青春期冲动性自伤患儿自伤特征与家庭功能相关性研究  

Study on the correlation between self-injury characteristics and family function in adolescent children with impulsive self-injury

作　　者：罗小欧 张丹如[2] 张春霞[1] 

机构地区：[1]温州医科大学附属第二医院育英儿童医院儿童急诊护理单元,浙江温州325000 [2]温州医科大学附属第二医院育英儿童医院儿童急重症科

出　　处：《中国妇幼保健》2024年第22期4408-4413,共6页Maternal and Child Health Care of China

基　　金：浙江省温州市科技计划项目(Y20220553)。

摘　　要：目的 探究青春期冲动性自伤患儿自伤特征与家庭功能的关系。方法 选取2022年1月1日—2022年12月31日温州医科大学附属第二医院育英儿童医院收治的自伤特征患儿为调查对象,其中包括58例自伤未遂患儿(观察组)、30例有自伤意念患儿(对照组)和进行健康体检的58例健康青春期儿童(健康组)。调查收集一般人口学资料、家庭亲密度与适应性、家庭功能和儿童冲动、自伤行为、抑郁程度水平,并进行统计分析。结果 青春期冲动性自伤患儿亲密度(47.06±11.51)分、适应性(38.42±12.85)分及自伤意念患儿的家庭亲密度(55.15±10.22)分、适应性(42.52±11.14)分差于健康青春期儿童亲密度(68.29±12.63)分、适应性(57.65±14.42)分(P<0.05);青春期冲动性自伤患儿及自伤意念患儿在问题解决、沟通、角色、情感反应、情感介入、行为控制及总功能7个维度存在家庭功能不完善的比例明显高于健康组(均P<0.05);观察组患儿运动冲动性(45.52±8.65)分、认知冲动性(43.79±8.26)分、无计划冲动性(47.07±10.28)分及对照组患儿的运动冲动性(36.22±4.14)分、认知冲动性(35.14±5.22)分、无计划冲动性(31.51±5.51)分水平均明显高于健康组运动冲动性(19.38±7.91)分、认知冲动性(21.70±7.42)分、无计划冲动性(23.29±7.53)分(均P<0.05)。观察组患儿平衡型(37.93%)、中间型(50.00%)水平及对照组患儿的平衡型(36.20%)、中间型(26.67%)水平均明显低于健康组平衡型(51.72%)、中间型(39.65%)水平,观察组患儿极端型(25.86%)水平及自伤意念患儿的极端型(23.33%)水平均明显高于健康组极端型(8.62%)水平(均P<0.05);多因素分析结果显示,适应性、家庭功能及儿童冲动是导致青春期冲动性自伤患儿自伤特征出现的主要因素(P<0.05)。结论 青春期冲动性自伤患儿具有家庭亲密度和适应性水平低,家庭功能不完善,运动冲动性、认知冲动性和无计划冲动性水Objective To explore the relationship between self-injury characteristics and family function in adolescent children with impulsive self-injury.Methods Children with self-injury characteristics admitted to Yuying Children's Hospital of the Second Affiliated Hospital of Wenzhou Medical University from January 1,2022 to December 31,2022 were selected as the subjects of investigation,inclu-ding:58 children with self-injury attempts(observation group),30 children with self-injury ideas(control group)and 58 healthy ado-lescent children undergoing physical examination(healthy group).The general demographic data,family cohesion and adaptive family func-tion,children's impulsivity,self-injury behavior and depression level were collected and statistically analyzed.Results The scores of co-hesion(47.06±11.51)and adaptability(38.42±12.85)of adolescent children with impulsive self-injury and the scores of family cohesion(55.15±10.22)and adaptability(42.52±11.14)of children with self-injury idea were worse than those of healthy adolescent children(68.29±12.63)and adaptability(57.65±14.42)(P<0.05).The proportion of family dysfunction in seven dimensions of problem sol-ving,communication role,emotional response,emotional mediator,behavior control and total function in adolescent children with impul-sive self-injury and children with self-injury idea was significantly higher than that in healthy group(all P<0.05).The scores of motor im-pulsivity(45.52±8.65),cognitive impulsivity(43.79±8.26)and unplanned impulsivity(47.07±10.28)in the observation group and the scores of motor impulsivity(36.22±4.14),cognitive impulsivity(35.14±5.22)and unplanned impulsivity(31.51±5.51)in the control group were significantly higher than those in the healthy group(19.38±7.91),cognitive impulsivity(21.70±7.42)and unplanned impul-sivity(23.29±7.53)(all P<0.05).The levels of balanced type(37.93%)and intermediate type(50.00%)in the observation group and the levels of balanced type(36.20%)and intermediate type(26.67%)in the control group

关 键 词：青春期冲动性自伤 自伤特征 家庭功能 

分 类 号：R749.4[医药卫生—神经病学与精神病学]