摘要
目的 :调查儿童情绪障碍性厌食症的环境因素、个性特征并探讨护理对策。方法 :采用儿童社会 -心理因素问卷、艾森克个性问卷 ,对 46例情绪障碍性厌食症患儿及 5 0例健康无厌食儿童进行了测试对照。结果 :观察组学业压力和 /或父母强迫进食、家庭不睦发生率显著增高 ;E量表均分显著降低 (P <0 .0 1) ,N量表均分显著增高 (P <0 .0 1)。结论 :学业压力、父母强迫进食、家庭不睦与儿童情绪障碍性厌食症的发生有密切关系 ,个性内向及不稳定情绪是儿童易产生情绪障碍性厌食症的主要个性心理特征。具有这两种心理特征的儿童在这些外界因素作用下较易发生情绪障碍性厌食症。有针对性地从去除诱因、纠正情绪障碍入手 ,实施以心理 -行为干预为主的综合护理 ,可望改善或治愈情绪障碍性厌食症。
Objective:To investigate the environmental factors and individual personalities of anorectic children in order to improve their nursing care.Methods:Forty six children with anorexia caused by emotional disorders and 50 healthy children were tested by a societal psychological factor questionnaire and the Eysenck Personality Questionnaire (Junior) to observe their external environmental factors and individual personalities,respectively.Results:Encidence of pressures from school work,forced eating by parents and family discord emerged more frequently in the anorectic group than in the control group.Scores in the anorectic group were significantly lower in the scale E level and markedly higher in the scale N level than those of the control group ( P <0.01).There was no significant difference between the two groups in the P and L scales .Conclusion:The three factors mentioned above were most closely related to onset of disease, among the factors we observed.Both an introverted personality and unstable emotions are key,characteristics that can induce anorexia when affected by these factors.Comprehensive nursing care,mainly consisting of psychiatric behavioral correction,is proposed to obviate the inducing factors and rectify emotional disorders to promote recovery from anorexia. Author's address Dept.of Pediatrics,Fuzhou General Hospital,Fuzhou,Fujian Province,350025
出处
《中华护理杂志》
CSCD
北大核心
2001年第3期168-170,共3页
Chinese Journal of Nursing