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Analysis of current situation of stigma and social avoidance and distress in school age children with developmental dysplasia of the hip#br# |
FU Huan TIAN Xiaojuan XIA Wudie |
Department of Pediatric Surgery, West China Hospital of Sichuan University, Sichuan Province, Chengdu 610041, China |
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Abstract Objective To observe the current situation of stigma in school age children with developmental dysplasia of the hip (DDH), and to analyze the relationship between stigma and social avoidance and distress of children. Methods A total of 120 school age children with DDH treated in West China Hospital of Sichuan University from January 2020 to January 2021 were selected,the stigma scale for school age children with DDH made by hospital was used to evaluate the stigma of all the children, and the baseline data questionnaire was designed to record the relevant data of school age children, the stigma scale score for school age children with DDH of different data characteristics were compared, and the influencing factors that may affect the stigma of school age children with DDH were analyzed. Results The stigma scale score of 120 school age children with DDH were (62.12±8.07) points. School age children with unilateral DDH had higher stigma scale score than school age children with bilateral DDH, school age children with high level social avoidance and distress (SAD) score had higher stigma scale scores than school age children with low level SAD score, and the differences were statistically significant (P < 0.05). Multiple linear regression analysis showed that unilateral incidence and high level SAD score were the risk factors for high stigma (P < 0.05). Conclusion The medium and high level of stigma in school age children with DDH may be related to high level social avoidance and distress.
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[1] Pont SJ,Puhl R,Cook SR,et al. Stigma Experienced by Children and Adolescents With Obesity [J]. Pediatrics,2017,140(6):e20173034.
[2] Okpara S,Nakonezny P,Wells J. Do psychological factors or radiographic severity play a role in the age of onset in symptomatic developmental dysplasia of hip and femoroacetabular impingement syndrome? [J]. BMC Musculoskelet Disord,2019,20(1):412.
[3] Imaging E,Nguyen MC,Srd B,et al. ACR Appropriateness Criteria Developmental Dysplasia of the Hip-Child-ScienceDirect [J]. J Am Coll Radiol,2019,16(5):94-103.
[4] 管兆兰,尹小青,张年保.外胚层发育不良致患儿牙齿发育缺陷的病耻感调查分析[J].当代护士,2018,25(11):32-35.
[5] 刘群英.积极减压训练对严重烧伤病人社交回避苦恼与接受度的影响[J].护理研究,2017,31(22):2741-2745.
[6] 王艳,王淑云,杨富国,等.永久性结肠造口患者社交状况及其影响因素分析[J].中国护理管理,2017,17(10):138-142.
[7] Shorter D,Hong T,Osborn DA. Screening programmes for developmental dysplasia of the hip in newborn infants [J]. Evid Based Child Health,2011,8(1):11-54.
[8] 邓翠玉,卢琦,赵岳.慢性病病耻感量表的汉化及其在脑卒中患者中的信效度研究[J].中国全科医学,2017,20(34):4304-4309.
[9] Michalos AC. Social Avoidance and Distress Scale(SADA)[M]. Springer,2014:6021.
[10] Eamsobhana P,Saisamorn K,Sisuchinthara T,et al. The Factor Causing Poor Results in Late Developmental Dysplasia of the Hip(DDH)[J]. J Med Assoc Thai,2015,98(8):32-37.
[11] 祝素萍,兰观华,杜青,等.2013-2015年鄞州区新生儿DDH发病情况及Ⅱa型DDH发育异常高危因素与转归分析[J].实用预防医学,2017,24(3):324-326.
[12] Agostiniani R,Atti G,Bonforte S,et al. Recommendations for early diagnosis of Developmental Dysplasia of the Hip(DDH):working group intersociety consensus document [J]. Ital J Pediatr,2020,46(1):150.
[13] 刘恒旸,陈曦,王静成,等.认知行为干预对永久性肠造口患者病耻感和应对方式的影响研究[J].实用临床医药杂志,2017,21(8):134-138.
[14] Schnyder N,Panczak R,Groth N,et al. Association between mental health-related stigma and active help-seeking:systematic review and meta-analysis [J]. Br J Psychiatry,2017,210(4):261-268.
[15] 沙佳,严亚波,徐会法,等.不同年龄组大龄发育性髋关节脱位患儿手术疗效的临床研究[J].中国矫形外科杂志,2017,25(9):775-780.
[16] Zeng WN,Liu JL,Wang FY,et al. Total hip arthroplasty for patients with Crowe type Ⅳ developmental dysplasia of the hip:Ten years results [J]. Int J Surg,2017,14(42):17-21.
[17] Ayanoglu T,Ataoglu MB,Tokgz N,et al. Assessing the risk of asymptomatic dysplasia in parents of children with developmental hip dysplasia [J]. Acta Orthop Traumatol Turc,2019,53(5):346-350.
[18] 王艳,杨富国,王淑云,等.自我隐瞒和自尊在结肠造口患者病耻感与社交回避及苦恼间的中介效应[J].护理学杂志,2017,32(12):76-78.
[19] 贺婷婷,张修航,孔祥力,等.出院前虚拟现实视频心理干预对面部深度烧伤患者出院后情绪影响的前瞻性随机对照研究[J].中华烧伤杂志,2021,37(1):70-75.
[20] Wanner MR,Loder RT,Jennings SG,et al. Changes in femoral head size and growth rate in young children with severe developmental dysplasia of the hip [J]. Pediatr Radiol,2017,47(13):1787-1792.
[21] Nie Y,Ning N,Pei F,et al. Gait Kinematic Deviations in Patients With Developmental Dysplasia of the Hip Treated With Total Hip Arthroplasty [J]. Orthopedics,2017,40(3):e425-e431.
[22] Cha SM,Shin HD,Shin BK. Long-term results of closed reduction for developmental dislocation of the hip in children of walking age under eighteen months old [J]. Int Orthop,2018,42(1):175-182.
[23] 李小艳,王小玮.发育性髋关节发育不良患儿早期干预措施分析[J].中国药物与临床,2020,20(21):170-172.
[24] 张贞,崔跃明,刘倩,等.脑中风轻度失语患者社会支持与社会回避苦恼相关性分析[J].国际精神病学杂志,2018, 45(4):747-750,754.
[25] Jung HW,Jang WY. Effectiveness of different types of ultrasonography screening for developmental dysplasia of the hip:A meta-analysis [J]. Medicine,2020,99(50):e23562. |
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