect,Congenital%Catheterization%Cardiovascular surgical procedures%Child psychology:Child behavior
目的 研究先天性心脏病对儿童心理行为的影响,并对照研究介入治疗与外科手术对先天性心脏病患儿术后心理行为的影响. 方法 采用徐韬园1992年修订的Achenbach儿童行为量表对232例先天性心脏病患儿进行心理行为检测. 结果 先天性心脏病儿童心理行为异常检出率显著高于对照组.先天性心脏病各组患儿心理行为总粗分显著高于对照组(P<0.01),先天性心脏病患儿心理行为粗分均值亦高于对照组(P<0.01或P<0.05).男孩主要表现在抑郁、交往不良、体诉(各种躯体不适的反应)、社会退缩、违纪及攻击方面,女孩主要表现在抑郁、社会退缩、体诉、违纪方面.术后测试,男、女两治疗组心理行为总粗分分别显著低于治疗前(P<0.01).介入组男孩术后总粗分及攻击行为粗分分别低于外科组,差异具有统计学意义(P<0.05),介入组女孩术后心理行为总粗分及抑郁、社会退缩和违纪行为粗分分别低于外科组,差异具有统计学意义(P<0.05).心理行为因子异常检出率与病程呈正相关,病程越长检出率越高. 结论 先天性心脏病患儿存在着明显的心理行为问题,应引起重视.早期治疗以及采用介入治疗方式可较明显改善先天性心脏病患儿的心理行为状况.
目的 研究先天性心髒病對兒童心理行為的影響,併對照研究介入治療與外科手術對先天性心髒病患兒術後心理行為的影響. 方法 採用徐韜園1992年脩訂的Achenbach兒童行為量錶對232例先天性心髒病患兒進行心理行為檢測. 結果 先天性心髒病兒童心理行為異常檢齣率顯著高于對照組.先天性心髒病各組患兒心理行為總粗分顯著高于對照組(P<0.01),先天性心髒病患兒心理行為粗分均值亦高于對照組(P<0.01或P<0.05).男孩主要錶現在抑鬱、交往不良、體訴(各種軀體不適的反應)、社會退縮、違紀及攻擊方麵,女孩主要錶現在抑鬱、社會退縮、體訴、違紀方麵.術後測試,男、女兩治療組心理行為總粗分分彆顯著低于治療前(P<0.01).介入組男孩術後總粗分及攻擊行為粗分分彆低于外科組,差異具有統計學意義(P<0.05),介入組女孩術後心理行為總粗分及抑鬱、社會退縮和違紀行為粗分分彆低于外科組,差異具有統計學意義(P<0.05).心理行為因子異常檢齣率與病程呈正相關,病程越長檢齣率越高. 結論 先天性心髒病患兒存在著明顯的心理行為問題,應引起重視.早期治療以及採用介入治療方式可較明顯改善先天性心髒病患兒的心理行為狀況.
목적 연구선천성심장병대인동심리행위적영향,병대조연구개입치료여외과수술대선천성심장병환인술후심리행위적영향. 방법 채용서도완1992년수정적Achenbach인동행위량표대232례선천성심장병환인진행심리행위검측. 결과 선천성심장병인동심리행위이상검출솔현저고우대조조.선천성심장병각조환인심리행위총조분현저고우대조조(P<0.01),선천성심장병환인심리행위조분균치역고우대조조(P<0.01혹P<0.05).남해주요표현재억욱、교왕불량、체소(각충구체불괄적반응)、사회퇴축、위기급공격방면,녀해주요표현재억욱、사회퇴축、체소、위기방면.술후측시,남、녀량치료조심리행위총조분분별현저저우치료전(P<0.01).개입조남해술후총조분급공격행위조분분별저우외과조,차이구유통계학의의(P<0.05),개입조녀해술후심리행위총조분급억욱、사회퇴축화위기행위조분분별저우외과조,차이구유통계학의의(P<0.05).심리행위인자이상검출솔여병정정정상관,병정월장검출솔월고. 결론 선천성심장병환인존재착명현적심리행위문제,응인기중시.조기치료이급채용개입치료방식가교명현개선선천성심장병환인적심리행위상황.
Objective The present study Was designed tO investigate the influence of Congenital Heart Disease(CHD)on the mentality and behavior in children,and to compare post operative mentality and behavior in children receiving interventional therapy and congenital heart surgery.Method Mentality and behavior of 232 children suffering from CHD were examined with Achenbach Child Behavior Checklist(CBCL)edited by XU Tao-yuan in 1992 and 100 sex,age,education and achievement-matched children with pneumonia wen enrolled as controls.Results The mentality and behavior abnormal rates of the boys and girls suffering from CHD were significantly higher than those of controls(P<0.01,P<0.05).The behavior abnormities of the boys presented as depression,social flinch,physical complains,assault and violate rules.Whereas the girls presented as depression.social flinch,physical complains and violate rules.The total cursory mark of postoperative check result of the interventional and surgical children,both in girls and in boys,were significantly lower than those of the preoperative children(P<0.05).The total and assault cursory mark of postoperative check result of children treated with interventional therapy were significantly lower than those of children treated with the surgical operations(P<0.05).The abnormal rates of mentality and behavior positively correlated with the disease course.Conclusions CHD iS associated with increased abnormal mentality and behavior of the children.Early treatment.especially the interventional therapy can significantly improve the mentality and behavior of the children with CHD.