忽视与注意缺陷多动障碍儿童功能损害关系研究  

A study on the relationship between the neglect of children with attention deficit hyperactivity disorder and their functional impairment

作　　者：黄志宇[1] 谭峰云[1] 周洁超 朱微微[1] 李尚群 黄斯 周庆全 申谙渝 Huang Zhiyu;Tan Fengyun;Zhou Jiechao;Zhu Weiwei;Li Shangqun;Huang Si;Zhou Qingquan;Shen Anyu(Nanning Maternity and Child Health Hospital,Nanning 530011,Guangxi,China)

机构地区：[1]广西南宁市妇幼保健院,广西南宁530011

出　　处：《右江民族医学院学报》2023年第2期332-336,共5页Journal of Youjiang Medical University for Nationalities

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20190580)。

摘　　要：目的探讨忽视与注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)儿童社会功能损害的关系。方法收集2019年7月至2021年12月期间,在广西南宁市妇幼保健院首诊确诊的311例注意缺陷多动障碍儿童,根据中国城市小学生忽视评价常模,分别在6个忽视层面上,分为忽视组及非忽视组(对照组),用Weiss功能缺陷量表父母版进行功能损害评估,分析忽视与ADHD儿童功能损害的相关性。结果受忽视的ADHD儿童与对照组相比,教育忽视在6个维度的功能损害评分上更高,情感忽视在5个维度的功能损伤评分上更高,身体忽视在4个维度的功能损害上评分更高,安全、社会忽视分别在2~3个功能损害维度上评分更高,差异均有统计学意义(P<0.05);医疗忽视对ADHD儿童与对照组在功能损害各维度评分上差异无统计学意义(P>0.05)。结论忽视对ADHD儿童功能损害影响显著。Objective To explore the relationship between the neglect of children with attention deficit hyperactivity disorder(ADHD)and their functional impairment.Methods A total of 311 children with ADHD who were first diagnosed at Nanning Maternity and Child Health Hospital,Guangxi from July 2019 to December 2021 were collected and divided into neglect group and non-neglect group(control group)based on six aspects according to the neglect evaluation norm of urban primary school students in China.The Weiss Functional Impairment Scale(parent version)was used to assess functional impairment in children with ADHD,and the correlation was analyzed between the neglect of Children with ADHD and their functional impairment.Results Compared with the children in the control group,the neglected ADHD children had higher functional impairment scores of educational neglect in six dimensions,higher scores of emotional neglect in 5 dimensions,higher scores of physical neglect in 4 dimensions,and higher scores of safety and social neglect in 2~3 dimensions.The differences were statistically significant(P<0.05).There was no significant difference in functional impairment scores of medical neglect between the children with ADHD and the children in the control group(P>0.05).Conclusion Neglect has significant effects on the functional impairment of children with ADHD.

关 键 词：忽视 注意力缺陷障碍伴多动 功能损害 

分 类 号：R742.89[医药卫生—神经病学与精神病学]