儿童的行为问题、住院处理和生活质量

Jennifer Aline de Albuquerque Bastos, T. Dias, S. R. F. Enumo
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引用次数: 2

摘要

目的:分析5 ~ 7岁慢性疾病住院患儿的行为问题、住院应对及生活质量(QoL)。方法:样本包括33名因慢性疾病在库亚巴(MT)一所大学医院住院的5至7岁儿童,他们分别回答了Kidcope和儿童生活质量问卷。样本中儿童的父母回答了儿童行为检查表(1½-5岁和6-18岁)。在数据分析中,遵循每个仪器中推荐的方法。结果:71.4%的最小儿童在临床范围内存在行为问题,以内化问题为主;52.6%的6-7岁儿童存在行为问题,内化问题发生率较高。儿童在住院治疗过程中运用情绪调节的应对策略(EE)和寻求社会支持(适应性EE);但也有自我批评和指责他人(情感表达适应不良)。绝大多数(59.26%)儿童对家庭生活质量(M = 10.22, SD = 2.89)和功能(学校活动、膳食)(M = 8.88;3.06)。结论:该样本在住院前出现行为问题,与慢性疾病中常见的焦虑和抑郁有关。与适应不良情感表达的存在相关,这些问题表明需要关注住院儿童的心理健康,这可能有助于改善他们的生活质量和健康结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Problemas de comportamento, coping da hospitalização e qualidade de vida em crianças
OBJECTIVE: To analyze behavioral problems, hospitalization coping and quality of life (QoL) in children hospitalized for chronic diseases, aged between five and seven years. METHODS: The sample consisted of 33 children, aged between 5 and 7 years, hospitalized in a university hospital due to chronic conditions in Cuiaba (MT), who answered individually the Kidcope and the Autoquestionnaire Qualite de Vie Enfante Image. The parents of the children in the sample answered the Child Behavior Checklist (1½-5 years and 6-18 years). In the analysis of the data followed the one recommended in each instrument. RESULTS: 71.4% of the youngest children were identified in the clinical range for behavioral problems, with emphasis on internalizing problems, and 52.6% of those between 6-7 years old, with a higher frequency for internalizing problems. The children dealt with hospitalization with coping strategies (EE) for emotional regulation and seeking social support (adaptive EE); but also with self-criticism and blaming others (EE maladaptive). The majority (59.26%) of the children presented a positive quality of life related to the family (M = 10.22, SD = 2.89) and function (school activities, meals) (M = 8.88; 3.06). CONCLUSIONS: This sample presented behavioral problems prior to hospitalization, related to anxiety and depression, common in chronic diseases. Associated with the presence of maladaptive EE, these problems indicate the need for attention to the mental health of hospitalized children, which may contribute to the improvement of their quality of life and health outcomes.
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