矮小症儿童心理行为问题现状及与家庭功能和生活质量的关系  

Current status of psychological behavior problems and their relationship with family function and quality of life in children with shortstature

作　　者：孔令凤[1] 杨卫红[2] 李玉华[1] KONG Ling-feng;YANG Wei-hong;LI Yu-hua(Department of Pediatric Medicine,The First Affiliated Hospital of Xinxiang Medical College,Weihui 453100,China;Nursing Department,The First Affiliated Hospital of Xinxiang Medical College,Weihui 453100,China)

机构地区：[1]新乡医学院第一附属医院小儿内科,河南卫辉453100 [2]新乡医学院第一附属医院护理部,河南卫辉453100

出　　处：《实用医院临床杂志》2025年第2期117-121,共5页Practical Journal of Clinical Medicine

基　　金：河南省医学科技攻关计划项目(编号:LHGJ20230495)。

摘　　要：目的对矮小症儿童心理行为进行观察,并分析患儿心理行为与其家庭功能和生活质量的相关性。方法选取2021年1月至2023年9月我院小儿内科收治的矮小症儿童98例作为观察组,并选取98例同期来院体检的正常儿童作为对照组,对所有儿童心理行为问题情况[Achenbach儿童行为量表(CBCL)]、家庭功能[家庭亲密度与适应性量表(FACESⅡ-CV)]和生活质量[儿童生活质量核心通用量表(PedsQL4.0)]进行评估。Pearson相关性分析矮小症儿童心理行为与家庭功能和生活质量的相关性。结果观察组CBCL各因子(抑郁、强迫、躯体诉述、多动、攻击性、社交退缩)及总分均高于对照组(P<0.05);FACESⅡ-CV各维度(亲密度、适应性)评分及总分均低于对照组(P<0.05);PedsQL4.0各维度(学校、情感、生理、社交)评分及总分均低于对照组(P<0.05)。矮小症患儿心理行为问题与家庭功能及生活质量均呈负相关(r=-0.456,P<0.001;r=-0.301,P=0.003)。结论矮小症患儿存在较为明显的心理行为问题,且与其家庭功能和生活质量密切相关,临床或可通过提高患儿家庭功能,来改善其心理状态,从而提高生活质量。Objective To observe the psychological behaviors in children with short stature and analyze the correlation between psychological behaviors of sick children and family function as well as quality of life.Methods A total of 98 children with short stature at department of pediatrics in our hospital were collected as an observation group between January 2021 and September 2023.Another 98 normal children in our hospital at the same period were selected as a control group.The psychological behavior problems assessed with Achenbach Child Behavior Checklist(CBCL),the family function assessed with Family Adaptability and Cohesion Evaluation Scale(FACES II-CV)and quality of life assessed with Pediatric Quality of Life Inventory(PedsQL4.0)in all children were evaluated.Pearson correlation analysis was used to analyze the correlation between psychological behaviors and family function as well as quality of life.Results The scores of CBCL in different dimensions(depression,compulsion,somatic complaint,hyperactivity,aggression and social withdrawal)and total score in the observation group were higher than those in the control group(P<0.05).The scores of FACES II-CV in different dimensions(intimacy and adaptability)and total score in the observation group were lower than those in the control group(P<0.05).The scores of PedsQL4.0 in different dimensions(school,emotion,physiology and social contact)and total score in the observation group were lower than those in the control group(P<0.05).The psychological behavior problems were negatively correlated with family function and quality of life in children with short stature(r=-0.456,P<0.001;r=-0.301,P=0.003).Conclusions Children with short stature have obvious psychological behavioral problems.They are closely related to their family function and quality of life.Clinical practice may improve their psychological state by improving their family function,so as to improve their quality of life.

关 键 词：矮小症 儿童心理行为问题 家庭功能 生活质量 相关性分析 

分 类 号：R584[医药卫生—内分泌]