脑性瘫痪儿童睡眠问题与情绪行为问题的关联  

Correlation of sleep problems with emotional and behavioral problems among children with cerebral palsy

作　　者：杨杰文 黄绍逸 黄闪 邓浩荣 康涛 陈亚军 YANG Jiewen;HUANG Shaoyi;HUANG Shan;DENG Haorong;KANG Tao;CHEN Yajun(Guangzhou Social Welfare Institute,Guangzhou(510000),Guangdong Province,China)

机构地区：[1]广东省广州市社会福利院,510000 [2]中山大学公共卫生学院妇幼卫生学系 [3]广州航海学院体育学院

出　　处：《中国学校卫生》2025年第2期181-185,共5页Chinese Journal of School Health

基　　金：广州市“岭南英杰工程”第二梯队后备人才项目(穗人社函928号);教育部人文社会科学研究项目(19JD710025)。

摘　　要：目的 了解脑性瘫痪(简称脑瘫)儿童睡眠问题和情绪行为问题现况及两者的关联,为制定脑瘫儿童情绪行为问题相关干预措施提供参考。方法 采用横断面调查的方法,选取2023年1月至2024年1月广州市社会福利院的402名6~18岁脑瘫儿童,对其专职护理人员进行调查。通过父母版长处和困难问卷(SDQ)评估脑瘫儿童情绪行为问题情况,通过儿童睡眠习惯问卷(CSHQ)评估脑瘫儿童睡眠问题情况。采用多重线性回归分析脑瘫儿童睡眠问题与情结行为问题的关联性。结果 脑瘫儿童情绪行为问题检出率为15.7%。有情绪行为问题脑瘫儿童睡眠问题得分[37.0(36.0,41.0)]高于无情绪行为问题者[35.0(34.0,36.0)](Z=-5.74,P<0.01)。多重线性回归分析结果显示,调整年龄、性别、脑瘫分型分级、语言发育迟缓情况、视力障碍情况、癫痫情况等协变量后,脑瘫儿童睡眠问题总分与困难总评分呈正相关(β=0.28,95%CI=0.17~0.34,P<0.05)。结论 脑瘫儿童睡眠问题与情绪行为问题呈正相关;应提高对脑瘫儿童睡眠问题管理的认识,以降低脑瘫儿童情绪行为问题的发生率。Objective To investigate the correlation of emotional and behavioral problems with sleep problems in children with cerebral palsy,so as to provide reference for intervention of emotional and behavioral problems in children.Methods A cross-sectional survey was conducted,and 402 children aged 6-18 with cerebral palsy who were adopted by social welfare institutions in Guangzhou City from January 2023 to January 2024 were selected to investigate their full-time nurses.The Parents'Strengths and Difficulties Questionnaire(SDQ)was used to assess the emotional and behavioral problems of children with cerebral palsy,and the Children's Sleep Habits Questionnaire(CSHQ)was used to assess sleep problems.Multiple linear regression analysis was used to analyze the correlation between the sleep problem of children with cerebral palsy and the emotional and behavioral problems.Results The prevalence of emotional and behavioral difficulties among children with cerebral palsy was 15.7%.The median sleep problem score of children with emotional and behavioral problems[37.0(36.0,41.0)]was significantly higher than that of children without emotional and behavioral[35.0(34.0,36.0)](Z=-5.74,P<0.01).The results of multiple linear regression analysis showed that after adjusting covariables such as age,gender,cerebral palsy classification,language retardation,visual impairment and epilepsy,the total sleep problem score of children with cerebral palsy was positively correlated with the total difficulty score(β=0.28,95%CI=0.17-0.34,P<0.05).Conclusions Sleep problems in children with cerebral palsy are associated with emotional and behavioral difficulties.Understanding of the management of sleep problems in children with cerebral palsy should be enhanced to reduce the incidence of emotional and behavioral problems in children with cerebral palsy.

关 键 词：睡眠 情绪 精神卫生 回归分析 儿童 脑性瘫痪 

分 类 号：R651.15[医药卫生—外科学] R748[医药卫生—临床医学] B844.1[哲学宗教—发展与教育心理学] Q428[哲学宗教—心理学]