学龄期发育性髋关节发育不良患儿病耻感现状与社交回避及苦恼分析

Analysis of current situation of stigma and social avoidance and distress in school age children with developmental dysplasia of the hip

目的观察学龄期发育性髋关节发育不良(DDH)患儿病耻感现状,并分析患儿病耻感与社交回避及苦恼的关系。方法选取2020年1月至2021年1月四川大学华西医院收治的120例学龄期DDH患儿,采用医院自制学龄期DDH患儿病耻感量表评估所有患儿的病耻感情况,设计基线资料调查表,记录患儿相关资料情况,比较不同资料特征学龄期DDH患儿病耻感量表评分,分析可能影响学龄期DDH患儿病耻感的影响因素。结果120例学龄期DDH患儿病耻感量表评分为(62.12±8.07)分。单侧发病的学龄期DDH患儿病耻感量表评分高于双侧发病的学龄期DDH患儿,社交回避及苦恼量表(SAD)评分为高水平的学龄期DDH患儿病耻感量表评分高于SAD评分为低水平的学龄期DDH患儿,差异有统计学意义(P<0.05)。多元线性回归分析显示,单侧发病、SAD评分为高水平是病耻感高水平的风险因子(P<0.05)。结论学龄期DDH患儿病耻感中高水平可能与社交回避及苦恼高水平有关。

Objective To observe the current situation of stigma in school age children with developmental dysplasia of the hip(DDH),and to analyze the relationship between stigma and social avoidance and distress of children.Methods A total of 120 school age children with DDH treated in West China Hospital of Sichuan University from January 2020 to January 2021 were selected,the stigma scale for school age children with DDH made by hospital was used to evaluate the stigma of all the children,and the baseline data questionnaire was designed to record the relevant data of school age children,the stigma scale score for school age children with DDH of different data characteristics were compared,and the influencing factors that may affect the stigma of school age children with DDH were analyzed.Results The stigma scale score of 120 school age children with DDH were(62.12±8.07)points.School age children with unilateral DDH had higher stigma scale score than school age children with bilateral DDH,school age children with high level social avoidance and distress(SAD)score had higher stigma scale scores than school age children with low level SAD score,and the differences were statistically significant(P<0.05).Multiple linear regression analysis showed that unilateral incidence and high level SAD score were the risk factors for high stigma(P<0.05).Conclusion The medium and high level of stigma in school age children with DDH may be related to high level social avoidance and distress.