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目的了解云南省某地区毒品及9～15岁艾滋病致孤儿童的行为问题、健康状况及其关系,为做好遗孤儿童的心理辅导和心理健康教育提供依据。方法采用Achenbach儿童行为量表、自测健康评定量表(SRHMS)和访谈对60名毒品、艾滋病致孤儿童行为问题、健康状况进行调查,并进行统计学分析。结果毒品及艾滋病致孤儿童行为问题检出率为53.3%,其中男童检出率为55.26%,女童检出率为50%,男女童差异无统计学意义(χ2=0.155,P=0.694);遗孤儿童生理健康总体状况相对较好(111.55±21.24),优于心理健康(97.22±19.47)和社会健康(86.33±15.03);男女童行为问题组的SRHMS各项得分普遍低于非行为问题组;男女童行为问题总分对SRHMS各项目(除社会支持)均有明显的负向预测作用。结论毒品及艾滋病致孤儿童行为问题较为突出,健康状况不容乐观,学校应及时对其进行心理干预和辅导。
Objective To understand the behavioral problems, health status and their relationship of drug orphans orphaned children aged 9-15 years old in a certain area of Yunnan Province and provide the basis for psychological counseling and mental health education of orphans. Methods The Achenbach children behavior scale, self-rated health assessment scale (SRHMS) and interviews were used to investigate the behavioral problems and health status of 60 orphans and AIDS orphans. Statistical analysis was conducted. Results The detection rate of children orphaned by drugs and AIDS was 53.3%. The detection rate was 55.26% for boys and 50% for girls. There was no significant difference between boys and girls (χ2 = 0.155, P = 0.694) (111.55 ± 21.24), better than mental health (97.22 ± 19.47) and social health (86.33 ± 15.03). The SRHMS scores of boys and girls in behavioral problems group were generally lower than those of non-behavioral problems Group; the total score of male and female children’s behavioral problems had a significant negative predictive effect on all SRHMS projects (except for social support). Conclusion The behavior problems of children orphaned by drugs and AIDS are more prominent. Their health conditions are not optimistic. Schools should timely psychological intervention and counseling.