CAJ | 학술논문

目的：了解学龄前听力障碍儿童心理行为问题及家庭影响因素，为听力障碍儿童心理卫生干预工作提供依据。方法于2014年7月30日至12月30日选取2~7岁学龄前听力障碍儿童212名为研究对象，应用Achenbach儿童行为量表（CBCL）、家庭环境量表中文版（FES-CV）和家庭一般状况调查表进行家长问卷调查，并对发生心理行为问题的相关因素进行分析。结果学龄前听力障碍儿童心理行为问题检出人数为56名，检出率为26.42%；不同性别及不同年龄组心理行为问题检出率比较，差异均无统计学意义（P＞0.05）；行为问题组儿童FES-CV亲密度、组织性、知识性得分低于无行为问题组，矛盾性高于无行为问题组，差异均有统计学意义（P<0.05）；学校前听力障碍儿童行为问题检出率与家庭结构、主要教育者及学历、父母角色、是否独生子女等有关（P<0.05）。结论学龄前听力障碍儿童心理行为问题发生率受家庭的多因素影响，应从家庭干预入手，减少行为问题的发生，提高听力障碍儿童的心理健康水平。
목적：료해학령전은력장애인동심리행위문제급가정영향인소，위은력장애인동심리위생간예공작제공의거。방법우2014년7월30일지12월30일선취2~7세학령전은력장애인동212명위연구대상，응용Achenbach인동행위량표（CBCL）、가정배경량표중문판（FES-CV）화가정일반상황조사표진행가장문권조사，병대발생심리행위문제적상관인소진행분석。결과학령전은력장애인동심리행위문제검출인수위56명，검출솔위26.42%；불동성별급불동년령조심리행위문제검출솔비교，차이균무통계학의의（P＞0.05）；행위문제조인동FES-CV친밀도、조직성、지식성득분저우무행위문제조，모순성고우무행위문제조，차이균유통계학의의（P<0.05）；학교전은력장애인동행위문제검출솔여가정결구、주요교육자급학력、부모각색、시부독생자녀등유관（P<0.05）。결론학령전은력장애인동심리행위문제발생솔수가정적다인소영향，응종가정간예입수，감소행위문제적발생，제고은력장애인동적심리건강수평。
Objective To understand the psychologically behavioral problems and family influencing factors in preschool children with hearing impairment to provide the basis for mental health intervention work of hearing impairment children. Methods Totally 212 children with hearing impairment aged 2-6 years old from July 30 to December 30 2014 were selected as the research subjects. The Achenbach Children Behavior Checklist(CBCL),Family Environment Scale-Chinese Version(FES-CV) and the family general condition questionnaire were applied to conduct the questionnaire investigation among the parents ,and the related factors causing the psychologically behavioral problems were analyzed. Results The psychologically behavioral problems were detected in 56 hearing impairment preschool children with the detection rate of 26.42%;the detection rate had no statistically significant difference among different genders and different ages(P>0.05);the scores of intimacy,organization and intellectual of the Family Environment Scale-Chinese Version(FES-CV) in the behavioral problems group were lower than those in the non-behav-ioral problems group,while the score of contradiction. was higher than that in the non-behavioral problems group,the differences all had statistical significance(P<0.05);the detection rate of behavior problems in preschool children with hearing impairment was related with the family structure,main educators and their educational background,parental role, whether or not the only child (P<0.05). Conclusion The occurrence rate of psychological behavior problems in preschool children with hearing impairment is affected by multiple family factors,it is necessary to reduce the occurrence of behavioral problems from the family intervention and increase the psychological health level in children with hearing impairment.