极低出生体重儿童学龄期的行为适应分析

中国儿童保健杂志 ›› 2013, Vol. 21 ›› Issue (1): 73-76.

极低出生体重儿童学龄期的行为适应分析

曾小璐¹,钟敏泉¹,岑超群²,邹小兵²,杨杰³,钟向明⁴

1 广东省人民医院广东省医学科学院 PICU,广东广州 510080;
2 中山大学附属第三医院儿童发育行为中心,广东广州 510630;
3 广东省妇幼保健院新儿科,广东广州 510010;
4 佛山市三水区妇幼保健院儿科,广东佛山 528100

收稿日期:2012-06-06 发布日期:2013-01-06 出版日期:2013-01-06
基金资助:
广东省科技计划项目(2009B060700061)

Analysis of behavioral adjustment in school-aged children born with very low birth weight

ZENG Xiao-lu¹,ZHONG Min-quan¹,CEN Chao-qun²,ZOU Xiao-bing²,YANG Jie³,ZHONG Xiang-ming⁴.

1 PICU,Guangdong General Hospital,Guangdong Academy of Medical Sciences,Guangzhou,Guangdong 510080,China;
2 Child Developmental-Behavioral Center,the Third Affiliated Hospital of SUN Yat-sen University,Guangzhou,Guangdong 510630,China;
3 Department of Paediatrics,Guangdong Women and Children Hospital,Guangzhou,Guangdong 510010,China;
4 Department of Paediatrics,Women and Children Hospital of Sanshui,Foshan,Guangdong 528100,China

Received:2012-06-06 Online:2013-01-06 Published:2013-01-06

摘要/Abstract

摘要： 目的评估极低出生体重(very low birth weight,VLBW)儿童学龄期行为适应状况并探讨相关的影响因素。方法采用BASICS行为适应量表对235名就读主流学校的极低出生体重儿童和396名正常出生体重儿童的家长进行问卷调查。结果调查的631个家庭中570个家庭完成问卷,应答率90.3%。极低出生体重儿童组成就[(3.06±0.93)分]、自我关系[(3.62±0.88)分]、内在状态[(4.11±1.18)分]得分及行为适应总分[(3.19±0.71)分]高于正常出生体重儿童组,分别为[(2.29±0.85)分],[(2.27±0.78)分],[(2.45±0.86)分]和[(2.31±0.75)分],差异有统计学意义(P<0.05)。多元线性回归分析结果显示,家庭收入高、主要管教者受教育程度高的VLBW儿童行为适应较好,新生儿期患颅内出血及使用激素总量较多的VLBW儿童行为适应较差。结论极低出生体重儿童存在行为适应问题,应进行早期的行为评估和干预。

关键词: 极低出生体重, 行为适应, 儿童

Abstract: Objective To evaluate behavioral adjustment and its influential factors among school-aged children born with very low birth weight(VLBW). Method The BASICS Behavioral Adjustment Scale was used to investigate 235 very low birth weight children and 396 normal birth weight(NBW) children who studied in mainstream schools,parents of the children completed the questionaire. Results A total of 570 out of 631 questionaires were completed,with a response rate of 90.3%.Scores for VLBW group in dimension of achievement,self-relations,internal state and total scores were significantly higher than those of the NBW group (respectively 3.06±0.93,3.62±0.88,4.11±1.18 and 3.19±0.71 vs 2.29±0.85,2.27±0.78,2.45±0.86 and 2.31±0.75,P all<0.05).Multiple regression analysis showed that higer family economics status and main caregiver education level were predictors of better behavioral adjustment among the VLBW group.While those with neonatal intracranial hemorrhage and higer doses of corticosteroid had worse behavioral adjustment. Conclusion VLBW children have increased behavior problems,early evaluation and intervention is recommended.

Key words: very low birth weight, behavioral adjustment, children

中图分类号:

R749.94

曾小璐,钟敏泉,岑超群,邹小兵,杨杰,钟向明. 极低出生体重儿童学龄期的行为适应分析[J]. 中国儿童保健杂志, 2013, 21(1): 73-76.

ZENG Xiao-lu,ZHONG Min-quan,CEN Chao-qun,ZOU Xiao-bing,YANG Jie,ZHONG Xiang-ming.. Analysis of behavioral adjustment in school-aged children born with very low birth weight[J]. journal1, 2013, 21(1): 73-76.

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【基金项目】广东省科技计划项目(2009B060700061)
【作者简介】曾小璐(1972-),女,广东人,主治医师,主要研究方向为儿童危重症及发育行为。

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