【目的】 了解I型糖尿病患儿行为问题与母亲应对方式和心理卫生的状况,为行为干预及心理治疗提供科学依据。 【方法】 采用自制一般情况调查表和Achenbach儿童行为量表(the Child Behavior Checklist,CBCL)对20例I型糖尿病患儿进行调查和评估,采用简易应对方式问卷(the Simplified Coping Style Questionnaire,SCSQ)和症状自评量表(the Symptom-Checklist,SCL-90)对患儿母亲进行调查和评估。 【结果】 被调查患儿对治疗依从性好,但病情控制不容乐观,且存在不同程度的行为问题(主要检出因子为抑郁)。患儿母亲积极应对方式与患儿治疗依从性(β=1.44,P=0.04)和病程(β=0.23,P=0.00)存在回归关系,而消极应对方式与其担心患儿低血糖再次发作存在回归关系(β=1.03,P=0.03)。Ι型糖尿病患儿母亲症状自评量表各因子评分显著高于国内常模(P均＜0.05),评分最高的前三位因子是抑郁、躯体化和强迫。患儿母亲积极应对方式评分与焦虑(P=0.049 4)和敌对(P=0.029 4)因子分呈正相关,而消极应对方式评分与各因子分之间不存在关联。 【结论】 Ι型糖尿病患儿存在不同程度的行为问题,病情控制不容乐观,患儿母亲在采取多种方式应对问题同时其身心健康也受到影响,患儿病情监管及母亲心理卫生健康需要来自多方面的支持和帮助。
Abstract
【Objective】 To evaluate the behavior problems of children with type I diabetes and maternal coping style and mental health in shanghai. 【Method】 20 children with type I diabetes were investigated with self-command generalized information questionnaire and the Child Behavior Checklist,and mothers of the subjects were assessed with the Simplified Coping Style Questionnaire (SCSQ)and the Symptom-Checklist(SCL-90) respectively. 【Results】 It should not be optimistic about the illness control of children,although they showed good treatment compliance,and various degrees of behavioral problems were observed among them(depression as the main factor).Multiple linear regression was adopted to find maternal positive coping style showed a relationship with treatment compliance(β=1.44,P=0.04)and duration of illness in children(β=0.23,P=0.00),so did maternal negative coping style with fear of hypoglycaemia in children(β=1.03,P=0.03).Compared with domestic norm,the scores of any factor in SCL-90 were higher significantly(P＜0.05),and the first three factors were depression,somatization,obsessive-compulsive.The results suggested that a positive correlation existed between the scores of maternal positive coping style and the scores of anxiety and hostility,while no correlation was found in negative coping style. 【Conclusions】 Various degrees of behavioral problems are observed among the children with type I diabetes and the illness control of them is not optimistic,which influenced seriously the mental health of mothers facing the problems with various methods,so much different support and help are needed in the illness control of children and the mental health of mothers.
关键词
Ι型糖尿病患儿 /
行为问题 /
应对方式 /
心理卫生
Key words
children with type 1 diabetes /
behavioral problem /
coping style /
mental health
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参考文献
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