摘要
目的调查创伤性骨折患儿抑郁现状,并分析其相关影响因素,为临床干预提供依据。方法选择本院2014年1月至2016年2月收治的218例创伤性骨折患儿为调查对象,采用自拟问卷、儿童抑郁自评量表(depression self-rating scale for children,DSRSC)和骨折知识问卷调查患儿及父母相关资料,观察患儿抑郁发生情况;根据患儿是否存在抑郁将其分为抑郁组和非抑郁组,比较两组患儿年龄、性别、主要居住地、是否为独生子女、骨折原因、骨折类型、骨折部位、父母文化程度、父母答题正确率等资料,分析创伤性骨折患儿发生抑郁的危险因素。结果 218例患儿DSRSC评分平均值为(11.73±5.29)分,显著高于中国城市常模的分值(10.89±5.08)分(P <0.05);42例患儿存在抑郁,抑郁发生率为19.27%;患儿父母对骨折相关知识掌握欠佳,仅有114名(52.29%)父母答题正确率≥50%;非条件Logistic回归分析结果显示:患儿的年龄、骨折原因、骨折类型及父母答题正确率是创伤性骨折患儿发生抑郁的独立危险因素(P_均<0.05)。结论创伤性骨折患儿抑郁的发生率较高,这与患儿年龄、骨折原因、骨折类型及患儿父母对骨折知识的了解程度密切相关。
Objective To investigate the status of depression in children with traumatic fracture and analyze its influencing factors,so as to provide evidence for clinical intervention.Method 218 children with traumatic fractures treated in our hospital from January 2014 to February 2016 were selected as the subjects.Children and their parents were investigated with self-designed questionnaire,depression self-rating scale for children(DSRSC)and fracture knowledge questionnaire to observe the occurrence of depression in children.All children were divided into depression group and non-depression group according to whether had depression or not.The data of age,sex,main residence,the only child,fracture cause,fracture type,fracture location,parents'educational level and parents'correct answers were compared between the two groups,and the risk factors influencing the occurrence of depression in children with traumatic fracture were analyzed.Result The average score of DSRSC in 218 children was(11.73±5.29),which was higher than that of Chinese urban norm(10.89±5.08),the difference was statistically significant(P<0.05);a total of 42 children had depression,and the incidence of depression was 19.27%.Parents had poor knowledge of fracture related knowledge,and only 114 parents(52.29%)answered the question correctly more than 50%.The results of unconditional Logistic regression analysis showed that age,fracture cause,fracture type,and correctness of parents'answers were the influencing factors of depression in children with traumatic fracture.(Pall<0.05).Conclusion The incidence of depression in children with traumatic fracture is high,which is closely related to the age of the child,the cause of fracture,the type of fracture and parents'understanding of fracture knowledge.
作者
缪红
张瑞
MIAO Hong;ZHANG Rui(Surgery Clinic,Children's Hospital of Nanjing Medical University,Nanjing 210008,China;Department of Neurosurgery,Children's Hospital of Nanjing Medical University,Nanjing 210008,China)
出处
《中国医学前沿杂志（电子版）》
2018年第10期70-72,共3页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)
基金
江苏省自然基金项目(BK20161119)
关键词
创伤性骨折
抑郁
儿童
影响因素
Traumatic fracture
Depression
Children
Influencing factor
