CAJ | 학술논문

目的探讨孤独症儿童父母的生活质量状况、应对方式及其相关性.方法使用生活质量综合评定问卷、应付方式问卷对68例孤独症儿童的父母和64例健康儿童父母进行对照研究.同时利用t检验和多因素回归分析进行数据分析.结果实验组的物质生活维度、心理健康维度[(48.18±12.80)分,(60.63±10.18)分]低于正常对照组[(52.71±9.84)分,(65.79±8.64)分],差异有显著性(t=-2.04,P＜0.05;t=-3.09,P＜0.01).实验组"解决问题"的应对方式少于对照组;幻想、退避的应对方式多于对照组.多因素回归分析的结果显示"解决问题"方式对生活质量总分以及躯体健康维度、心理健康维度、社会功能维度都可以有影响,呈正相关;"幻想"方式会影响生活质量总分,"退避"方式的会影响心理健康维度,均呈负相关.结论孤独症儿童父母易出现物质生活和心理健康方面的生活质量下降;他们应对生活应激事件时的应对方式,对生活质量、心理健康会产生不良的影响,应进行早期干预.
목적 탐토고독증인동부모적생활질량상황、응대방식급기상관성.방법 사용생활질량종합평정문권、응부방식문권대68례고독증인동적부모화64례건강인동부모진행대조연구.동시이용t검험화다인소회귀분석진행수거분석.결과 실험조적물질생활유도、심리건강유도[(48.18±12.80)분,(60.63±10.18)분]저우정상대조조[(52.71±9.84)분,(65.79±8.64)분],차이유현저성(t=-2.04,P＜0.05;t=-3.09,P＜0.01).실험조"해결문제"적응대방식소우대조조;환상、퇴피적응대방식다우대조조.다인소회귀분석적결과현시"해결문제"방식대생활질량총분이급구체건강유도、심리건강유도、사회공능유도도가이유영향,정정상관;"환상"방식회영향생활질량총분,"퇴피"방식적회영향심리건강유도,균정부상관.결론 고독증인동부모역출현물질생활화심리건강방면적생활질량하강;타문응대생활응격사건시적응대방식,대생활질량、심리건강회산생불량적영향,응진행조기간예.
Objective To explore quality of life and coping style of autistic children' s parents, and correlation between them. Methods 68 parents of children with autism and 64 healthy children' s parents were tested with comprehensive assessment questionnaire of the quality of life and coping style questionnaire. Data were analyzed by t -test and multivariate regression analysis. Results The scores of material life and mental health dimensions in study group(48.18 ± 12.80,60.63 ± 10.18 ) were lower than that in control group(52.71±9.84,65.79±8.64) and the difference was significant( t= -2.04, P＜0.05; t= -3.09, P＜0.01 ). The scores of "problem solving" coping style in study group were slower than in control group; the scores of fantasy and wincing coping style in study group were higher than that in control group. By multivariate regression analysis showed that the scores of "problem solving" coping style were positively correlated with total score of life quality,physical health,mental health and social function dimensions; the scores of "fantasy" coping style had negative correlation with the total score of life quality; the scores of "wincing" coping style had negative correlation with mental health dimension. Conclusion Parents of autistic children were more susceptible to problems of physical life and mental health. Compared to parents of normal children they are more in "fantasy and wineing style and less in" problem solving style to cope with stress, so it would affect the quality of life and mental health badly and need early intervention.