宁夏南部山区先心病住院患儿行为问题调查

Study on behavior problems of child with congenital heart disease in Ningxia southern area

目的通过比较先天性心脏病患儿和非先心病患儿的行为问题,了解先心病对儿童心理行为的影响。方法以2007年收治的宁夏南部山区60例6-11岁患有先天性心脏病的患儿作为病例组,同时选择同期入院治疗、同年龄段的宁夏南部山区非先心病患儿60例为对照组,采用Achenback儿童行为量表(CBCL)对儿童行为进行调查,按照CBCL评分进行比较。结果患有先天性心脏病患儿行为问题方面的得分明显高于对照组,其中男童在分裂样、抑郁、交往不良、体诉、社交退缩、多动因子方面差异有统计学意义(P<0.05),女童在抑郁、体诉、分裂样强迫性、多动因子方面差异有统计学意义(P<0.05)。结论先心病儿童行为问题较非先心病儿童多,应该给予更多的关注,进行必要的心理行为干预。

Objective To compare the behavior problems of child with congenital heart disease to the child without congenital heart disease, to know the influence of the behavior problems of child with congenital heart disease. Methods 60 children with congenital heart disease as disease group, and 40 children without congenital heart disease were selected as control group. Achenbaeh Child Behavior Checklist was used to investigate children behavior problems, compared the scores of each factor. Results The scores of disease group were higher than that in the control group, and the scores of factors including dissociation, depression, social problems, physical complaints, social withdrawn and hyperactivity in boys in disease group were higher than those in control group （ P 〈 0.05 ）. The factors including depression, physical complaints, dissociation and hyperactivity in girls were higher in disease group than those in control group （P 〈 0.05）. Conclusion Child with congenital heart disease has more behavior problems, which should be paid more attention to them, and psychological intervention is necessary for them.