教养方式与行为对儿童过敏性哮喘的影响  

Effects of parenting style and behavior on children with allergic asthma

作　　者：王亮[1] 韩新民[2] 吕航[1] 

机构地区：[1]南京中医药大学心理学院,南京210023 [2]江苏省中医院儿科,南京210023

出　　处：《中华行为医学与脑科学杂志》2017年第4期331-334,共4页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：国家中医药管理局国家中医临床研究基地业务建设科研项目（JDZX2012102）

摘　　要：目的探讨教养方式、行为对儿童过敏性哮喘的影响。方法2016年6～12月江苏省中医院和江苏省中医药研究院儿科门诊选取60名过敏性哮喘儿童，在幼儿园及小学选取60位健康儿童作为对照组。所有儿童家长均接受Achenbach儿童行为量表（Achenbach child behavior checklist,CBCL）、家长教养方式问卷调查，并收集儿童的生化指标呼出气一氧化氮（Fractional exhaled nitric oxide, FeNO）。结果（1）哮喘组教养方式的溺爱、专制、不一致分数[（14．95±4．95）分，（22．23±4．69）分，（13．43±3．80）分]高于健康组[（11．68±3．69）分，（16．47±4．16）分，（11．07±3．32）分]，差异有统计学意义（均P〈0.05）。哮喘组民主、放任分数[（38．92±5．37）分，（18．12±4．54）分]低于健康组[（41．35±3．62）分，（19．88±3．41）分]，差异有统计学意义（均P〈0．05）。（2）哮喘组儿童行为量表的注意力、社交、攻击、退缩分数[（7．35±3．55）分，（3．85±2．17）分，（11．57±5．30）分，（3．40±2．65）分]高于健康组[（3．38±2．81）分，（2．52±1．52）分，（6．98±4．77）分，（2．02±1．63）分]，差异有统计学意义（均P〈0.01），两组在违纪维度上差异无统计学意义（P〉0.05）。（3）哮喘组FeNO指标[（32．27±14．27）×10^-9mol／L]高于健康组[（11．10±1．88）×10^-9mol／L]，差异有统计学意义（P〈0．01）。（4）Logistic回归分析显示注意力（B=0．38，OR=1．47，95％CI=1．27～1．70，P〈0．01）、溺爱（B=0．19，OR=1．20，95％CI=1．06～1．37，P〈0．01）、专制（B=0．24，OR=1．27，95％CI=1．14～1．42，P〈0．01）对过敏性哮喘的影响作用显著。结论注意力、溺爱和专制是影响儿童过敏I生哮喘控制水平的危险因素，应引起临床医生和家长重视。Objective To explore the effect of parenting style and behavior on children with allergic asthma. Methods From July to December in 2016, a total of 60 children with allergic asthma, who were from Jiangsu Province Hospital of Traditional Chinese Medicine and Jiangsu Research Institute of Traditional Chinese Medicine ,were selected as the asthma group. Another 60 normal children from kindergarten and primary school were selected as the healthy group. Achenbach child behavior checklist （CBCL） and parenting style questionnaire were used to evaluate the behavior and parenting style of the two groups. The Fractional exhaled nitric oxide （FeNO） of the two groups were also collected. Results （ 1 ） The scores of dotage, autocracy,inconsistence of parenting style in asthma group （ （ 14.95±4.95）, （22.23±4.69）, （13.43±3.80） ）were higher than those in healthy group（ （ 11.68±3.69）, （ 16.47±4.16）, （11.07±3.32） ） and the differences were significant （all P〈0.05）.The scores of democracy, indulgence in asthma group（ （ 38.92±5.37）, （ 18.12±4.54） ） were lower than those in healthy group（ （41.35±3.62）, （ 19.88±3.41 ） ） ,and the differences were statistically significant（ all P〈0.05 ）, （2） The scores of attention, socialization, aggression and withdrawal of child behavior in asthma group （ （7.35±3.55）, （3.85±2.17） , （ 11.57±5.30）, （3.40±2.65） ） were higher than those in healthy group （ （ 3.38±2.81 ）, （ 2.52±1.52）, （ 6.98±4.77）, （ 2.02±1.63 ） ）, the differences were statistically significant（ all P〈0.01 ）. There was no significant difference between the two groups in the dimension of discipline （P〉0.05）. （ 3 ） The FeNO index of asthma group （ （ 32.27± 14.27） × 10^-9 mol/L） was higher than that of healthy group（ （11.10＋1.88） × 10^-9 tool/L） and the differences were statistically significant（P〈 0.01）. （4） Logistic regression analysis showed that the at

关 键 词：哮喘儿童 行为 教养方式 

分 类 号：R725.6[医药卫生—儿科]