中国郑州香港台湾三地青少年生存质量和心理健康比较

常明钰; 张瑞星; 王梦佳; 程梦吟; LeeRegina; SuIng-Ya

doi:10.16835/j.cnki.1000-9817.2021.04.023

中国郑州香港台湾三地青少年生存质量和心理健康比较

doi: 10.16835/j.cnki.1000-9817.2021.04.023

1.
郑州大学护理与健康学院, 河南 450000
2.
河南省人民医院护理部/郑州大学人民医院/河南大学临床医学院
3.
纽卡斯尔大学护理和助产学院
4.
台湾学校护士协会

详细信息

作者简介:
常明钰(1996-)，女，河南南阳人，在读硕士，主要研究方向为青少年心理护理

通讯作者:
张瑞星，E-mail：894499618@qq.com

中图分类号: G647.8G444
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- 被引次数: 0
出版历程
- 收稿日期: 2020-10-13
- 修回日期: 2020-12-12
- 网络出版日期: 2021-04-16
- 刊出日期: 2021-04-25

Comparative study on the quality of life and mental health of teenagers in Zhengzhou and HongKong and Taiwan

1.
School of Nursing and Health, Zhengzhou University, Zhengzhou(450000), China

摘要

摘要: 目的探讨郑州市青少年的生存质量和心理健康现状并与中国香港、台湾地区进行比较，为今后相应教育方案的制定提供依据。方法分层整群抽取郑州市12所中小学四至九年级6 401名学生，分别整群抽取香港和台湾地区四至九年级3 642和1 547名学生，使用儿童生活质量普适性核心量表、自尊量表、一般自我效能感量表、抑郁-焦虑-压力量表中文精简版及自制一般情况调查表进行问卷调查。结果郑州、香港和台湾三地区青少年在生存质量总分及各维度、自尊、自我效能、焦虑、抑郁、压力得分差异均有统计学意义(F值分别为398.17，257.90，193.53，321.34，258.89，191.30，171.28，51.13，119.00，67.40，P值均 < 0.05)。郑州市青少年生存质量总分及各维度得分高于香港地区，而自尊和焦虑得分低于台湾青少年(P值均 < 0.05)。除自尊、焦虑和压力方面，不同年级和性别郑州市青少年的生理功能、情感功能、社会功能、学校功能、自我效能、抑郁及生活质量总分差异均有统计学意义(t值分别为13.53，20.71，10.92，20.26，14.68，-16.03，21.26；6.16，3.81，-2.22，-0.33，8.76，4.16，2.71，P值< 0.01)。港台地区青少年生存质量在不同年级和性别上表现出的特征与郑州市青少年基本一致，抑郁、压力得分在年级变化上的差异与郑州市青少年相同。结论郑州市青少年生存质量和心理健康整体良好，且优于港台地区。需探讨青少年生存质量和心理健康状况之间的关系，以期提高青少年的生存质量水平。
- 生活质量 /
- 精神卫生 /
- 香港 /
- 台湾 /
- 青少年
Abstract: Objective To explore the quality of life and mental health status of adolescents in Zhengzhou, and to compare with HongKong and Taiwan. Methods A total of 6 401 students from 12 primary and secondary schools in Zhengzhou City. A total of 3 642 students from HongKong and 1 547 students from Taiwan were selected by cluster sampling. And Padiatric Quality of Life Inventory Version 4.0, Self-Esteem Scale, General Self-efficacy Scale, Depression Anxiety Stress Scale and self-made general situation questionnaire were used to conduct questionnaire survey. Results The total score of quality of life and the scores of each dimension in Zhengzhou were significantly higher than those in HongKong, while self-esteem and anxiety were lower than those of Taiwan adolescents(P < 0.05). In addition to self-esteem, anxiety and stress, the scores of quality of life and mental health of adolescents of different grades and genders in Zhengzhou were statistically different(t=13.53, 20.71, 10.92, 20.26, 14.68, -16.03, 21.26;6.16, 3.81, -2.22, -0.33, 8.76, 4.16, 2.71, P < 0.01). The quality of life of adolescents in HongKong and Taiwan in different grades and genders were basically the same as those in Zhengzhou, and the differences of depression and stress scores in grades were the same as those in Zhengzhou. Conclusion The overall quality of life and mental health of adolescents in Zhengzhou is better than that in Hong Kong and Taiwan. It is necessary to explore the relationship between the quality of life and mental health of adolescents in order to improve their quality of life.
- Quality of life /
- Mental health /
- Hongkong /
- Taiwan /
- Adolescent

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表 1 各地区不同学段青少年生存质量与心理健康得分比较(x±s)

Table 1. Comparison of quality of life and mental health scores of adolescents in different regions and school periods(x±s)

地区	学段	人数	统计值	生理功能	情感功能	社会功能	学校功能	生活质量总分	自尊	自我效能	焦虑	抑郁	压力
郑州	小学	3 601		67.60±10.55	61.74±14.79	71.52±10.66	66.29±10.86	67.12±9.13	20.09±5.36	28.98±6.35	2.92±3.61	2.12±3.50	3.49±3.96
	初中	2 792		63.70±12.04	53.60±16.30	68.81±12.38	60.15±13.23	61.72±10.48	20.63±4.49	26.56±6.33	4.63±4.59	3.78±4.62	5.40±4.87
			t值	13.53	20.71	10.92	20.26	21.26	-4.08	14.68	-16.40	-16.03	-16.98
			P值	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01
香港	小学	3 002		60.61±13.04	52.43±16.69	64.40±14.27	58.43±13.11	73.70±14.15	27.77±4.66	25.53±6.37	4.31±4.52	4.13±4.81	5.22±4.85
	初中	640		57.61±13.35	49.30±14.96	60.84±15.04	53.35±12.87	68.96±13.60	27.17±4.45	25.25±5.84	4.96±4.33	4.84±4.57	6.12±4.65
			t值	5.22	4.34	5.63	8.89	7.57	2.87	1.02	-3.27	-3.42	-4.24
			P值	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01	>0.05	< 0.01	< 0.01	< 0.01
台湾	小学	1 056		64.81±13.94	58.96±17.35	68.30±15.31	61.92±14.13	79.62±15.87	28.95±4.63	26.84±6.85	3.35±4.35	3.05±4.54	4.15±4.63
	初中	491		63.83±12.43	58.18±16.08	69.19±12.12	58.36±14.30	78.01±13.47	27.54±4.57	25.27±6.43	3.31±3.39	3.35±3.84	4.47±3.97
			t值	1.33	0.84	-1.14	4.57	1.90	5.50	4.19	0.20	-1.24	-1.29
			P值	< 0.05	< 0.01	< 0.01	>0.05	< 0.01	>0.05	>0.05	< 0.01	< 0.01	< 0.01

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表 2 不同地区男女生生存质量与心理健康得分比较(x±s)

Table 2. Comparison of quality of life and mental health scores of adolescents of different genders and regions(x±s)

地区	性别	人数	统计值	生理功能	情感功能	社会功能	学校功能	生活质量总分	自尊	自我效能	焦虑	抑郁	压力
郑州	男	3 390		66.73±11.17	58.91±15.61	70.28±11.66	63.57±12.20	65.08±9.98	20.28±5.17	28.62±6.47	3.74±4.27	3.05±4.30	4.40±4.56
	女	3 004		64.96±11.56	57.38±16.32	70.93±11.44	63.67±12.18	64.36±10.22	20.38±4.82	27.17±6.34	3.58±4.03	2.62±3.89	4.23±4.40
	小计	6 041		65.90±11.39	58.19±15.97	70.59±11.56	63.62±12.32	64.75±10.11	20.33±5.01	27.94±6.46	2.85±4.12	3.67±4.16	4.33±4.48
			t值	6.16	3.81	-2.22	-0.33	2.71	-0.79	8.76	1.56	4.16	1.51
			P值	< 0.01	< 0.01	< 0.01	< 0.01	< 0.01	>0.05	< 0.01	>0.05	< 0.01	>0.05
香港	男	1 868		61.88±13.47	54.07±16.73	63.31±15.76	57.82±14.06	74.03±14.73	27.97±4.87	26.10±6.67	4.44±4.71	4.46±5.01	5.48±5.02
	女	1 774		58.48±12.54	50.05±15.80	64.33±13.08	57.46±12.31	71.96±13.47	27.40±4.35	24.91±5.83	4.41±4.31	4.04±4.52	5.27±4.64
	小计	3 642		60.12±13.14	51.92±16.43	63.79±14.46	57.56±13.19	58.31±11.33	27.67±4.62	25.48±6.28	4.43±4.50	4.25±4.77	5.38±4.83
			t值	7.78	7.36	-2.11	0.82	4.30	3.57	5.60	0.18	2.65	1.26
			P值	< 0.01	< 0.01	< 0.05	>0.05	< 0.01	< 0.01	< 0.01	>0.05	< 0.01	>0.05
台湾	男	787		64.96±13.73	59.73±16.65	67.90±14.64	59.98±14.57	79.11±15.06	28.73±4.52	26.49±6.99	3.34±4.03	3.17±4.31	4.38±4.44
	女	760		64.36±13.11	58.08±17.03	69.70±14.64	61.76±13.88	79.48±15.02	28.27±4.81	26.12±6.65	3.23±4.03	2.99±4.20	4.05±4.36
	小计	1 547		64.60±13.48	58.76±16.93	68.61±14.38	60.80±14.28	63.33±12.13	28.49±4.67	26.30±6.82	3.31±4.05	3.12±4.31	4.22±4.41
			t值	0.89	1.95	-2.53	-2.47	-0.48	1.95	1.07	0.50	0.84	1.43
			P值	>0.05	>0.05	< 0.05	< 0.05	>0.05	>0.05	>0.05	>0.05	>0.05	>0.05

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参考文献(18)

[1]	RAVENSSIEBERER U, GOSCH A, RAJMIL L, et al. KIDSCREEN-52 quality-of-life measure for children and adolescents[J]. Expert Rev Pharm Out, 2005, 5(3): 353-364. http://www.ncbi.nlm.nih.gov/pubmed/19807604/
[2]	许燕, 吴擢春. 健康相关生命质量评价的概念方法及应用[J]. 中国社区医学, 2002, 8(3): 30-31. XU Y, WU Z C.Conceptual methods and application of health relatedquality of life assessment[J]. Chin J Soc Med, 2002, 8(3): 30-31.
[3]	王甲娜. 班主任因素、家庭环境、学生人格与中小学生行为问题研究[D]. 沈阳: 中国医科大学, 2011. WANG J N. Research of head teacher factors, family environment、personality and behavioral problems among school students[D]. Shengyang: China Medical University, 2011.
[4]	静进. 我国儿童青少年面临的主要心理卫生问题及对策[J]. 中国心理卫生杂志, 2010, 24(5): 321-324, 355. doi: 10.3969/j.issn.1000-6729.2010.05.001 JING J. The main mental health problems faced by children and adolescents in China and their countermeasures[J]. Chin Mental Health J, 2010, 24(5): 321-324, 355. doi: 10.3969/j.issn.1000-6729.2010.05.001
[5]	辛自强, 张梅. 1992年以来中学生心理健康的变迁: 一项横断历史研究[J]. 心理学报, 2009, 41(1): 69-78. https://www.cnki.com.cn/Article/CJFDTOTAL-XLXB200901010.htm XIN Z Q, ZHANG M. Changes in the mental health of middle school students since 1992: a cross-sectional historical study[J]. Acta Psychol Sinica, 2019, 41(1): 69. https://www.cnki.com.cn/Article/CJFDTOTAL-XLXB200901010.htm
[6]	LIN C Y, LUH W M, YANG A L, et al. Psychometric properties and gender invariance of the Chinese version of the self-report pediatric quality of life inventory version 4.0: short form is acceptable[J]. Q Life Res, 2012, 21(1) : 177-182. doi: 10.1007/s11136-011-9928-1
[7]	朱雪丽, 耿耀国, 石丽萍, 等. 河南中小学生生存质量及其与负性情绪社会支持的相关性[J]. 中国学校卫生, 2020, 41(2): 201-204. doi: 10.16835/j.cnki.1000-9817.2020.02.011 ZHU X L, GENG Y G, SHI L P, et al. Quality of life among primary and middle school students and its association with negative emotions and social support in Henan Province[J]. Chin J Sch Health, 2020, 41(2): 201-204. doi: 10.16835/j.cnki.1000-9817.2020.02.011
[8]	汪向东, 王希林, 马弘. 心理卫生评定量表[M]. 北京: 中国心理卫生杂志社, 1999: 318-319. WANG X D, WANG X L, M Q. Manual of Mental Health Rating Scales[M]. Beijing: Chinese Mental Health Journal, 1999: 318-319.
[9]	邱瑀, 宋莉莉, 王詠, 等. 中学生坚毅自我同一性和自尊的关系[J]. 中国学校卫生, 2020, 41(3): 379-382. doi: 10.16835/j.cnki.1000-9817.2020.03.016 QIU Y, SONG L L, WANG Y, et al. Relationship between grit and self-esteem in middle school students: the mediating role of self-identity[J]. Chin J Sch Health, 2020, 41(3): 379-382. doi: 10.16835/j.cnki.1000-9817.2020.03.016
[10]	ZHANG J X, SCHWARZER R.Measuring optimistic self-beliefs: a Chinese adaptation of the general self-efficacy scale[J]. Psychologia, 1995, 38(3): 174-181. http://psycnet.apa.org/psycinfo/1996-35921-001
[11]	王才康, 胡中锋, 刘勇. 一般自我效能感量表的信度和效度研究[J]. 应用心理学, 2001, 7(1): 37-40. doi: 10.3969/j.issn.1006-6020.2001.01.007 WANG C K, HU Z F, LIU Y. Evidences for reliability and validity of the Chinese version of general self-efficacy scale[J]. Chin J Appl Psychol, 2001, 7(1): 37-40. doi: 10.3969/j.issn.1006-6020.2001.01.007
[12]	文艺, 吴大兴, 吕雪靖, 等. 抑郁-焦虑-压力量表中文精简版信度及效度评价[J]. 中国公共卫生, 2012, 28(11): 1436-1438. doi: 10.11847/zgggws2012-28-11-14 WEN Y, WU D X, LYU X J, et al. Psychometric properties of the Chinese short version of depression anxiety and stress scale in Chinese adults[J]. Chin J Public Health, 2012, 28(11): 1436-1438. doi: 10.11847/zgggws2012-28-11-14
[13]	LIU W, LIN R, GUO C, et al. Prevalence of body dissatisfaction and its effects on health-related quality of life among primary school students in Guangzhou, China[J]. BMC Public Health, 2019, 19(1): 213. doi: 10.1186/s12889-019-6519-5
[14]	杨蓓, 姬成伟, 王宏, 等. 太原市初一学生健康相关生存质量影响因素研究[J]. 中国学校卫生, 2015, 36(12): 1811-1813. http://www.cjsh.org.cn/article/id/zgxxws201512015 YANG B, JI C W, WANG H, et al. Influencing factors regarding health-related quality of life among junior middle school students[J]. Chin J Sch Health, 2015, 36(12): 1811-1813. http://www.cjsh.org.cn/article/id/zgxxws201512015
[15]	张微, 张宛筑, 袁章奎. 贵阳市中小学生心理健康现状[J]. 中国学校卫生, 2018, 39(8): 1256-1259. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201808046.htm ZHANG W, ZHANG W Z, YUAN Z K. Mental health status of primary and middle school students in Guiyang[J]. Chin J Sch Health, 2018, 39(8): 1256-1259. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201808046.htm
[16]	杨蓓, 姬成伟, 余红梅. 初一学生健康相关生存质量现状及其与心理健康的相关性[J]. 中国校医, 2016, 30(5): 321-323, 325. https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI201605002.htm YANG B, JI C W, YU H M. Health-related quality of life and mental health characteristics and their possible correlation in junior middle school students[J]. Chin J Sch Doc, 2016, 30(5): 321-323, 325. https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI201605002.htm
[17]	石千宁, 陈娟. 长春市部分中小学生自我效能、心理健康与校园伤害应对现状调查[J]. 中国健康教育, 2018, 34(1): 87-89. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK201801022.htm SHI Q N, CHEN J. Survey on self-efficacy, mental health and school bullying among the primary and secondary school students in Changchun City[J]. Chin J Health Educ, 2018, 34(1): 87-89. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK201801022.htm
[18]	张肖婧. 初中生亲子关系、自我效能感与自尊的关系研究[D]. 北京: 中国青年政治学院, 2018. ZHANG X J. Study on the relationship between parent-child relationship, self-efficacy and self-esteem of junior middle school students[D].Beijing: China Youth University Political Sciences, 2018.