哮喘患儿心理行为特征及影响因素的调查研究

发布时间：2018-03-01 11:32

本文关键词： 哮喘儿童心理行为特征儿童行为量表影响因素　出处：《吉林大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:通过对哮喘患儿的心理行为特征及影响因素进行研究调查,了解哮喘儿童的心理行为特征及容易出现的心理行为问题,分析其心理行为特征及问题的相关影响因素,加强患儿及照顾者对哮喘的认识,增强哮喘家庭护理管理计划,同时为儿童支气管哮喘诊疗过程中进行的心理干预及社会支持提供可靠的临床依据。方法:本研究收集2014年9月至2016年12月在吉林大学第二医院确诊的6~11岁支气管哮喘儿童95例为哮喘组,同期收集在该院儿科门诊体检的6~11岁健康儿童100例为对照组,进行问卷调查。调查问卷包括自制一般资料调查表、Achenbach儿童行为量表。将调查结果所得数据通过SPSS 21.0统计软件进行分析处理,采用t检验、χ2检验、方差分析、logistic回归分析等统计学方法进行统计分析,对结果进行分析讨论。结果:1.哮喘患儿在退缩、躯体主诉、社交问题、焦虑/抑郁、攻击性行为及违纪行为方面得分较正常儿童高,同时活动能力及社交能力得分均低于正常儿童。2.患儿的性别、年龄、病程、病情分级、家庭习惯、家庭成员吸烟情况、父母学历、家庭类型、居住地对哮喘患儿心理行为特征均有影响。3.哮喘患儿检出有心理行为问题者34例,检出率为35.79%,明显高于对照组(11.00%),差异有显著统计学意义(p0.001)。4.哮喘患儿心理行为问题的影响因素包括年龄、家庭子女情况、生活习惯、母亲学历、家庭类型、居住地、病程和病情分级。5.logistic回归分析显示:哮喘患儿心理行为问题的危险因素有学龄期、病情为重度;保护因素有非独生子女、母亲学历为高中、中专和本科及以上。结论:1.哮喘患儿较正常儿童更容易出现以下心理行为特征:退缩、社交问题、躯体主诉、焦虑/抑郁、攻击性行为及违纪行为,同时活动能力及社交能力更差。2.哮喘患儿心理行为特征的影响因素:性别、年龄、病程、病情分级、家庭习惯、家庭成员吸烟情况、父母学历、家庭类型、居住地。3.哮喘患儿比正常儿童更容易出现心理行为问题。4.哮喘患儿心理行为问题的危险因素为:学龄期、病情为重度;保护因素为:非独生子女、母亲学历为高中、中专和本科及以上。
[Abstract]:Objective: To study the factors through the investigation of the psychological and behavioral characteristics and effects on children with asthma, understand the psychological and behavioral characteristics of children with asthma and prone to psychological and behavioral problems and related factors analysis of their psychological behavior characteristics and problems, to strengthen the children and caregivers of asthma, asthma enhanced home care management plan, clinical on the basis of reliable support for social and psychological intervention and treatment of children with bronchial asthma in the process. Methods: This study collected from September 2014 to December 2016 in the second hospital of Jilin University were 6~11 years old children with asthma in 95 cases of asthma group, collected during the same period in the hospital outpatient department of Pediatrics examination 6~11 years old healthy children as a control group of 100 cases, questionnaire the investigation. The questionnaire includes general information questionnaire, Achenbach child behavior scale. The result of investigation data obtained by SPSS 21 .0 statistical analysis software, using t test, 2 test, variance analysis, logistic regression analysis and other statistical methods for statistical analysis, the results are analyzed and discussed. Results: 1. children with asthma in the back, somatic complaints, social problems, anxiety / depression, aggression behavior and delinquent behavior score is higher than that of normal children at the same time, activity ability and social ability scores were lower than normal children.2. children's gender, age, disease duration, disease classification, family habits, smoking status, family education of parents, family type, place of residence on the characteristics of the psychological behavior of children with asthma were detected in children with asthma.3. effects of psychological and behavioral problems in 34 cases, the detection rate was 35.79% that is obviously higher than the control group (11%), the difference was statistically significant (p0.001) effect of.4. in asthma children psychology and behavior problems factors included age, family, life habit, mother Education, family type, residence, history and disease classification.5.logistic regression analysis showed that risk factors of psychological and behavioral problems of children with asthma are at school age, illness is severe; the protective factors were non only child, mother's education for high school, college and Bachelor degree or above. Conclusion: 1. asthmatic children than normal children are more likely to have the following psychological behavior features: retreat, social problem, somatic complaints, anxiety / depression, aggression and antisocial behavior, influencing factors and activity ability and social ability worse.2. the psychological characteristics of children with asthma: gender, age, disease duration, disease classification, family habits, smoking status, family education of parents, family type, place of residence.3. of asthmatic children than normal children are more prone to the risk factors of psychological and behavioral problems of children with asthma.4. psychological and behavioral problems: school age, illness is severe; the protective factors for non only Children, mother's education is high school, secondary school and undergraduate and above.

【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R725.6

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