哮喘儿童行为问题与母亲心理情绪状态的关系  

Relationship between behavioral problems of asthmatic children and emotional state of their mothers

作　　者：王莉华[1] 郭庆辉[1] 李朝霞[1] 马宇[1] 张太娥[1] 乔艳红[1] 王育龙[1] 

机构地区：[1]山东大学第二医院儿科,山东济南250033

出　　处：《中国妇幼健康研究》2014年第6期937-939,共3页Chinese Journal of Woman and Child Health Research

基　　金：山东省自然科学基金资助项目(编号:Y2008C93)

摘　　要：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（χ^213．50，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（χ^24．05，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（χ^2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。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 andχ^2test.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 （χ^2=13.50,P〈0.001）, and the positive detection rate of behavioral problems in asthmatic boys was higher than that in asthmatic girls （χ^2=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 （χ^2value 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 sta

关 键 词：行为问题 情绪障碍 儿童 哮喘 母亲 横断面研究 

分 类 号：R179[医药卫生—妇幼卫生保健]