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4至11岁脑瘫儿童问题性媒体使用情况评估:一项病例对照研究。

Evaluation of Problematic Media Use in Children with Cerebral Palsy Aged 4-11 Years: A Case-Control Study.

作者信息

Coşkun Orhan, Guney Abdurrahman Zarif, Topçu Uğur, Karaduman Mustafa

机构信息

Department of Pediatric Neurology, Gaziosmanpasa Training and Research Hospital, University of Health Sciences, Istanbul 34090, Turkey.

Cerrahpaşa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul 34090, Turkey.

出版信息

Children (Basel). 2025 May 24;12(6):675. doi: 10.3390/children12060675.

DOI:10.3390/children12060675
PMID:40564633
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12190602/
Abstract

: Excessive screen exposure that negatively impacts a person's life is referred to as problematic media use (PMU). In healthy children, PMU is associated with a sedentary lifestyle and negative health outcomes. However, this issue is not well understood in children with cerebral palsy (CP). The aim of our study was to evaluate PMU and screen exposure times in children with CP. : All CP patients with variable etiology who were followed up at the child neurology clinic and met the inclusion criteria were included in our study. A total of 91 patients diagnosed with CP and 92 control children, aged 4-11, participated in the study. Daily screen exposure times, sleep durations, and body mass index (BMI) were evaluated. In children with CP, additional data such as the need for special education, CP subtype, epilepsy status, and mobility status were recorded. All participants were administered the long form of the Problematic Media Use Scale, which is valid for children aged 4-11. : When comparing screen exposure between the patient group and the control group, the patient group had significantly higher screen exposure ( < 0.001). Spearman's rho correlation coefficients, calculated to evaluate the relationship between age, sleep duration, screen exposure time and screen addiction questionnaire scores of the children in the patient and control groups, were statistically significant. For the patient group specifically, there was a significant positive relationship between screen exposure duration and screen addiction questionnaire scores (r = 0.380, < 0.001). : In our study, it was seen that problematic media use was no different in CP patients within the same age group. However, screen exposure durations were found to be higher than in the normal population.

摘要

对人的生活产生负面影响的过度屏幕暴露被称为问题性媒体使用(PMU)。在健康儿童中,PMU与久坐不动的生活方式和负面健康结果相关。然而,脑瘫(CP)患儿的这一问题尚未得到充分了解。我们研究的目的是评估CP患儿的PMU和屏幕暴露时间。

所有在儿童神经科门诊接受随访且符合纳入标准的病因各异的CP患者均纳入我们的研究。共有91名被诊断为CP的患者和92名4至11岁的对照儿童参与了该研究。评估了每日屏幕暴露时间、睡眠时间和体重指数(BMI)。对于CP患儿,还记录了特殊教育需求、CP亚型、癫痫状态和活动状态等额外数据。所有参与者均接受了适用于4至11岁儿童的问题性媒体使用量表的长版测试。

在比较患者组和对照组的屏幕暴露情况时,患者组的屏幕暴露显著更高(<0.001)。计算得出的斯皮尔曼等级相关系数用于评估患者组和对照组儿童的年龄、睡眠时间、屏幕暴露时间与屏幕成瘾问卷得分之间的关系,具有统计学意义。具体对于患者组,屏幕暴露持续时间与屏幕成瘾问卷得分之间存在显著正相关(r = 0.380,<0.001)。

在我们的研究中,发现同一年龄组的CP患者在问题性媒体使用方面没有差异。然而,发现屏幕暴露持续时间高于正常人群。