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儿童慢性功能性便秘和遗粪症与心理社会环境的关系

Chronic Functional Constipation and Encopresis in Children in Relationship with the Psychosocial Environment.

作者信息

Olaru Claudia, Diaconescu Smaranda, Trandafir Laura, Gimiga Nicoleta, Olaru Radian A, Stefanescu Gabriela, Ciubotariu Gabriela, Burlea Marin, Iorga Magdalena

机构信息

"Gr. T. Popa" University of Medicine and Pharmacy, Iasi, Romania; "Sf. Maria" Emergency Hospital for Children, Iasi, Romania.

"Socola" Emergency Hospital, Iasi, Romania.

出版信息

Gastroenterol Res Pract. 2016;2016:7828576. doi: 10.1155/2016/7828576. Epub 2016 Nov 21.

DOI:10.1155/2016/7828576
PMID:27990158
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5136637/
Abstract

Functional constipation is an issue for both the patient and his/her family, affecting the patient's psychoemotional balance, social relations, and their harmonious integration in the school environment. We aimed to highlight the connection between chronic constipation and encopresis and the patient's psychosocial and family-related situation. . 57 patients with ages spanning from 6 to 15 were assessed within the pediatric gastroenterology ward. Sociodemographic, medical, and psychological data was recorded. The collected data was processed using the SPSS 20 software. . The study group consisted of 57 children diagnosed with encopresis (43 boys (75.44%) and 14 girls (24.56%)), = 10.82 years. It was determined that most of the children came from urban families with a poor socioeducational status. We identified a level of studies of 11.23 ± 5.56 years in mothers, while fathers had an average number of 9.35 ± 4.53 years of study. We also found a complex relationship between encopretic episodes and school performances ( = 7.968, = 0.001, 95% Cl). Children with encopresis were found to have more anxiety/depression symptoms, greater social problems, more disruptive behavior, and poorer school performance. . The study highlights the importance of the family environment and socioeconomic factors in manifestations of chronic constipation and encopresis.

摘要

功能性便秘对患者及其家庭来说都是一个问题,会影响患者的心理情绪平衡、社会关系以及他们在学校环境中的和谐融入。我们旨在强调慢性便秘与大便失禁之间的联系以及患者的心理社会和家庭相关情况。在儿科胃肠病病房对57名年龄在6至15岁之间的患者进行了评估。记录了社会人口统计学、医学和心理数据。使用SPSS 20软件对收集的数据进行处理。研究组由57名被诊断为大便失禁的儿童组成(43名男孩(75.44%)和14名女孩(24.56%)),平均年龄10.82岁。经测定,大多数儿童来自社会教育地位低下的城市家庭。我们发现母亲的受教育年限为11.23±5.56年,而父亲的平均受教育年限为9.35±4.53年。我们还发现大便失禁发作与学业成绩之间存在复杂关系(χ² = 7.968,P = 0.001,95%置信区间)。发现患有大便失禁的儿童有更多焦虑/抑郁症状、更多社交问题、更多破坏性行为以及更差的学业成绩。该研究强调了家庭环境和社会经济因素在慢性便秘和大便失禁表现中的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b587/5136637/876e331334e3/GRP2016-7828576.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b587/5136637/0939fffbd023/GRP2016-7828576.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b587/5136637/00c064b8e52a/GRP2016-7828576.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b587/5136637/876e331334e3/GRP2016-7828576.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b587/5136637/0939fffbd023/GRP2016-7828576.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b587/5136637/00c064b8e52a/GRP2016-7828576.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b587/5136637/876e331334e3/GRP2016-7828576.003.jpg

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Family Structure, Family Stability, and Outcomes of Five-Year-Old Children.家庭结构、家庭稳定性与五岁儿童的成长结果
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