CAJ | 학술논문

目的：探讨哮喘患儿行为问题与母亲心理情绪状态的关系，为制定相应干预措施提供依据。方法选择2010年12月至2011年10月在山东大学第二医院陪同就诊的44例哮喘儿童的母亲为研究组，并和济南市某小学29例健康儿童的母亲对照。采用状态－特质焦虑问卷、自评抑郁量表、Rutter儿童行为问卷－父母问卷进行调查及分析。结果哮喘组儿童行为总分较高，对照组儿童行为总分较低，两者比较差异具有统计学意义（t＝4．12，P＜0．01）。哮喘组行为问题阳性检出率高于对照组，差异具有统计学意义（χ2＝13．50，P＜0．001）。男性患儿行为问题总阳性检出率高于女性患儿，差异具有统计学意义（χ2＝4．05，P＜0．05）。哮喘组以下常见的单项行为问题检出率均高于对照组，包括不能静坐、心烦、发呆、易怒、忧伤、睡眠困难（χ2值分别为7．28、12．28、6．15、6．43、8．17、4．54，均P＜0．05）。哮喘患儿母亲的状态焦虑、特质焦虑和抑郁分值均高于对照组（ t值分别为3．29、3．67、4．71，均P＜0．05）。哮喘患儿行为分值与母亲状态焦虑分值呈正相关（r＝0．389，P＜0．01），差异有统计学意义。哮喘患儿行为分值与母亲特质焦虑分值无相关（r＝0．244，P＞0．05），与母亲抑郁分值无相关（r＝0．230，P＞0．05）。结论总结哮喘儿童行为特征和其母亲心理情绪状态特点及制定相应干预措施是控制哮喘发作、提高哮喘儿童生活质量的有效方法。
목적：탐토효천환인행위문제여모친심리정서상태적관계，위제정상응간예조시제공의거。방법선택2010년12월지2011년10월재산동대학제이의원배동취진적44례효천인동적모친위연구조，병화제남시모소학29례건강인동적모친대조。채용상태－특질초필문권、자평억욱량표、Rutter인동행위문권－부모문권진행조사급분석。결과효천조인동행위총분교고，대조조인동행위총분교저，량자비교차이구유통계학의의（t＝4．12，P＜0．01）。효천조행위문제양성검출솔고우대조조，차이구유통계학의의（χ2＝13．50，P＜0．001）。남성환인행위문제총양성검출솔고우녀성환인，차이구유통계학의의（χ2＝4．05，P＜0．05）。효천조이하상견적단항행위문제검출솔균고우대조조，포괄불능정좌、심번、발태、역노、우상、수면곤난（χ2치분별위7．28、12．28、6．15、6．43、8．17、4．54，균P＜0．05）。효천환인모친적상태초필、특질초필화억욱분치균고우대조조（ t치분별위3．29、3．67、4．71，균P＜0．05）。효천환인행위분치여모친상태초필분치정정상관（r＝0．389，P＜0．01），차이유통계학의의。효천환인행위분치여모친특질초필분치무상관（r＝0．244，P＞0．05），여모친억욱분치무상관（r＝0．230，P＞0．05）。결론총결효천인동행위특정화기모친심리정서상태특점급제정상응간예조시시공제효천발작、제고효천인동생활질량적유효방법。
Objective To study the relationship between behavioral problems of asthmatic children and emotional state of their mothers ,so as to provide basis for intervention measures .Methods During the period of December 2010 to October 2011 44 mothers of asthmatic children visiting the Second Hospital of Shandong University were enrolled in the study , and they were compared with 29 mothers of healthy children studying in a primary school in Jinan .Two groups were tested with state-trait anxiety inventory , self-rating depression scale and parents’ chart of Rutter children ’ s behavior questionnaire .The results of tests were analyzed by SPSS 15.0, including t-test, Pearson correlation andχ2 test.Results The total score of behavior of the asthmatic group was significantly higher than that of the control group ( t=4.12,P<0.01).The positive detection rate of behavioral problems in the asthmatic group was higher than that in the control group (χ2 =13.50,P<0.001), and the positive detection rate of behavioral problems in asthmatic boys was higher than that in asthmatic girls (χ2 =4.05,P<0.05).The positive detection rates of common single behavioral problems in the asthmatic group were higher than those in the control group including being unable to sit still , upsetting, petrifaction, irritability, sorrow and sleep difficulty (χ2 value was 7.28, 12.28, 6.15, 6.43, 8.17 and 4.54, respectively, all P<0.05).The scores of state anxiety , trait anxiety and depression of mothers of asthmatic children were higher than those of mothers of healthy children (t value was 3.29, 3.67 and 4.71, respectively, all P<0.05).The score of children behavior was positively correlated with that of state anxiety of mothers (r =0.389,P <0.01), and the difference was significant.The score of children behavior was not related with trait anxiety (r=0.244, P>0.05) and depression of mothers (r=0.230, P>0.05).Conclusion Summarizing characteristics of asthmatic children ’s behavior and emotional state of their mothers and formulating intervention measures are the effective methods to control asthmatic attack and improve life quality of asthmatic children .