学龄期哮喘儿童急性应激障碍的危险因素分析

目的 探讨学龄期哮喘儿童急性应激障碍的影响因素。方法 针对2017年1月至2019年1月唐山市妇幼保健院住院的学龄期哮喘儿童伴急性应激障碍患者154例和单纯学龄期哮喘儿童270例，采用斯坦福急性应激反应问卷（SASRQ）、儿童哮喘控制测试（C-ACT）、儿童青少年社会支持评定量表（SSRS-CA）和一般人口学资料对患儿进行评测。结果 424例学龄期哮喘儿童SASRQ得分为41.25±14.692分，多因素logistic回归分析显示，男性（OR=0.142，95%CI:0.077~0.261）、年龄12~14岁（OR=0.010，95%CI:0.001~0.086）、病情轻（OR=0.139，95%CI:0.049~0.399）、疾病控制良好（OR=0.025，95%CI:0.085~0.851）是学龄期哮喘儿童急性应激障碍的保护因素（P＜0.05）；小学文化程度（OR=14.866，95%CI:2.837~77.898）、发作诱因感染（OR=4.656，95%CI:1.163~18.638）、社会支持低水平（OR=4.656，95%CI:1.164~15.539）是学龄期哮喘儿童急性应激障碍的危险因素（P＜0.05）。结论 学龄期哮喘儿童存在明显的急性应激障碍，年龄小、病情重、文化程度低、低社会支持水平、疾病控制不佳是学龄期哮喘儿童急性应激障碍的危险因素。

Influencing factors of acute stress disorder in asthma patients with school-aged childen

To explore the risk factors of acute stress disorder in patients with in asthma patients with school－agedchildren．Methods 154 asthma patients with school－aged children with acute stress disorder and 270 simple asthma patientswith school－aged children who hospitalized at Tangshan Maternal and Child Health Hospital between January of 2017 andJanuary of 2019 were collected，and they were tested by using Stanford Acute StressＲeaction Questionnaire(SASＲQ)，childhood asthma control test(C－ACT)，Social Support Scale for Children and Adolescents(SSＲS－CA)and generaldemographic data．Ｒesults Among the 424 asthma patients with school－aged children，the average SASＲQ score was 41.25±14.692．Multivariate logistic regression analysis showed that male，older(OＲ=0．010，95%CI:0．001－0．086)，mildillness(OＲ=0．139，95%CI:0．049－0．399)，good disease control(OＲ=0．025，95%CI:0．085－0．851)were protectivefactors of acute stress disorder in asthma patients with school－aged children(P＜0．05)．Primary school education(OＲ=14.866，95%CI2．837－77．898)，seizure－induced infection(OＲ=4．656，95%CI:1．163－18．638)，low level of socialsupport(OＲ=4．656，95%CI:1．164－15．539)was risk factor of acute stress disorder in asthma patients with school－agedchildren(P＜0．05)．Conclusion In asthma patients with school－aged children with acute stress disorder，young age，serious illness，low educational level，low level of social support and poor disease control are risk factors of acute stress disorderin asthma patients with school－aged children．