發(fā)布時(shí)間：2018-04-19 11:27

  本文選題：注意力缺陷障礙伴多動(dòng) + 兒童行為�。� 參考：《中國(guó)全科醫(yī)學(xué)》2017年29期

【摘要】：目的研究注意缺陷多動(dòng)障礙(ADHD)兒童問(wèn)題行為及其影響因素。方法于2013年10月—2014年6月,采用便利抽取法對(duì)黑龍江省某市選取5所公立小學(xué)1~4年級(jí)兒童進(jìn)行問(wèn)卷調(diào)查。采用一般情況調(diào)查表、Conners父母問(wèn)卷(PSQ)、兒童氣質(zhì)問(wèn)卷、Ruteer兒童行為問(wèn)卷(父母問(wèn)卷)、中文版兒童睡眠習(xí)慣問(wèn)卷(CSHQ)、父母養(yǎng)育方式量表進(jìn)行調(diào)查。根據(jù)PSQ多動(dòng)指數(shù)得分≥1.5分,判斷為ADHD初篩陽(yáng)性,并經(jīng)由ICD-10確診ADHD 132例,作為試驗(yàn)組,按照同質(zhì)性原則進(jìn)行匹配132例作為對(duì)照組。采用多因素Logistic回歸分析ADHD的影響因素。結(jié)果共發(fā)放問(wèn)卷6 280份,回收有效問(wèn)卷5 742份,有效回收率為91.4%。352例ADHD初篩陽(yáng)性,初篩陽(yáng)性率為6.1%,確診132例,患病率為2.3%。兩組氣質(zhì)問(wèn)卷中趨避性、情緒本質(zhì)得分比較,差異均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);試驗(yàn)組氣質(zhì)問(wèn)卷中活動(dòng)度、規(guī)律性、適應(yīng)性、反應(yīng)強(qiáng)度、堅(jiān)持性、注意分散度、反應(yīng)閾得分高于對(duì)照組(P0.05)。對(duì)照組Ruteer兒童行為問(wèn)卷得分低于試驗(yàn)組(t=47.98,P0.001)。兩組CSHQ中睡眠焦慮、夜醒、異態(tài)睡眠、睡眠呼吸障礙、日間困倦、總分比較,差異均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);試驗(yàn)組CSHQ中睡眠習(xí)慣、入睡潛伏期、睡眠持續(xù)時(shí)間得分低于對(duì)照組(P0.05)。對(duì)照組父親懲罰嚴(yán)厲、拒絕否認(rèn)、過(guò)度保護(hù)及母親過(guò)分干涉、拒絕否認(rèn)、懲罰嚴(yán)厲得分均低于試驗(yàn)組,母親情感溫暖得分高于試驗(yàn)組(P0.05)。多因素Logistic回歸分析結(jié)果顯示,出生體質(zhì)量、活動(dòng)度、趨避性、反應(yīng)強(qiáng)度、注意分散度、父親懲罰嚴(yán)厲、母親情感溫暖、母親懲罰嚴(yán)厲為ADHD的影響因素(P0.05)。結(jié)論 ADHD患兒存在較多的問(wèn)題行為,且存在家庭教養(yǎng)方式方面的危險(xiǎn)因素。
[Abstract]:Objective to study the behavior of ADHD children with attention deficit hyperactivity disorder (ADHD) and its influencing factors.Methods from October 2013 to June 2014, a questionnaire survey was conducted among the children in grade 1 and grade 4 of 5 public primary schools in a city of Heilongjiang Province.General situation questionnaire (Conners parents questionnaire) and children temperament questionnaire (Ruteer children's behavior questionnaire) were used in this study (parents questionnaire, Chinese version of Children's Sleep habit questionnaire, CSHQN) and Parental rearing style scale (Parental rearing style).According to the score of PSQ hyperactivity index 鈮，

本文編號(hào)：1772906