目的 了解癫痫儿童情绪行为问题现状及影响因素,为疾病干预提供临床指导。方法 2021年5月1日—11月1日选取安徽省儿童医院神经内科收治的192例癫痫患儿为研究对象,并按年龄和性别为匹配条件,选取合肥市4所中小学学生进行1∶1配对,采用一般资料问卷及长处与困难问卷(SDQ)(父母版)对384名儿童家长进行问卷调查。结果 癫痫患儿和正常儿童困难总分的异常检出率分别为25.00%与0.52%;癫痫儿童在情绪症状(t=33.343)、品行问题(t=23.123)、多动(t=19.499)、同伴交往问题得分(t=15.700)及困难总分(t=22.420)高于正常儿童,亲社会行为得分低于正常儿童(t=14.402),差异均有统计学意义 (P＜0.001);多因素分析显示服药种类、服药依从性、发作频率、是否医保、家庭月收入、主要照顾者性别均是癫痫患儿情绪行为的影响因素(P<0.05)。结论 癫痫儿童比正常儿童更易出现情绪行为问题,家庭成员及医务人员应予以重视,亟待采取干预措施。
Abstract
Objective To understand the status quo and influencing factors of emotional and behavioral problems in epileptic children and normal children, in order to provide clinical guidance for disease intervention. Methods A total of 192 cases of epileptic children admitted to the Department of Neurology of Anhui Children′s Hospital were selected from May 1st, to November 1st, 2021. Meanwhile, Students from four primary and middle schools in Hefei were selected matched by age and gender with the ratio of 1∶1. The parents of 384 children were surveyed by general information questionnaire and Strengths and Difficulties Questionnaire (SDQ) (parent version). Results The abnormal detection rate of total difficulty in epileptic children and normal children was 25.00% and 0.52%, respectively. Children with epilepsy had significantly higher scores of emotional symptoms (t=33.343), conduct problems (t=23.123), hyperactivity problems (t=19.499), peer communication problems (t=15.700), total difficulty scores (t=22.420) and lower score of prosocial behavior (t=14.402) than normal children (P<0.001). Multivariate analysis showed that the type of medication, medication compliance, the frequency of attacks, the medical insurance, the monthly family income, and the gender of the main caregiver were the factors influencing the emotional behavior in children with epilepsy (P＜0.05). Conclusions Children with epilepsy are more likely to have emotional and behavioral problems than normal children. Family members and medical staff should pay attention to it and urgently take intervention measures.
关键词
癫痫 /
情绪与行为问题 /
长处与困难问卷 /
儿童
Key words
epilepsy /
emotional and behavioral problems /
Strengths and Difficulties Questionnaire /
children
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基金
安徽医科大学校科研基金项目(2019xkj176)
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