国际呼吸杂志
國際呼吸雜誌
국제호흡잡지
INTERNATIONAL JOURNAL OF RESPIRATION
2014年
5期
337-340
,共4页
哮喘%儿童%心理行为问题%家庭管理方式
哮喘%兒童%心理行為問題%傢庭管理方式
효천%인동%심리행위문제%가정관리방식
Asthma%Child%Behavioural problems%Family management style
目的 探讨支气管哮喘(简称哮喘)患儿的心理行为问题与家庭管理方式的特征及相关性.方法 采取整群随机抽样方法,抽取2012年至2013年在唐山市4家三级甲等医院内就诊的哮喘患儿的母亲或父亲150名为研究对象,采用家长用儿童行为量表和家庭管理测量量表中文版进行调查.结果 哮喘患儿的心理行为问题检出率为23.7％,高于国内常模(12.97％)(x2=12.34,P＜0.05);男孩主要表现为社交退缩、交往不良和攻击性表现,女孩主要表现为抑郁、社交退缩和分裂样;患儿的社交退缩、交往不良等行为异常表现与患儿的日常生活状况、父母疾病管理能力和父母相互支持呈负相关(r=-0.21,-0.25,-0.29,P＜0.05),与父母对疾病担心状况、父母疾病管理困难状况和父母疾病精力消耗状况呈正相关(r =0.26,0.24,P＜0.05).结论 哮喘患儿的心理行为问题检出率较高,家庭管理方式呈忍耐型,医护人员应积极提供家庭支持,改善患儿的家庭管理方式,促进患儿的心理行为健康.
目的 探討支氣管哮喘(簡稱哮喘)患兒的心理行為問題與傢庭管理方式的特徵及相關性.方法 採取整群隨機抽樣方法,抽取2012年至2013年在唐山市4傢三級甲等醫院內就診的哮喘患兒的母親或父親150名為研究對象,採用傢長用兒童行為量錶和傢庭管理測量量錶中文版進行調查.結果 哮喘患兒的心理行為問題檢齣率為23.7％,高于國內常模(12.97％)(x2=12.34,P＜0.05);男孩主要錶現為社交退縮、交往不良和攻擊性錶現,女孩主要錶現為抑鬱、社交退縮和分裂樣;患兒的社交退縮、交往不良等行為異常錶現與患兒的日常生活狀況、父母疾病管理能力和父母相互支持呈負相關(r=-0.21,-0.25,-0.29,P＜0.05),與父母對疾病擔心狀況、父母疾病管理睏難狀況和父母疾病精力消耗狀況呈正相關(r =0.26,0.24,P＜0.05).結論 哮喘患兒的心理行為問題檢齣率較高,傢庭管理方式呈忍耐型,醫護人員應積極提供傢庭支持,改善患兒的傢庭管理方式,促進患兒的心理行為健康.
목적 탐토지기관효천(간칭효천)환인적심리행위문제여가정관리방식적특정급상관성.방법 채취정군수궤추양방법,추취2012년지2013년재당산시4가삼급갑등의원내취진적효천환인적모친혹부친150명위연구대상,채용가장용인동행위량표화가정관리측량량표중문판진행조사.결과 효천환인적심리행위문제검출솔위23.7％,고우국내상모(12.97％)(x2=12.34,P＜0.05);남해주요표현위사교퇴축、교왕불량화공격성표현,녀해주요표현위억욱、사교퇴축화분렬양;환인적사교퇴축、교왕불량등행위이상표현여환인적일상생활상황、부모질병관리능력화부모상호지지정부상관(r=-0.21,-0.25,-0.29,P＜0.05),여부모대질병담심상황、부모질병관리곤난상황화부모질병정력소모상황정정상관(r =0.26,0.24,P＜0.05).결론 효천환인적심리행위문제검출솔교고,가정관리방식정인내형,의호인원응적겁제공가정지지,개선환인적가정관리방식,촉진환인적심리행위건강.
Objective To explore the psychological behavioral features and problems of child with bronchial asthma (asthma) and family management style.Methods Cluster random sampling was conducted to recruit 150 caregivers whose child suffered from asthma in 4 Third-Grade Class-A hospitals in Tangshan from 2012 to 2013.One hundred and fifty caregivers were investigated by chiild behavior checklist and family management measure.Results The rate of abnormal behavior was higher in asthmatic children (23.9％) than that in healthy children (12.97％),(x2=12.34,P＜ 0.05).Asthmatic children's behavioral problems mainly included bad communication,social withdrawn,aggressive behaviour in boys and depression,social withdrawn and schizoid behavior in girls.Asthmatic children' s behavioural problems were negatively associated with child daily life,parental management ability and parental mutuality (r =-0.21,-0.25,-0.29,P ＜0.05),and positively correlated with parental worries about the disease,family life difficulty and state of parental energy exhaust (r =0.26,0.24,P ＜ 0.05).Conclusions The rate of abnormal behavior was high in child with asthma.The model of family management is mainly bearing with asthmatic child.Medical staff should provide family support to promote rehabilitation of psychological behavior of asthmatic child.
