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目的:分析肾病综合征(NS)患儿的行为调查和相关影响因素。方法:选择2015年1月~2016年3月我院住院或者门诊治疗的患儿60例作为观察组,并选择同期同年龄组健康体检儿童50例作为对照组。采用自编人口学调查问卷表调查研究对象家庭状况、患病情况、活动情况和激素使用情况,采用Rutter儿童行为问卷(父母问卷)进行儿童行为调查。采用x~2检验进行单因素分析,采用logistic回归分析进行多因素分析。结果:观察组NS患儿A行为发生率(18.33%)、N行为发生率(20.00%)和总行为问题发生率(38.33%)均高于对照组,差异有统计学意义(P<0.05)。Logistic回归分析结果显示,发病持续时间、复发次数、总住院天数、日均户外活动时间、激素持续时间和激素使用总量是影响NS患儿总行为问题的因素,日均户外活动时间是NS患儿总行为问题的保护因素。结论:NS患儿较健康儿童存在更严重的行为问题,其行为问题受发病持续时间、复发次数、总住院天数、日均户外活动时间、激素持续时间和激素使用总量等因素的影响。
Objective: To investigate the behavior of children with nephrotic syndrome (NS) and related factors. Methods: Sixty children with inpatient or outpatient treatment in our hospital from January 2015 to March 2016 were selected as the observation group and 50 healthy children in the same age group were selected as the control group. The self-compiled demographic questionnaire was used to investigate the family status, prevalence, activities and hormone utilization. The Rutter Children’s Behavior Questionnaire (Parents Questionnaire) was used to conduct a child behavior survey. Univariate analysis using x ~ 2 test and multivariate analysis using logistic regression analysis. Results: The incidence of A behavior (18.33%), N behavior (20.00%) and total behavior problems (38.33%) in observation group were significantly higher than those in control group (P <0.05) . Logistic regression analysis showed that the duration of onset, the number of recurrences, the total number of days of hospitalization, the average daily outdoor activity duration, the duration of hormone and the total amount of hormone use were the factors influencing the total behavioral problems in children with NS. The average daily outdoor activity time was NS Protection of the total behavioral problems of children. CONCLUSIONS: Children with NS have more serious behavioral problems than healthy children. The behavioral problems are affected by factors such as duration of onset, number of recurrences, days of total hospital stay, daily outdoor activities, duration of hormone and total amount of hormone used.