Levy Michelle C, Kronenberger William G, Carter Bryan D
Department of Psychological Sciences, Purdue University, USA.
J Pediatr Psychol. 2008 Sep;33(8):905-9. doi: 10.1093/jpepsy/jsn039. Epub 2008 Apr 29.
Little is known about factors predicting in-hospital adjustment in children with chronic illnesses or about risk/protective factors for in-hospital behavior compared to out-of-hospital behavior. This study investigated the relationship between illness factors (chronicity and severity) and child adjustment in and out of the hospital.
Parents and nurses completed questionnaires about in-hospital and home behavior for a sample of 85 hospitalized children.
In the hospital, children with acute illnesses demonstrated more internalizing behavior problems than children with chronic illnesses. Children with life-threatening illnesses had more internalizing and externalizing problems than children with non-life-threatening illnesses. Out of the hospital, children with chronic illnesses demonstrated more internalizing problems and a trend toward more externalizing problems than healthy children who later developed acute illnesses. Out of hospital behavior problems were unrelated to illness severity.
Results suggest that different illness factors may predict in-hospital as compared to out-of-hospital behavioral adjustment.
对于预测慢性病患儿住院期间适应情况的因素，以及与院外行为相比住院期间行为的风险/保护因素，我们知之甚少。本研究调查了疾病因素（慢性病和严重程度）与患儿院内和院外适应情况之间的关系。
家长和护士针对85名住院患儿的样本完成了关于住院期间和在家行为的问卷调查。
在医院里，患有急性病的儿童比患有慢性病的儿童表现出更多内化行为问题。患有危及生命疾病的儿童比患有非危及生命疾病的儿童有更多内化和外化问题。在院外，患有慢性病的儿童比后来患急性病的健康儿童表现出更多内化问题以及有更多外化问题的趋势。院外行为问题与疾病严重程度无关。
结果表明，与院外行为适应相比，不同的疾病因素可能预测住院期间的行为适应情况。
