脑瘫患儿父母健康促进生活方式的调查分析  

Case-control Study on the Health Promotion Lifestyle of Parents of Children with Cerebral Palsy

作　　者：郭俊梅[1] 陈启梅[1] 韩晓红[1] 

机构地区：[1]深圳市第二人民医院高压氧科,广东深圳518035

出　　处：《深圳中西医结合杂志》2011年第4期232-236,共5页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

基　　金：深圳市科技计划项目(201103106)

摘　　要：目的:探讨脑瘫患儿父母健康促进生活方式存在的主要问题及影响因素。方法:选择2009年10月至2010年10月间在深圳市第二人民医院高压氧科接受治疗的脑瘫患儿的父母100例(脑瘫组)及同期在该医院儿童保健科体检的未患有脑瘫及神经系统疾病的健康儿童的父母为对照组。对照组的匹配条件为与匹配的病例同性别、患儿年龄相差不超过6个月的父母,患儿采用1:2匹配设计,若符合条件对照多于2个,随机抽取2个合格对照,进行病例对照研究。结果:①脑瘫组父母与对照组父母在年龄、学历、就业、患儿胎次、是否早产等项目上的差异有统计学意义(P<0.05)。②脑瘫组的健康促进生活方式总分57.62分,标准化得分指标为48.00%;对照组的健康促进生活方式总分63.81分,标准化得分指标为53.20%。2组在健康促进生活方式总分、营养行为、压力处置行为、社会支持行为及自我实现行为上差异有统计学意义(P<0.05)。③广义线性模型分析发现:有7个变项能有效地预测脑瘫患儿父母健康促进生活方式,其中自觉自我效能为最强的预测因子。结论:脑瘫组父母健康促进生活方式得分低于对照组父母,表明其健康生活促进方式差于对照组父母,脑瘫患儿父母的身心健康应该引起医学界和教育界的足够重视。Objective To investigate the key issue and its influencing factor of health promotion lifestyle of parents whose children suffered cerebral palsy.Methods From October 2009 to October 2011,in the second people’s hospital of Shenzhen,100 parents whose children suffered cerebral palsy and treated in the hyperbaric oxygenation department were chosen as the cerebral palsy group（CP group）,and 100 parents of children without cerebral palsy or other nervous system diseases at the same period for medical examination were selected as the control group（control group）.Matching conditions for the control group are the same gender matched case,the parents of children whose ages were different in less than 6 months,children with 1：2 matching design.If more than two children met the conditions,two children would be randomly selected for the case-control study Results ① Comparing with the control group parents,parents in Cerebral palsy group showed significant differences in age,education,employment,children with birth,whether premature delivery（P 〈 0.05）.② The score of health promoting lifestyle of CP group was 57.62 points,standardized score index was 48.00%.The score of control group was 63.81 points,standardized score index was 53.20%.There were significant statistical differences between two groups in health promoting lifestyle scores,nutrition,behavior,stress management behaviors,social support behavior and self-realization behavior（P 〈 0.05）.③Generalized linear model analysis showed that：seven variables could effectively predict the health promotion activities of those parents of children with cerebral palsy,among which alcohol drinking was the strongest predictor.Conclusion The health promoting lifestyle scores of parents in cerebral palsy group were lower than those of the control group.It suggested that their healthy living promoting styles were worse than those of the control group parents.Therefore,to focus on the treatment for children with cerebral palsy,the physical and mental health

关 键 词：脑瘫 患儿父母 健康促进生活方式 问卷调查 

分 类 号：R742.3[医药卫生—神经病学与精神病学] R729[医药卫生—临床医学]