南京市区学龄前儿童发育性运动协调障碍的发生状况及影响因素研究

中国儿童保健杂志 ›› 2012, Vol. 20 ›› Issue (12): 1074-1076.

南京市区学龄前儿童发育性运动协调障碍的发生状况及影响因素研究

刘晓¹,杨蕾²,张敏²,解雅春³,洪琴³,李希翎³,童梅玲³,郭锡熔^2,3,池霞^2,3,崔焱¹

1 南京医科大学护理学院,江苏南京 210029;
2 南京医科大学儿科医学研究所,江苏南京 210029;
3 南京市妇幼保健院儿科,江苏南京 210004

收稿日期:2012-09-01 发布日期:2012-12-06 出版日期:2012-12-06
通讯作者: 崔焱, E-mail:cyan@njmu.edu.cn;池霞,E-mail:chixia2001@yahoo.com.cn
作者简介:刘晓(1987-),女,山东人,硕士在读,主要研究方向为儿科护理
基金资助:
国家自然科学基金(30801255);江苏省医学重点人才(RC2011022);南京市医学科技发展项目(201108007)

Study on prevalence and its risk factors of the developmental coordination disorder in a preschool children population of Nanjing city

LIU Xiao¹,YANG Lei²,ZHANG Min²,XIE Ya-chun³,HONG Qin³,LI Xi-ling³,TONG Mei-ling³,GUO Xi-rong^2,3,CHI Xia^2,3,CUI Yan¹

1 Nursing School of Nanjing Medical University,Nanjing,Jiangsu 210029,China;
2 Pediatric Research Institution of Nanjing Medical University,Nanjing,Jiangsu 210029,China;
3 Department of Pediatrics,Nanjing Maternity and Child Care Hospital,Nanjing,Jiangsu 210004,China

Received:2012-09-01 Online:2012-12-06 Published:2012-12-06

摘要/Abstract

摘要： 【目的】了解南京市区学龄前儿童发育性运动协调障碍(developmental coordination disorder,DCD)的发生情况并分析其影响因素。【方法】采取分层随机整群抽样的方法抽取南京市区6所幼儿园4~6岁的儿童,共750例,由儿童的父母填写儿童DCD问卷和自编的基本情况调查表,对数据进行χ²检验和非条件Logistic回归分析。【结果】1)南京市区学龄前儿童DCD的阳性检出率为24.7%。不同年龄儿童间阳性检出率差异有高度统计学意义(χ²=19.748,P=0.000),不同性别间差异无统计学意义(χ²=1.239,P＞0.05)。2)DCD组儿童在年龄、早期发育时是否爬行笨拙、独立行走时间、熟练用勺时间、熟练用筷时间、平均每天运动时间、运动项目种类方面与正常组差异有统计学意义(P值均<0.05)。3)非条件Logistic回归分析中,是否爬行笨拙、独立行走时间和平均每天运动时间会对运动协调障碍的发生产生影响。【结论】 DCD在南京市区学龄前儿童中发生率较高,应对家长和老师进行宣教并指导其采取相应的早期干预措施以促进儿童运动协调功能的发展。

关键词: 发育性运动协调障碍, 危险因素, 学龄前儿童

Abstract: 【Objective】 To investigate the distribution and its influential factors of the developmental coordination disorder (DCD) of preschool children in Nanjing city. 【Methods】 A cross-sectional survey with cluster random sampling was performed.750 children aged 4~6 years old from 6 kindergartens of Nanjing city were selected as survey venues,whose parents would complete the developmental coordination disorder questionnaire and the basic situation questionnaire and the Chi-square test and unconditional logistic regression analysis were used to analyze the data. 【Results】 1) The prevalence of DCD in preschool children was 24.7%.There were high significant difference in the prevalence of DCD among children of different ages(χ²=19.748,P=0.000),and no statistical significance was found between boys and girls(χ²=1.239,P＞0.05).2) The children with DCD were different from the normal children on the age,whether crawling clumsily or not,the time began to walk,the time began to use the spoon,the time began to use the chopsticks as well as the time and interested items for everyday's exercise (P＜0.05).3) Whether crawling clumsily or not,the time began to walk and the average time for everyday's exercise affected the happening of the DCD according to the unconditional logistic regression analysis. 【Conclusions】 The prevalence of DCD is higher in the preschool children population.Measures should be taken to promote the children's coordination ability by the parents and teachers.

Key words: developmental coordination disorder, risk factors, preschool children

中图分类号:

R749.94

刘晓,杨蕾,张敏,解雅春,洪琴,李希翎,童梅玲,郭锡熔,池霞,崔焱. 南京市区学龄前儿童发育性运动协调障碍的发生状况及影响因素研究[J]. 中国儿童保健杂志, 2012, 20(12): 1074-1076.

LIU Xiao,YANG Lei,ZHANG Min,XIE Ya-chun,HONG Qin,LI Xi-ling,TONG Mei-ling,GUO Xi-rong,CHI Xia,CUI Yan. Study on prevalence and its risk factors of the developmental coordination disorder in a preschool children population of Nanjing city[J]. journal1, 2012, 20(12): 1074-1076.

参考文献

[1] Clark JE,Whitall J.Developmental coordination disorder: function,participation,and assessment[J].Res Dev Disabil,2011,32(4):1243-1244.
[2] Cairney J,Hay JA,Veldhuizen S,et al.Developmental coordination disorder,sex,and activity deficit over time: a longitudinal analysis of participation trajectories in children with and without coordination difficulties[J].Dev Med Child Neurol,2010,52(3):67-72.
[3] Wilson BN,Kaplan BJ,Crawford SG,et al.Reliability and validity of a parent questionnaire on childhood motor skills[J].Am J Occup Ther,2000,54(5):484-493.
[4] 金华,柯晓燕,曾美惠,等.儿童发育性运动协调障碍问卷的信度和效度[J].中国行为医学科学,2007,16(9): 852-853.
[5] Slater LM,Hillier SL,Civetta LR.The clinimetric properties of performance-based gross motor tests used for children with developmental coordination disorder: a systematic review[J].Pediatr Phys Ther,2010,22(2):170-179.
[6] Summers J,Larkin D,Dewey D.Activities of daily living in children with developmental coordination disorder: dressing,personal hygiene,and eating skills[J].Hum Mov Sci,2008,27(2):215-229.
[7] Asonitou K,Koutsouki D,Kourtessis T,et al.Motor and cognitive performance differences between children with and without developmental coordination disorder (DCD)[J].Res Dev Disabil,2012,33(4):996-1005.
[8] Poulsen AA,Ziviani JM,Cuskelly M,et al.Boys with developmental coordination disorder: loneliness and team sports participation[J].Am J Occup Ther,2007,61(4):451-462.
[9] Wright HC,Sugden DA.A two-step procedure for the identi?cation of children with developmental coordination disorder in Singapore[J].Dev Med Child Neurol,1996,38(12):1099-1105.
[10] Tsiotra GD,Flouris AD,Koutedakis Y,et al.A comparison of developmental coordination disorder prevalence rates in Canadian and Greek children[J].J Adolesc Health,2006,39(1):125-127.
[11] American psychiatric association diagnostic and statistical manual of mental disorders[M].4th ed.Washington,DC:American Psychiatric Association,2000:115-119.
[12] 徐秀,冯玲英,刘湘云,等.婴幼儿抚育环境和动作发展的研究[J].中国儿童保健杂志,2007,15(5):455-457.

[1]	刘敏, 张倩, 杨亭, 陈洁, 陈立, 代英, 贾飞勇, 武丽杰, 郝燕, 李玲, 张婕, 柯晓燕, 衣明纪, 洪琦, 陈津津, 方拴锋, 王益超, 王琦, 金春华, 李廷玉. 全国多中心学龄前儿童血清叶酸现况调查[J]. 中国儿童保健杂志, 2023, 31(7): 713-717.
[2]	田甜, 宋佳, 李婧, 袁慧, 沈蒙蒙, 丁蓉, 朱小华, 徐鸿泽, 胡幼芳. 江苏省“二胎”学龄前儿童家庭养育环境与行为问题分析[J]. 中国儿童保健杂志, 2023, 31(6): 623-628.
[3]	姜妍琳, 张蔷, 翟睿, 彭雅琪, 太然, 王俊宏. 中国儿童抽动障碍患病率及危险因素系统评价[J]. 中国儿童保健杂志, 2023, 31(6): 661-667.
[4]	张红, 汪馨垚, 姚春花, 叶孙岳. 学龄前儿童居家户外活动时间的影响因素[J]. 中国儿童保健杂志, 2023, 31(5): 481-485.
[5]	李慧美, 刘晓. 发育性语言障碍危险因素的研究进展[J]. 中国儿童保健杂志, 2023, 31(5): 526-528.
[6]	曾红玲, 周怡, 谢俊, 戴利莎, 汤珺. 基于结构化教学法的小组训练对学龄前孤独谱系障碍儿童的疗效分析[J]. 中国儿童保健杂志, 2023, 31(5): 564-569.
[7]	刘维韦, 娄海琴, 付路, 代倩倩. 学龄前超重肥胖儿童生存质量现状及影响因素分析[J]. 中国儿童保健杂志, 2023, 31(4): 385-389.
[8]	刘丹, 肖泽萍. 青少年自伤现象的研究进展[J]. 中国儿童保健杂志, 2023, 31(3): 294-298.
[9]	马晨欢, 姜莲, 储莉婷, 潘丽珠, 朱佩滢, 王瑜. COVID-19疫情期间居家隔离对上海市学龄前儿童心理健康状况的影响[J]. 中国儿童保健杂志, 2023, 31(3): 327-331.
[10]	黄琦, 黄欣欣, 钱沁芳, 王章琼, 李国凯. 注意缺陷多动障碍共患发育性协调障碍的学龄前儿童智力结构特征[J]. 中国儿童保健杂志, 2023, 31(2): 136-140.
[11]	毛艺, 沈佳瑶, 钟少根, 金星明, 马骏. 儿童热性惊厥与频繁夜间遗尿症的相关性研究[J]. 中国儿童保健杂志, 2023, 31(2): 147-151.
[12]	王旭, 王书影, 黎历, 邹映雪. 毛细支气管炎后复发喘息危险因素的Meta分析[J]. 中国儿童保健杂志, 2023, 31(2): 190-194.
[13]	米腊腊, 张淑一, 张敏, 吴依然, 解军. 应用末梢全血干血斑评估学龄前儿童维生素A营养状况的可靠性研究[J]. 中国儿童保健杂志, 2023, 31(1): 37-41.
[14]	代倩倩, 娄海琴, 刘维韦, 陈思涵, 单玲玲, 许占斌, 张慧颖. 南通市城区学龄前儿童忽视现状及其影响因素[J]. 中国儿童保健杂志, 2022, 30(9): 1010-1013.
[15]	王安运, 刘之宸, 范静怡. 学龄前孤独症谱系障碍儿童情绪行为问题与饮食行为问题调查[J]. 中国儿童保健杂志, 2022, 30(9): 1019-1023.