CAJ | 학술논문

目的探讨1岁以下毛细支气管炎患儿的气质特点及其影响因素,提出护理对策.方法选择69例5～11个月毛细支气管炎患儿为病例组,选择某社区预防接种门诊正常儿童62例为对照组.采用婴儿气质问卷-修订版(RITQ),由具有心理测评资格的医护人员负责测试与评分,问卷回收后,评估儿童气质,比较两组儿童气质类型分布及RITQ各维度评分.结果 5～11个月毛细支气管炎患儿以中间偏易养型和中间偏难养型居多,分别占42.03％,24.64％；病例组患儿中间偏难养型比例高于对照组,差异具有统计意义(x2=3.89,P＜0.05):病例组患儿活动水平得分(3.40±0.25)分低于对照组的(4.13±0.13)分,差异有统计意义(t=-2.444,P＜0.05)；在节律性、反应强度及反应阈上病例组得分分别为(3.73 ±0.15),(4.52±0.12),(3.90±0.09)分,分别高于对照组的(2.64±0.19),(3.42±0.24),(2.89±0.11)分,差异均有统计学意义(t分别为4.628,4.407,6.946;P均＜0.01).结论 5～11个月毛细支气管炎儿童的气质类型以中间偏易养型和中间偏难养型为主,易养型较少；在气质维度方面较健康儿童的活动水平稍低,节律性较弱,反应强度较强烈,反应阈较低.
목적 탐토1세이하모세지기관염환인적기질특점급기영향인소,제출호리대책.방법 선택69례5～11개월모세지기관염환인위병례조,선택모사구예방접충문진정상인동62례위대조조.채용영인기질문권-수정판(RITQ),유구유심리측평자격적의호인원부책측시여평분,문권회수후,평고인동기질,비교량조인동기질류형분포급RITQ각유도평분.결과 5～11개월모세지기관염환인이중간편역양형화중간편난양형거다,분별점42.03％,24.64％；병례조환인중간편난양형비례고우대조조,차이구유통계의의(x2=3.89,P＜0.05):병례조환인활동수평득분(3.40±0.25)분저우대조조적(4.13±0.13)분,차이유통계의의(t=-2.444,P＜0.05)；재절률성、반응강도급반응역상병례조득분분별위(3.73 ±0.15),(4.52±0.12),(3.90±0.09)분,분별고우대조조적(2.64±0.19),(3.42±0.24),(2.89±0.11)분,차이균유통계학의의(t분별위4.628,4.407,6.946;P균＜0.01).결론 5～11개월모세지기관염인동적기질류형이중간편역양형화중간편난양형위주,역양형교소；재기질유도방면교건강인동적활동수평초저,절률성교약,반응강도교강렬,반응역교저.
Objective To study the temperament of children under the age of one with bronchopneumonia and its influencing factors so as to propose nursing countermeasures.Methods A total of 69 bronchopneumonia children aged 5 to 11 months old were recruited as study group,and 62 healthy children under the age of one were recruited as control group.They were investigated with Baby temperament questionnaire (RITQ) by medical stuff,and temperament types and dimension score of questionnaire in two groups were compared. Results Compared with control group healthy children, the percent of inter-high easy temperamental type and inter-high difficult temperamental type was 42.03％ and 24.64％,respectively,and the percent of inter-high difficult temperamental type in study group was significantly higher than that in the control group (x2 =3.89,P ＜ 0.05 ).The average score of activity level in study group was ( 3.40 ± 0.25 ) which was significantly lower than (4.13 ± 0.13 ) in control group( t =- 2.444,P ＜ 0.05 ),while the average score of regularity,intensity of reaction and reaction threshold in study group was ( 3.73 ± 0.15 ),(4.52 ± 0.12 ),(3.90 ±0.09),respectively,and that in control group respectively was (2.64 ± 0.19),(3.42 ± 0.24 ),(2.89 ± 0.11 ),and the difference was statistically significant ( t =4.628,4.407,6.946,respectively; P ＜0.01 ).Conclusions The temperament type of children under the age of one with bronchopneumonia mostly have either inter-high difficult temperamental type or inter-high easy temperamental type,and easy temperamentaltype children ate little.They usually have a lower activity level,shorter regularity,stronger intensity of reaction and lower reaction threshold when compared with the control group healthy children.