BACKGROUND Studies have revealed that Children's psychological,behavioral,and emotional problems are easily influenced by the family environment.In recent years,the family structure in China has undergone signific...BACKGROUND Studies have revealed that Children's psychological,behavioral,and emotional problems are easily influenced by the family environment.In recent years,the family structure in China has undergone significant changes,with more families having two or three children.AIM To explore the relationship between emotional behavior and parental job stress in only preschool and non-only preschool children.METHODS Children aged 3-6 in kindergartens in four main urban areas of Shijiazhuang were selected by stratified sampling for a questionnaire and divided into only and nononly child groups.Their emotional behaviors and parental pressure were compared.Only and non-only children were paired in a 1:1 ratio by class and age(difference less than or equal to 6 months),and the matched data were compared.The relationship between children's emotional behavior and parents'job stress before and after matching was analyzed.RESULTS Before matching,the mother's occupation,children's personality characteristics,and children's rearing patterns differed between the groups(P<0.05).After matching 550 pairs,differences in the children's parenting styles remained.There were significant differences in children's gender and parents'attitudes toward children between the two groups.The Strengths and Difficulties Questionnaire(SDQ)scores of children in the only child group and the Parenting Stress Index-Short Form(PSI-SF)scores of parents were significantly lower than those in the non-only child group(P<0.05).Pearson’s correlation analysis showed that after matching,there was a positive correlation between children's parenting style and parents'attitudes toward their children(r=0.096,P<0.01),and the PSI-SF score was positively correlated with children's gender,parents'attitudes toward their children,and SDQ scores(r=0.077,0.193,0.172,0.222).CONCLUSION Preschool children's emotional behavior and parental pressure were significantly higher in multi-child families.Parental pressure in differently structured families was associated with many factors,and preschool children's emotional behavior was positively correlated with parental pressure.展开更多
By studying the behavioral psychology and needs of children,this paper analyzes the essence of child-friendly parks from the perspective of children,and discusses the design principles and key points of child-friendly...By studying the behavioral psychology and needs of children,this paper analyzes the essence of child-friendly parks from the perspective of children,and discusses the design principles and key points of child-friendly parks,so as to provide a practical basis for the construction of child-friendly cities.展开更多
Objective This study aims to explore trends in sedentary behavior among Chinese children aged 6–17 years per demographic and social characteristics.Methods A total of 4,341 children aged 6–17 years who participated ...Objective This study aims to explore trends in sedentary behavior among Chinese children aged 6–17 years per demographic and social characteristics.Methods A total of 4,341 children aged 6–17 years who participated in the China Health and Nutrition Survey from 2004 to 2015 were included.Repeated measures from mixed-effects models were applied to test trends in sedentary behaviors,which were further analyzed after applying stratification according to gender,age,urbanization level,residential area,and region.Random-effects ordinal regression models were used to examine the trends at sedentary levels.Results From 2004 to 2015,sedentary time among children aged 6–17 years increased from 23.9±0.6 h/week to 25.7±0.6 h/week(P<0.001).Increases of 3.1 h/week(P<0.001),2.3 h/week(P=0.012),and 1.3 h/week(P=0.042)were found among the low-,medium-,and high-urbanization groups respectively and increased by 2.0 h/week(P<0.001)and 1.3 h/week(P=0.002)among rural and urban children,respectively.The proportion of Chinese children with average daily screen time below 2 hours declined by 10.2%(OR=0.51,95%CI:0.42–0.63,P<0.001);a decreasing trend was observed in both boys and girls.Conclusions Sedentary time among Chinese children aged 6–17 years showed an upward trend from 2004 to 2015,especially among children residing in rural areas and regions with low urbanization levels.展开更多
we studied a sample or 433 school children aged 6~14 years with double-blind, placebocontrol.Children Behavior Checklist (CBCL),Conner's questionnaire in all sample and WISC-CR intelligent test in part of it were...we studied a sample or 433 school children aged 6~14 years with double-blind, placebocontrol.Children Behavior Checklist (CBCL),Conner's questionnaire in all sample and WISC-CR intelligent test in part of it were performed.The study aimed to explore the behavioral and intelligent effects or iron deficiency on school children. The results showed:in the children with poor intellgent quotien (IQ) tested by WISC-CR serum ferritin level was significantly lower than that in the children with normal to (P<0. 01);with analysis or stepwise multiple regression for behavioral problem of children, serum ferritin (SF),free erythroyte protoporphyrin (FEP) and hemoglobin (HB) were taken into the equation suggesting that iron-dericient biochemical index had significant effect on behavioral problem or school children. With factor analysis of Conner's questionnaire, different factor structure between the iron-deficient and normal group was revealed. Therefore,irondeficient group had higher learning problem than normal group.After treatment using iron dextran the differences in the learning problem between the two groups disappeared.展开更多
Purpose:The purpose of this study was to determine which intensities,patterns,and types of 24-h movement behaviors are most strongly associated with cardiometabolic risk factors among children.Methods:A total of 369 c...Purpose:The purpose of this study was to determine which intensities,patterns,and types of 24-h movement behaviors are most strongly associated with cardiometabolic risk factors among children.Methods:A total of 369 children aged 1013 years were studied.Participants wore an Actical accelerometer and a Garmin Forerunner 220 Global Positioning System logger and completed an activity and sleep log for 7 days.Data from these instruments were combined to estimate average minute per day spent in 14 intensities,11 types,and 14 patterns of movement.Body mass index,resting heart rate,and systolic blood pressure values were combined to create a cardiometabolic risk factor score.Partial least squares regression analysis was used to examine associations between the 39 movement behavior characteristics and the cardiometabolic risk factor score.The variable importance in projection(VIP)values were used to determine and rank important movement behavior characteristics.There was evidence of interaction by biological maturity,and the analyses were conducted separately in the 50%least mature and 50%most mature participants.Results:For the least biologically mature participants,fifteen of the 39 movement behavior characteristics had important VIP value scores;eight of these reflected movement intensities(particularly moderate and vigorous intensities),six reflected movement patterns,and one reflected a movement type.For the most mature participants,thirteen of the 39 movement behavior characteristics had important VIP value scores,with five reflecting intensities(particularly moderate and vigorous intensities),five reflecting patterns,and three reflecting types of movement.Conclusion:More than 12 movement behavior characteristics were associated with cardiometabolic risk factors within both the most and least mature participants.Movement intensities within the moderate and vigorous intensity ranges were the most consistent correlates of these risk factors.展开更多
AIM To study how language acquisition can be facilitated for cochlear implanted children based on cognitive and behavioral psychology viewpoints?METHODS To accomplish this objective, literature related to behaviorist ...AIM To study how language acquisition can be facilitated for cochlear implanted children based on cognitive and behavioral psychology viewpoints?METHODS To accomplish this objective, literature related to behaviorist and cognitive psychology prospects about language acquisition were studied and some relevant books as well as Medline, Cochrane Library, Google scholar, ISI web of knowledge and Scopus databases were searched. Among 25 articles that were selected, only 11 met the inclusion criteria and were included in the study. Based on the inclusion criteria, review articles, expert opinion studies, non-experimental and experimental studies that clearly focused on behavioral and cognitive factors affecting language acquisition in children were selected. Finally, the selected articles were appraised according to guidelines of appraisal of medical studies.RESULTS Due to the importance of the cochlear implanted child's language performance, the comparison of behaviorist and cognitive psychology points of view in child language acquisition was done. Since each theoretical basis, has its own positive effects on language, and since the two are not in opposition to one another, it canbe said that a set of behavioral and cognitive factors might facilitate the process of language acquisition in children. Behavioral psychologists believe that repetition, as well as immediate reinforcement of child's language behavior help him easily acquire the language during a language intervention program, while cognitive psychologists emphasize on the relationship between information processing, memory improvement through repetitively using words along with "associated" pictures and objects, motor development and language acquisition. CONCLUSION It is recommended to use a combined approach based on both theoretical frameworks while planning a language intervention program.展开更多
Background: Intimate partner violence has long-term and negative effects on the health of mothers and children worldwide. This study aimed to identify the mental and behavioral effects of past exposure to intimate par...Background: Intimate partner violence has long-term and negative effects on the health of mothers and children worldwide. This study aimed to identify the mental and behavioral effects of past exposure to intimate partner violence among children and examine their associations with the children’s visits with their fathers who perpetrated the intimate partner violence. Methods: A cross-sectional study of women who had been abused by their intimate partners and had one or more children aged 4 - 18 years old was conducted from March 2015 to December 2016. Questionnaires were used to collect (1) demographic data about the mothers and children, (2) information about the children’s visits with the mother’s former partner (i.e., father), and (3) psychological data using the Hospital Anxiety and Depression Scale and the Child Behavior Checklist/4 - 18. Results: The average scores and rates of internalizing, externalizing, and total problems among the children who had been exposed to intimate partner violence were: 10.8 (SD = 10.4), 26 (51.0%);9.0 (SD = 9.0), 14 (27.5%);and 26.3 (SD = 21.5), 15 (29.4%), respectively. Children’s visits with fathers who were IPV perpetrators were significantly associated with the internalizing (AOR = 12.6, β = 0.56;p β = 0.48;p Conclusion: Attention should focus on traumatized children exposed to intimate partner violence, and thorough and cautious assessments and decisions regarding visits with their fathers who are IPV perpetrators are essential to safeguard and improve their mental and behavioral health.展开更多
Child sexual abuse (CSA) is a stressful associated with alterations in the hypothalamic-hypophyseal-adrenal (HPA) axis and behavioral problems. Children and adolescents with history of CSA could have higher cortisol l...Child sexual abuse (CSA) is a stressful associated with alterations in the hypothalamic-hypophyseal-adrenal (HPA) axis and behavioral problems. Children and adolescents with history of CSA could have higher cortisol levels, as these have been associated with deleterious changes in brain regions involved in controlling social behavior and self-control. The aim of the present study was to determine the relationship among basal cortisol levels, social skills and behavioral problems in adolescents with CSA by evaluating two groups: one consisting of 12 - 15-year-old girls with CSA (n = 23), the other healthy comparison adolescents with no history of child abuse (n = 23). Social skills and behavioral problems were assessed using the Social Skills Improvement System. Three saliva samples were collected from each participant. The girls with CSA had lower social skills and more behavioral problems, as well as, higher cortisol concentrations. Besides, these participants showed significant negative correlations among cortisol levels and social skills, as well as, positive correlations with behavioral problems scales. It is feasible to suggest that the social deficiencies observed in these participants with CSA are related to alterations of the HPA.展开更多
The Kazdin Method is a version of parent management training in which parents are trained to alter the behaviors of their children.The method draws on the principles and techniques of applied behavior analysis.The tec...The Kazdin Method is a version of parent management training in which parents are trained to alter the behaviors of their children.The method draws on the principles and techniques of applied behavior analysis.The techniques focus on antecedents(what comes before the behavior),behavior(crafting the precise behaviors one wishes to develop),and consequences(usually praise to increase the likelihood that the desired behaviors will be performed again).The key focus is repeated practice in changing parent and child behaviors.The article traces the evolution of my use of parent training to treat severe aggressive and antisocial behavior among clinically referred samples and also to help parents with the routine challenges of child rearing.Researchfindings supporting the effectiveness of the techniques are highlighted.In addition,the article discusses issues and myths that may be of concern with the approach such as the exclusive focus on behavior,the extent to which the effects endure,and the use of consequences to change behavior.Resources are provide for parents and professionals for implementing the techniques and as well as for addressing topics of interest to parents in child and adolescent development.展开更多
目的探讨儿童行为特点及其家庭管理方式对儿童哮喘控制水平影响路径。方法采用便利抽样法选取82例哮喘患儿,应用一般资料问卷、适应行为量表(AAMR)、家庭管理测量量表(FaMM)及儿童哮喘控制测试表(Childhood asthma control test,C-ACT)...目的探讨儿童行为特点及其家庭管理方式对儿童哮喘控制水平影响路径。方法采用便利抽样法选取82例哮喘患儿,应用一般资料问卷、适应行为量表(AAMR)、家庭管理测量量表(FaMM)及儿童哮喘控制测试表(Childhood asthma control test,C-ACT)进行问卷调查,分析其影响路径。结果患儿AAMR适应行为量表得分(84.87±9.16)分,FaMM量表得分(188.77±19.01)分,C-ACT得分(15.20±4.66)分。Pearson相关分析结果显示,适应性行为分别与家庭管理、哮喘控制呈正相关关系(r=0.580、0.219,P<0.05),家庭管理与哮喘控制呈正相关关系(r=0.401,P<0.05)。结构方程模型结果表明,家庭管理在哮喘患儿适应性行为和哮喘控制有部分中介调节作用,效应占比为45.95%。结论儿童行为特点能够通过家庭管理方式对患儿哮喘控制水平产生影响,临床护理人员应重视对患儿家属的健康教育管理,提升家属对疾病的认知度及家庭管理能力,以改善患儿的行为方式,达到有效控制患儿疾病的目的。展开更多
目的探讨右美托咪定联合动画片干预对防治全麻腹腔镜疝囊高位结扎术患儿术后行为改变的临床意义。方法选取2020年4月—2022年12月择期行全麻腹腔镜疝囊高位结扎术的患儿270例为研究对象,根据就诊序号采用电脑随机数字表法分为A组(予以...目的探讨右美托咪定联合动画片干预对防治全麻腹腔镜疝囊高位结扎术患儿术后行为改变的临床意义。方法选取2020年4月—2022年12月择期行全麻腹腔镜疝囊高位结扎术的患儿270例为研究对象,根据就诊序号采用电脑随机数字表法分为A组(予以右美托咪定干预)、B组(予以动画片干预)、C组(予以右美托咪定联合动画片干预),每组90例。比较3组不同时间点平均动脉压(MAP)、心率(HR)、呼气末二氧化碳分压(P ET CO_(2))、血氧饱和度(SpO_(2))、呼吸频率(RR)、改良耶鲁围术期焦虑量表(mYPAS)评分以及诱导期合作度量表(ICC)评分、苏醒期躁动评分量表(PAED)评分、躁动发生率、苏醒情况、术后行为改变情况。结果在术前麻醉准备期间(T 2)、入手术室(T3)、术后苏醒即刻(T4),C组HR、MAP低于A组、B组(P<0.05)。3组P_(ET)CO_(2)、SpO_(2)、RR在组间、时间及组间·时间交互作用比较差异均无统计学意义(P>0.05)。T2、T3时,C组mYPAS评分低于A组、B组(P<0.05)。C组ICC、PAED评分及苏醒期躁动率低于A组、B组(P<0.05)。术后1、7 d,C组行为改变发生率低于A组、B组(P<0.05)。3组拔管时间、意识恢复时间、麻醉恢复室停留时间及不良事件总发生率比较差异无统计学意义(P>0.05)。结论右美托咪定联合动画片干预可降低行全麻腹腔镜疝囊高位结扎术患儿术前焦虑,提升患儿麻醉诱导合作程度,降低苏醒期躁动及术后行为改变发生率,且对患儿血流动力学影响较小,安全性高。展开更多
基金Shijiazhuang City Science and Technology Research and Development Self Raised Plan,No.221460383。
文摘BACKGROUND Studies have revealed that Children's psychological,behavioral,and emotional problems are easily influenced by the family environment.In recent years,the family structure in China has undergone significant changes,with more families having two or three children.AIM To explore the relationship between emotional behavior and parental job stress in only preschool and non-only preschool children.METHODS Children aged 3-6 in kindergartens in four main urban areas of Shijiazhuang were selected by stratified sampling for a questionnaire and divided into only and nononly child groups.Their emotional behaviors and parental pressure were compared.Only and non-only children were paired in a 1:1 ratio by class and age(difference less than or equal to 6 months),and the matched data were compared.The relationship between children's emotional behavior and parents'job stress before and after matching was analyzed.RESULTS Before matching,the mother's occupation,children's personality characteristics,and children's rearing patterns differed between the groups(P<0.05).After matching 550 pairs,differences in the children's parenting styles remained.There were significant differences in children's gender and parents'attitudes toward children between the two groups.The Strengths and Difficulties Questionnaire(SDQ)scores of children in the only child group and the Parenting Stress Index-Short Form(PSI-SF)scores of parents were significantly lower than those in the non-only child group(P<0.05).Pearson’s correlation analysis showed that after matching,there was a positive correlation between children's parenting style and parents'attitudes toward their children(r=0.096,P<0.01),and the PSI-SF score was positively correlated with children's gender,parents'attitudes toward their children,and SDQ scores(r=0.077,0.193,0.172,0.222).CONCLUSION Preschool children's emotional behavior and parental pressure were significantly higher in multi-child families.Parental pressure in differently structured families was associated with many factors,and preschool children's emotional behavior was positively correlated with parental pressure.
文摘By studying the behavioral psychology and needs of children,this paper analyzes the essence of child-friendly parks from the perspective of children,and discusses the design principles and key points of child-friendly parks,so as to provide a practical basis for the construction of child-friendly cities.
基金the National Scientific and Technological Basic Resources Investigation Program Research and application of nutrition and health system for children aged 0-18 years in Chinaw[2017FY101100].
文摘Objective This study aims to explore trends in sedentary behavior among Chinese children aged 6–17 years per demographic and social characteristics.Methods A total of 4,341 children aged 6–17 years who participated in the China Health and Nutrition Survey from 2004 to 2015 were included.Repeated measures from mixed-effects models were applied to test trends in sedentary behaviors,which were further analyzed after applying stratification according to gender,age,urbanization level,residential area,and region.Random-effects ordinal regression models were used to examine the trends at sedentary levels.Results From 2004 to 2015,sedentary time among children aged 6–17 years increased from 23.9±0.6 h/week to 25.7±0.6 h/week(P<0.001).Increases of 3.1 h/week(P<0.001),2.3 h/week(P=0.012),and 1.3 h/week(P=0.042)were found among the low-,medium-,and high-urbanization groups respectively and increased by 2.0 h/week(P<0.001)and 1.3 h/week(P=0.002)among rural and urban children,respectively.The proportion of Chinese children with average daily screen time below 2 hours declined by 10.2%(OR=0.51,95%CI:0.42–0.63,P<0.001);a decreasing trend was observed in both boys and girls.Conclusions Sedentary time among Chinese children aged 6–17 years showed an upward trend from 2004 to 2015,especially among children residing in rural areas and regions with low urbanization levels.
文摘we studied a sample or 433 school children aged 6~14 years with double-blind, placebocontrol.Children Behavior Checklist (CBCL),Conner's questionnaire in all sample and WISC-CR intelligent test in part of it were performed.The study aimed to explore the behavioral and intelligent effects or iron deficiency on school children. The results showed:in the children with poor intellgent quotien (IQ) tested by WISC-CR serum ferritin level was significantly lower than that in the children with normal to (P<0. 01);with analysis or stepwise multiple regression for behavioral problem of children, serum ferritin (SF),free erythroyte protoporphyrin (FEP) and hemoglobin (HB) were taken into the equation suggesting that iron-dericient biochemical index had significant effect on behavioral problem or school children. With factor analysis of Conner's questionnaire, different factor structure between the iron-deficient and normal group was revealed. Therefore,irondeficient group had higher learning problem than normal group.After treatment using iron dextran the differences in the learning problem between the two groups disappeared.
基金a grant-in-aid from the Heart and Stroke Foundation of Canada(Grant number:G-14-0005947)IJ was supported by a Canada Research Chair award。
文摘Purpose:The purpose of this study was to determine which intensities,patterns,and types of 24-h movement behaviors are most strongly associated with cardiometabolic risk factors among children.Methods:A total of 369 children aged 1013 years were studied.Participants wore an Actical accelerometer and a Garmin Forerunner 220 Global Positioning System logger and completed an activity and sleep log for 7 days.Data from these instruments were combined to estimate average minute per day spent in 14 intensities,11 types,and 14 patterns of movement.Body mass index,resting heart rate,and systolic blood pressure values were combined to create a cardiometabolic risk factor score.Partial least squares regression analysis was used to examine associations between the 39 movement behavior characteristics and the cardiometabolic risk factor score.The variable importance in projection(VIP)values were used to determine and rank important movement behavior characteristics.There was evidence of interaction by biological maturity,and the analyses were conducted separately in the 50%least mature and 50%most mature participants.Results:For the least biologically mature participants,fifteen of the 39 movement behavior characteristics had important VIP value scores;eight of these reflected movement intensities(particularly moderate and vigorous intensities),six reflected movement patterns,and one reflected a movement type.For the most mature participants,thirteen of the 39 movement behavior characteristics had important VIP value scores,with five reflecting intensities(particularly moderate and vigorous intensities),five reflecting patterns,and three reflecting types of movement.Conclusion:More than 12 movement behavior characteristics were associated with cardiometabolic risk factors within both the most and least mature participants.Movement intensities within the moderate and vigorous intensity ranges were the most consistent correlates of these risk factors.
文摘AIM To study how language acquisition can be facilitated for cochlear implanted children based on cognitive and behavioral psychology viewpoints?METHODS To accomplish this objective, literature related to behaviorist and cognitive psychology prospects about language acquisition were studied and some relevant books as well as Medline, Cochrane Library, Google scholar, ISI web of knowledge and Scopus databases were searched. Among 25 articles that were selected, only 11 met the inclusion criteria and were included in the study. Based on the inclusion criteria, review articles, expert opinion studies, non-experimental and experimental studies that clearly focused on behavioral and cognitive factors affecting language acquisition in children were selected. Finally, the selected articles were appraised according to guidelines of appraisal of medical studies.RESULTS Due to the importance of the cochlear implanted child's language performance, the comparison of behaviorist and cognitive psychology points of view in child language acquisition was done. Since each theoretical basis, has its own positive effects on language, and since the two are not in opposition to one another, it canbe said that a set of behavioral and cognitive factors might facilitate the process of language acquisition in children. Behavioral psychologists believe that repetition, as well as immediate reinforcement of child's language behavior help him easily acquire the language during a language intervention program, while cognitive psychologists emphasize on the relationship between information processing, memory improvement through repetitively using words along with "associated" pictures and objects, motor development and language acquisition. CONCLUSION It is recommended to use a combined approach based on both theoretical frameworks while planning a language intervention program.
文摘Background: Intimate partner violence has long-term and negative effects on the health of mothers and children worldwide. This study aimed to identify the mental and behavioral effects of past exposure to intimate partner violence among children and examine their associations with the children’s visits with their fathers who perpetrated the intimate partner violence. Methods: A cross-sectional study of women who had been abused by their intimate partners and had one or more children aged 4 - 18 years old was conducted from March 2015 to December 2016. Questionnaires were used to collect (1) demographic data about the mothers and children, (2) information about the children’s visits with the mother’s former partner (i.e., father), and (3) psychological data using the Hospital Anxiety and Depression Scale and the Child Behavior Checklist/4 - 18. Results: The average scores and rates of internalizing, externalizing, and total problems among the children who had been exposed to intimate partner violence were: 10.8 (SD = 10.4), 26 (51.0%);9.0 (SD = 9.0), 14 (27.5%);and 26.3 (SD = 21.5), 15 (29.4%), respectively. Children’s visits with fathers who were IPV perpetrators were significantly associated with the internalizing (AOR = 12.6, β = 0.56;p β = 0.48;p Conclusion: Attention should focus on traumatized children exposed to intimate partner violence, and thorough and cautious assessments and decisions regarding visits with their fathers who are IPV perpetrators are essential to safeguard and improve their mental and behavioral health.
文摘Child sexual abuse (CSA) is a stressful associated with alterations in the hypothalamic-hypophyseal-adrenal (HPA) axis and behavioral problems. Children and adolescents with history of CSA could have higher cortisol levels, as these have been associated with deleterious changes in brain regions involved in controlling social behavior and self-control. The aim of the present study was to determine the relationship among basal cortisol levels, social skills and behavioral problems in adolescents with CSA by evaluating two groups: one consisting of 12 - 15-year-old girls with CSA (n = 23), the other healthy comparison adolescents with no history of child abuse (n = 23). Social skills and behavioral problems were assessed using the Social Skills Improvement System. Three saliva samples were collected from each participant. The girls with CSA had lower social skills and more behavioral problems, as well as, higher cortisol concentrations. Besides, these participants showed significant negative correlations among cortisol levels and social skills, as well as, positive correlations with behavioral problems scales. It is feasible to suggest that the social deficiencies observed in these participants with CSA are related to alterations of the HPA.
文摘The Kazdin Method is a version of parent management training in which parents are trained to alter the behaviors of their children.The method draws on the principles and techniques of applied behavior analysis.The techniques focus on antecedents(what comes before the behavior),behavior(crafting the precise behaviors one wishes to develop),and consequences(usually praise to increase the likelihood that the desired behaviors will be performed again).The key focus is repeated practice in changing parent and child behaviors.The article traces the evolution of my use of parent training to treat severe aggressive and antisocial behavior among clinically referred samples and also to help parents with the routine challenges of child rearing.Researchfindings supporting the effectiveness of the techniques are highlighted.In addition,the article discusses issues and myths that may be of concern with the approach such as the exclusive focus on behavior,the extent to which the effects endure,and the use of consequences to change behavior.Resources are provide for parents and professionals for implementing the techniques and as well as for addressing topics of interest to parents in child and adolescent development.
文摘目的探讨儿童行为特点及其家庭管理方式对儿童哮喘控制水平影响路径。方法采用便利抽样法选取82例哮喘患儿,应用一般资料问卷、适应行为量表(AAMR)、家庭管理测量量表(FaMM)及儿童哮喘控制测试表(Childhood asthma control test,C-ACT)进行问卷调查,分析其影响路径。结果患儿AAMR适应行为量表得分(84.87±9.16)分,FaMM量表得分(188.77±19.01)分,C-ACT得分(15.20±4.66)分。Pearson相关分析结果显示,适应性行为分别与家庭管理、哮喘控制呈正相关关系(r=0.580、0.219,P<0.05),家庭管理与哮喘控制呈正相关关系(r=0.401,P<0.05)。结构方程模型结果表明,家庭管理在哮喘患儿适应性行为和哮喘控制有部分中介调节作用,效应占比为45.95%。结论儿童行为特点能够通过家庭管理方式对患儿哮喘控制水平产生影响,临床护理人员应重视对患儿家属的健康教育管理,提升家属对疾病的认知度及家庭管理能力,以改善患儿的行为方式,达到有效控制患儿疾病的目的。
文摘目的探讨右美托咪定联合动画片干预对防治全麻腹腔镜疝囊高位结扎术患儿术后行为改变的临床意义。方法选取2020年4月—2022年12月择期行全麻腹腔镜疝囊高位结扎术的患儿270例为研究对象,根据就诊序号采用电脑随机数字表法分为A组(予以右美托咪定干预)、B组(予以动画片干预)、C组(予以右美托咪定联合动画片干预),每组90例。比较3组不同时间点平均动脉压(MAP)、心率(HR)、呼气末二氧化碳分压(P ET CO_(2))、血氧饱和度(SpO_(2))、呼吸频率(RR)、改良耶鲁围术期焦虑量表(mYPAS)评分以及诱导期合作度量表(ICC)评分、苏醒期躁动评分量表(PAED)评分、躁动发生率、苏醒情况、术后行为改变情况。结果在术前麻醉准备期间(T 2)、入手术室(T3)、术后苏醒即刻(T4),C组HR、MAP低于A组、B组(P<0.05)。3组P_(ET)CO_(2)、SpO_(2)、RR在组间、时间及组间·时间交互作用比较差异均无统计学意义(P>0.05)。T2、T3时,C组mYPAS评分低于A组、B组(P<0.05)。C组ICC、PAED评分及苏醒期躁动率低于A组、B组(P<0.05)。术后1、7 d,C组行为改变发生率低于A组、B组(P<0.05)。3组拔管时间、意识恢复时间、麻醉恢复室停留时间及不良事件总发生率比较差异无统计学意义(P>0.05)。结论右美托咪定联合动画片干预可降低行全麻腹腔镜疝囊高位结扎术患儿术前焦虑,提升患儿麻醉诱导合作程度,降低苏醒期躁动及术后行为改变发生率,且对患儿血流动力学影响较小,安全性高。