预警征象筛查在社区儿童健康管理中的应用

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中文摘要：目的了解北京市朝阳区潘家园社区 0～3 岁儿童心理行为发育水平，探寻儿童心理行为在社区的筛查模式。方法使用儿童心理行为发育问题预警征象筛查表对 2023 年 1-12 月在潘家园社区接受健康检查的 2 139名 0～3 岁儿童进行心理行为发育预警征象的筛查，统计分析儿童相应年龄的发育偏异情况，并对筛查阳性儿童进行单、多因素分析。结果在2 139 名儿童中，儿童心理行为发育问题预警征阳性的儿童 70 例，阳性率为 3。27%;男童心理行为发育预警征阳性率为4。38%，女童阳性率为 2。06%，两者比较，差异有统计学意义(P<0。05)。<1 岁组儿童心理行为发育问题预警征阳性率为0。56%，≥1 岁且<2 岁组儿童阳性率为 2。38%，≥2 岁且<3 岁组儿童阳性率为 6。86%，≥3 岁且<4 岁组儿童阳性率为 2。58%，不同年龄组儿童的阳性率差异有统计学意义(P<0。05)。多因素Logistic回归分析显示，性别、年龄是儿童心理行为发育预警征筛查阳性的危险因素。结论预警征象筛查在社区基层儿童的健康管理中具有较好的应用价值，能够早期发现心理行为发育偏异的儿童，以便对其进行有效干预，促进儿童早期全面健康发展。

外文标题：Application of Warning Signs Screening in Community Children's Health Management

外文摘要：Objective To learn the psychological and behavioral development level of children aged 0-3 in Panjiayuan Community,Chaoyang District,Beijing City,and explore the screening model of children's psychological behavior in the community.Methods The Screening Form for Warning Signs of Children's Psychological and Behavioral Development Problems was used to screen 2 139 children aged 0-3 who received health check-up in Panjiayuan Community from January to December 2023.The developmental deviations of the children at corresponding ages were statistically analyzed,and single and multiple factor analyses were conducted on the screened positive children.Results Among 2 139 children,70 had positive warning signs for psychological and behavioral development problems,with a positive rate of 3.27%.The positive rate of psychological and behavioral development warning signs in boys was 4.38%,while in girls it was 2.06%.The difference between the two was statistically significant(P<0.05).The positive rate of warning signs for psychological and behavioral development problems in<1 year children is 0.56%,the positive rateinchildrenaged≥1 and<2yearsis2.38%,thepositiverateinchildrenaged≥2and<3yearsis6.86%,andthepositiveratein children aged≥3 and<4 years is 2.58%.There is a statistically significant difference in the positive rate among children of different age groups(P<0.05).Multivariate logistic regression analysis showed that gender and age are risk factors for positive screening of warning signs in children's psychological and behavioral development.Conclusion The screening of warning signs has good application value in the health management of grassroots children in the community.It can detect children with psychological and behavioral developmental deviations early,so as to effectively intervene and promote their comprehensive and healthy development in early childhood.

外文关键词：

ChildrenPsychological and behavioral developmentWarning signsHealth managementCommunity

作者：

段琳琳、吕莹、李秋菊、董丽娜、冀蓉蓉、苗秀芳

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作者单位：

北京市朝阳区妇幼保健院,北京 100021

关键词：

儿童心理行为发育预警征象健康管理社区

出版年：

2025

DOI：