学龄期儿童气质特征与发生骨折的相关性研究

Analysis of the correlation between fracture occur and temperament characteristics among school-age children

目的：调查研究学龄期儿童的气质特征与儿童骨折发生的相关性,为预防儿童骨折的发生提供参考依据。方法2013年1—7月选择烟台山医院100例四肢骨折术后住院的学龄期患儿为骨折组,选择烟台市养正小学的100名健康小学生为对照组,使用中国8～12岁学龄儿童气质问卷（ CSTS）对两组儿童进行调查,分析其气质类型及气质维度9个气质因子的差异。结果骨折组气质类型中平易型、缓动型、麻烦型分别为47,13,40例,对照组分别为75,7,18例,两组比较差异有统计学意义（χ^2 =16.571,P〈0.01）；骨折组儿童气质维度中活动水平、节律性、趋避性、反应强度、适应性、持久性因子得分均高于对照组儿童,差异有统计学意义（P〈0.05）。经Logistic回归分析显示,儿童气质类型影响儿童骨折的发生。结论学龄期儿童气质类型影响其骨折的发生,故对于学龄期儿童要依据不同气质类型采取相应的教育方法,预防儿童骨折的发生。

Objective To explore the correlation of fracture occur with temperament characteristics among and to provide references for preventing the school children′s fracture. Methods Using Chinese 8-12 years old School Children Temperament Scale （CSTS）, we investigated 100 school-age children′s patient with limb fractures post-operation and 102 normal children, and analyzed the temperament type and 9 factors of temperament dimension. Results In the temperament characteristic type of fractured school-age children, the plain type, slow moving type and troublesome type were 47,13, and 40 cases respectively, while 75,7,18 in the control group （χ^2 =16. 571,P 〈0. 01）. In the fracture group of temperament characteristic dimension, the scores of children activities level, rhythmicity, phobotaxis, response intensity, adaptability, persistent factor were higher than these of control group （ P 〈 0. 05 ）. By Logistic regression analysis, the temperament characteristic impacted on the happening of children fracture. Conclusions The troublesome type rate of fracture in school-age children is higher than other types of children. Temperament dimensionality factors can affect the incidence of fractures in children. We should take appropriate educational methods based on different types of temperament to prevent childhood fractures in school-age children.