哮喘儿童教养方式和行为问题关系的研究

发布时间：2018-04-15 10:13

本文选题：儿童哮喘 + 问题行为　；参考：《南京中医药大学》2017年硕士论文

【摘要】：随着经济的发展,人们生活水平的提高,健康生活方式越来越受到人民大众的推崇,心理层面的健康也受到人们的关注,因此心理对健康的影响得到了不少人的重视和研究。为满足民众需求,国家也将医疗卫生事业的工作重心转向于疾病的预防和控制,积极推进中医药事业的发展,传播中医文化养生思想,"上医治未病"、"形神合一"的思想也越来越为大家熟知。哮喘作为儿童期多发的一种心身疾病,其疾病的发生、发展以及预防控制与心理社会性因素密切相关。但在临床实践中,多仅以生物-医学模式加以治疗,而忽略家庭教养方式、儿童不良行为习惯等心理社会因素对患儿病情的影响。为此本研究探讨哮喘儿童家长教养方式与行为问题的联系,找出心理观察指标,为哮喘病情的控制和转归提供心理学的理论指导。本研究运用儿童问题行为量表(CBCL)和杨丽珠教授编制的家长教养方式问卷对424名健康和哮喘儿童进行取样研究,运用SPSS17.0对数据进行处理分析,经非参数检验、相关性检验、方差分析、聚类分析、Logistic回归分析以及绘制ROC曲线得出:1.儿童的性别、年龄和母亲的文化程度对儿童的问题行为影响显著,儿童年龄、母亲文化程度和家庭收入对家长的教养方式影响显著。2.健康组儿童和哮喘组儿童的家长教养方式均对儿童的行为问题有明显的预测作用。教养方式中的民主维度负向预测问题行为,溺爱、放任、专制和不一致维度正向预测问题行为。3.健康儿童和哮喘儿童的教养方式在溺爱、放任、不一致维度有统计学的差异,在问题行为的注意力、社交、攻击、违纪维度上均显现出统计学差异。聚类分析也发现两组存在直观差异。4.问题行为的注意力维度和教养方式中的溺爱、专制维度对哮喘控制水平的预测作用良好。本研究得出结论如下:1.儿童的年龄、母亲文化水平等因素是影响父母教养方式和儿童行为问题的人口学变量。2.儿童的教养方式与行为问题联系密切,教养方式对行为问题有不同的预测作用。3.哮喘儿童和健康儿童的教养方式和行为问题有明显区别。哮喘组教养方式和行为问题有自身特点。4.哮喘儿童的教养方式和问题行为可以作为控制哮喘水平的心理观察指标。
[Abstract]:With the development of economy and the improvement of people's living standard, the healthy way of life is more and more respected by the public, and the mental health is also concerned by people. Therefore, the influence of psychology on health has been paid more and more attention to and studied by many people.In order to meet the needs of the people, the state has also shifted the focus of medical and health work to the prevention and control of diseases, and actively promoted the development of traditional Chinese medicine.The thought of spreading traditional Chinese medicine culture, "treating diseases before treatment" and "unity of form and spirit" is becoming more and more well known.Asthma is a psychosomatic disease that occurs frequently in childhood. The occurrence, development and prevention and control of asthma are closely related to psychosocial factors.But in clinical practice, most of them were treated by biomedical mode, but ignored the influence of psychological and social factors such as family rearing style and children's bad behavior habits on the condition of children.Therefore, this study explored the relationship between parental rearing style and behavioral problems of asthmatic children, found out psychological observation indexes, and provided psychological theoretical guidance for the control and outcome of asthma.In this study, SPSS17.0 was used to analyze the data of 424 healthy and asthmatic children by using CBCLs and Yang Lizhu's Parental rearing style questionnaire. The data were analyzed by non-parametric test and correlation test.Analysis of variance, cluster analysis, logistic regression analysis and drawing ROC curve to get 1. 1.Children's sex, age and mother's education level had significant influence on children's problem behavior, and children's age, mother's education level and family income had significant influence on parents' upbringing style.Parental rearing styles of healthy children and asthmatic children had significant predictive effects on children's behavioral problems.The democratic dimension in upbringing positively predicts problem behavior, doting, laissez-faire, autocracy and inconsistency.Healthy children and children with asthma in the doting, laissez-faire, inconsistent dimensions of statistical differences, in the problem of attention, social, aggression, violation of discipline dimensions showed statistical differences.Cluster analysis also found that the two groups of intuitive differences. 4.Attention dimension of problem behavior and indulgence in rearing style, autocratic dimension can predict asthma control level well.The conclusion of this study is as follows: 1.Children's age, mother's education level and other factors are the demographic variables of parental rearing style and children's behavior problems.Children's rearing styles are closely related to behavior problems, and rearing styles have different predictive effects on behavioral problems.There are significant differences in parenting and behavioral problems between children with asthma and healthy children.Asthma group has its own characteristics of rearing style and behavior problems. 4.The upbringing and problematic behavior of asthmatic children can be used as a psychological observation index to control asthma level.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R725.6

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