目的 分析北京市残疾儿童心理行为与睡眠问题的相关性,为改善残疾儿童心理健康状态,减少残疾儿童睡眠问题提供参考依据。方法 2017年9月—2018年2月,随机抽取6～17岁残疾儿童采用自编问卷调查其人口学特征,采用儿科症状检查表(PSC-17)评定心理行为问题;采用自编问卷调查睡眠问题。通过二元Logistic回归分析心理行为与睡眠问题之间的关联。结果 共纳入650名残疾儿童,不同性别、不同就读方式、不同残疾类型和不同残疾等级儿童的睡眠问题发生率差异均有统计学意义(χ2=3.984、4.437、12.925、18.104,P＜0.001),具有心理行为问题与无心理行为问题的残疾儿童睡眠问题发生率差异有统计学意义(χ2=30.722,P＜0.001)。残疾儿童心理行为问题是影响其睡眠问题的主要危险因素(OR=2.540,95%CI:1.740～3.709);走读残疾儿童的睡眠问题发生风险是住宿残疾儿童1.577倍。结论 残疾儿童的心理行为问题与其睡眠问题的发生具有相关性;改善残疾儿童的心理行为状态,可以有效防止其睡眠问题的发生。
Abstract
Objective To examine the association between psychological behavioral problems and sleep problems in disabled children in Beijing,in order to provide reference for reducing the sleep problems of disabled children. Methods From September 2017 to February 2018,children with disabilities aged 6 to 17 years were selected by random sampling,and were investigated by a self-designed questionnaire to get their demographic characteristics.Pediatric Symptom Checklist-17 (PSC-17) was used to assess psychological and behavioral problems.The relationship between psychological behavior and sleep problems was analyzed by binary Logistic regression. Result Totally 650 children with disabilities were included in the study.The detection rates of sleep problems was significantly different in children with different genders,different school styles,different types of disabilities and different grades of disabilities (χ2=3.984,4.437,12.925,18.104,P＜0.001). There was statistically significant difference in the detection rate of sleep problems between children with and without psychological and behavioral problems (χ2=30.722,P＜0.001).Psychological and behavioral problems were the main risk factors for sleep problems of disabled children (OR=2.540,95%CI:1.740 - 3.709).The risk of sleep problems in day students with disabilities was 1.577 times as high as that of boarders with disabilities. Conclusions Psychological and behavioral problems of disabled children are related to sleep problems.Improving psychological and behavioral status can effectively prevent their sleep problems.
关键词
残疾 /
睡眠问题 /
心理行为 /
儿童
Key words
disability /
sleep problem /
psychological and behavioral prolems /
children
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