摘要
目的分析功能性腹痛患儿与人格特点、生活质量、家庭教养方式之间的相关性,以期为临床护理干预提供理论依据。方法选取2022年8月—2023年9月福建省儿童医院收治的功能性腹痛患儿165例(观察组)与儿童保健科体检的健康儿童165例(对照组)进行研究。采用艾森克患儿人格问卷(Eysenck personality questionnaire,EPQ)、生活质量核心量表(pediatric quality of life inventorytm,PedsQLTM 4.0)、父母教养方式问卷(egna minnen av barndoms uppfostran,EMBU)、Wong-Baker面部表情疼痛量表评分,调查其功能性腹痛患儿与人格特点、生活质量和家庭教养方式的现状,探讨其影响因素。结果观察组腹痛评分为(13.95±2.16)分,高于对照组的(3.02±1.03)分(P<0.05)。观察组艾森克患儿人格问卷测试中P、N分值高于对照组,E分值低于对照组(P<0.05)。观察组生理功能、情感功能、社会功能、学校表现及总分值均低于对照组(P<0.05)。观察组F2、F3、M2高于对照组,F1、F4、M1、M5低于对照组(P<0.05)。功能性腹痛症状积分与父母教养方式F1、M1因子呈负相关,与F3、M2呈正相关;与艾森克患儿人格因子E呈负相关,与N、P因子呈正相关;与患儿生活质量呈负相关(P<0.05)。结论功能性腹痛患儿人格特点、生活质量和家庭教养方式三者之间存在相关性,情绪不稳定、性格内向及精神质人格的患儿是发生功能性腹痛的重要因素,而不良的家庭教养方式是本病发生的诱因,进一步加重病情,降低患儿生活质量。因此临床治疗上给予药物治疗外还应注重对患儿的心理干预,评估家庭教养方式以提高生活质量。
Objective To analyze the correlation between functional abdominal pain and personality characteristics,quality of life and family rearing style in order to provide theoretical basis for clinical nursing intervention.Methods A total of 165 children with functional abdominal pain admitted to Fujian Children′s Hospital from March 2021 to April 2022(observation group)and 165 healthy children who underwent physical examination in the department of child health care(control group)were included in the study.The Eysenck personality questionnaire(EPQ)and the pediatric quality of life inventorytm(PedsQLTM)were adopted (4.0),egna minnen av barndoms uppfostran(EMBU)and Wong-Baker visual simulated abdominal pain scoring method to investigate the status of functional abdominal pain children and their personality characteristics,quality of life and family parenting style,and explore its influencing factors.Results The abdominal pain score in the observation group was(13.95±2.16)points,which was higher than that in the control group(3.02±1.03)points(P<0.05).The P and N scores of the Eysenck Child Personality Questionnaire in the observation group were found to be significantly higher than those in the control group,while the E scores were significantly lower(P<0.05).Additionally,the physiological function,emotional function,social function,school performance,and total score of the observation group were all significantly lower compared to those of the control group(P<0.05).F2,F3 and M2 in observation group were higher than those in control group,F1,F4,M1 and M5 were lower than those in control group(P<0.05).Functional abdominal pain symptom score was negatively correlated with F1 and M1 factors of parenting style,but positively correlated with F3 and M2.There was negative correlation with Eysenck child personality factor E and positive correlation with N and P factors.It was negatively correlated with children′s quality of life(P<0.05).Conclusion There is a close relationship between the personality traits,quality of life,and parenting styles of children with functional abdominal pain.Emotional instability,introverted personality,and mental characteristics are the basis for the occurrence of functional abdominal pain in children.Meanwhile,negative parenting styles can trigger various psychosocial factors that further exacerbate the condition and reduce the quality of life for affected children.Therefore,in addition to drug therapy,the clinical treatment department should also pay attention to the psychological intervention of children and evaluate the family upbringing mode to improve the quality of life.
作者
王景霞
傅丽娟
Abdominal Pain;WANG Jingxia;FU Lijuan(Department of Digestive Nutrition,Fujian Children′s Hospital(Fujian Branch of Shanghai Children′s Medical Center)/College of Clinical Medicine for Obstetrics&Gynecology and Pediatrics,Fujian Medical University,Fuzhou Fujian 350011,China)
出处
《中国卫生标准管理》
2024年第11期13-17,共5页
China Health Standard Management
基金
福建省卫健委科技计划项目青年科研课题(2022QNB004)
2022年福建省儿童医院科技创新启动基金(新竹青年护理人才培养计划)资助项目(儿童YCXH202206)。
关键词
功能性腹痛患儿
人格特点
生活质量
家庭教养方式
相关性
护理
children with functional abdominal pain
personality characteristics
quality of life
family rearing style
relevance
nursing
