文章摘要
川崎病患儿社交能力 情绪状态及影响因素分析
Social ability and emotional state of children with Kawasaki disease and influencing factors
投稿时间:2021-08-02  
DOI:10.3969/j.issn.1000-0399.2022.02.002
中文关键词: 川崎病  患儿  社交能力  情绪状态  影响因素
英文关键词: Kawasaki disease  Children with  Social ability  Emotional state  Influencing factors
基金项目:安徽省卫生健康委员会基金项目(项目编号:2019SEY001)
作者单位E-mail
蒋艳 230051 安徽合肥 安徽省儿童医院心内科  
王国琴 230051 安徽合肥 安徽省儿童医院质控办 814794959@qq.com 
金利萍 230051 安徽合肥 安徽省儿童医院心内科  
王志平 230051 安徽合肥 安徽省儿童医院康复科  
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中文摘要:
      目的 研究川崎病患儿社交能力、情绪状态,并对其影响因素进行分析。方法 选择安徽省儿童医院2018年1月至2021年3月收治的136例川崎病患儿为研究对象(观察组),另选择同期于我院体检的136例同龄健康儿童为对照组,采用儿童社会行为评定量表(CBCL)评估其社交能力,积极与消极情绪量表-儿童版(PANAS-C)评估其情绪状态,并收集患儿一般资料,采用多元线性回归分析法分析川崎病患儿社交能力、情绪状态的影响因素。结果 观察组社交能力评分为(7.89±1.43)分,积极情绪评分为(43.23±6.97)分,均低于对照组的(10.65±1.74)分、(55.52±8.11)分,差异有统计学意义(P<0.05),观察组消极情绪评分为(32.11±3.85)分,对照组为(26.78±4.29)分,两组差异有统计学意义(P<0.05)。单因素分析显示,川崎病患儿性别、年龄、就读年级、家庭居住地、主要照顾者文化程度、家庭结构、家庭关系、家庭经济状况与其社交能力有关(P<0.05),年龄、就读年级、主要照顾者文化程度、家庭结构、家庭关系、家庭经济状况与其情绪状态有关(P<0.05)。多元线性逐步回归分析显示,性别、年龄、家庭居住地、主要照顾者文化程度、家庭结构、家庭关系是川崎病患儿社交能力的影响因素(P<0.05),年龄、主要照顾者文化程度、家庭结构、家庭关系是川崎病患儿情绪状态的影响因素(P<0.05)。结论 川崎病患儿社交能力较弱且容易产生消极情绪,可针对其影响因素从多方面着手,制定患儿社会能力和积极心理培养方案,以提高其生活质量。
英文摘要:
      Objective To study the social ability and emotional state of children with Kawasaki disease and analyze the influencing factors. Methods A total of 136 children with Kawasaki disease treated in the Anhui Children's Hospital between January 2018 and March 2021 were selected as the research subjects (observation group). 136 healthy children of the same age who completed health check-ups in the hospital during the same period were selected as the control group. The Child Behavior Check list(CBCL) was used to assess the social ability, and the Positive Affect and Negative Affect Scale for Children (PANAS-C) was used to assess the emotional state. The children's general information were collected, and Logistic regression analysis was performed to analyze the influencing factors of social ability and emotional state of children with Kawasaki disease. Results The scores of social ability and positive emotion in the observation group were (7.89±1.43)and(43.23±6.97),which were lower than those of the control group(10.65±1.74)、(55.52±8.11),the differences were statistically significant (P<0.05),and the scores of negative emotion in the observation group were(32.11±3.85),and the scores of the control group were(26.78±4.29),the difference betweeen the two groups were statistically significant (P<0.05).Univariate analysis showed that gender, age, grade level, family residence, education level of primary caregivers, family structure, family relationships and family economic status were related to children's social ability(P<0.05). Age, grade level, education level of primary caregivers, family structure, family relationships and family economic status were related to children's emotional state (P<0.05). Multiple linear stepwise regression analysis showed that gender, age, family residence, education level of primary caregivers, family structure and family relationships were the influencing factors of social ability of children with Kawasaki disease (P<0.05). Age, education level of primary caregivers, family structure and family relationships were the influencing factors of emotional state of children with Kawasaki disease (P<0.05). Conclusions Children with Kawasaki disease have weak social ability and are prone to have negative emotions. Measures can be developed according to the influencing factors of social ability and mental state to improve children's quality of life.
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