Tap chi KHOA HOC DHSP TPHCM SS 46 nam 2013 THirC TRANG TRE CO ROI LOAN GIAM CHU Y TAI THANH PHO HO CHI MINH LE TH! MINH HA'''' TOM T A T Bdi viit di cap mgt s6 ngi dung sau Thuc trgng Ire co rdi logn gid[.]
Tap chi KHOA HOC DHSP TPHCM SS 46 nam 2013 THirC TRANG TRE CO ROI LOAN GIAM CHU Y TAI THANH PHO HO CHI MINH LE TH! MINH HA' TOM T A T Bdi viit di cap mgt s6 ngi dung sau: Thuc trgng Ire co rdi logn gidm chu y a hoc sinh tiiu hoc Igi Thdnh phd Hd Chi Minh (TPHCM) Tren ca sd do, lim hieujnSi tuang quan giaa rdi logn gidm chuyvdmgtsd yiu Id khdc, ciing nhu rdi logn gidm chuy di km vdi rdi logn khdc Tit khda: rdi loan giam ehu y ABSTRACT The reality of children with Attention Dificit Disorder in Ho Chi Minh City This article discusses the following contents: The reality of Attention Dificit Disorder on Primary-School-Aged children in Ho Chi Minh City, in light of which we also study the relation between ADHD and other factors, as well as other disorders following Attention Dificit Disorder Keywords: Attention Dificit Disorder (ADD) Dat van de Thuat ngii rdi loan tang ddng giam chu y (Attention Deficit Hyperactivity Disorder - ADHD) dugc su dung kha phd bien Bdng phdn logi benh qudc te lan 10 (ICDIO) va So tay chdn dodn vd thdng ki nhirng roi nhieu tdm thdn (DSM-IV) Theo DSM-IV, ADHD dugc su dung rdng rai vdi ba dang bidu hien: giam thilu chu y (Attention Dificit Disorder ADD), tang dgng/xung dgng (Hyperactivity Disorder - HD) va tang ddng giam chu y (Attention Deficit Hyperactivity Disorder - ADHD) [5] Trong bai viet nay, chiing tdi dl cap bieu hien rdi loan giam chu y (RLGCY) Theo DSM-IV, tre roi logn gidm chu y (ma 314.00) cd it nhit trieu chiing sau day tdn tai mgt thdi gian tdi thieu la thang: TS, Trudng Bai hoc Su pham TPHCM 130 Thudng khdng the tap trung vao nhitag chi tiet hoac thudng xuyen mac loi iam bai hoac tham gia vao cac boat dgng khac bat can; Thudng gap khd khan tri sir chu y cdng viec va ca sinh hojt vui chai; D I bj nhang lam viec hoac vui choi; Thudng ed ve nhu khdng nghe ngudi khac ndi vdi minh; Thudng khdng nghe theo ldi chi din va khd hoan nhiem vu du?c giao ttong hgc tap va lam viic (khfing phai vi cd hanh vi chdng ddi hay khong hidu cac yeu cau, hudng din); Thudng gap khd khan td chit cdng viec va cac boat dgng; - Thudng tranh ne, khdng thich ho5c miln cuong tham gia vao boat ddng doi hdi tap trung chii y lau dai (nhu Iam bai tap d Idp hoac ve nha); Tap chi KHOA HOC DHSP TPHCM Le Thi Minh Hd Thuang iam mit dung eu hgc tap (nhu dd chai, biit ehi, sach va) hoac dung cu lam vide); Thuang hay qudn eac hoat dgng hang Nhu vay, RLGCY co bidu hien khong tap truiig ehii y qua miic, lam anh huong den vide hgc tap, phat tridn earn xuc va kl nang xa hgi Hien nay, Khoa Tam li ciia benh vidn Nhi Dong va co nhieu tre den kham lam sang vai nhiing bidu hidn: Thidu tap trung chii y nghe giang, thuong khong lam bai tap va khong tuan thii ngi quy, ne tranh hoac midn cuong lam nhiing vide can su tap trung ehii y, thuang xuyen qudn hoac mat diing hoc tap, hoac khong ghi nha chi dan eiia nguai lan Thu-c trang tre co RLGCY t^i TPHCM Chiing toi sir dung trae nghidm Conners (Nguydn Cong Khanh thich nghi hoa tgi Viet Nam nam 2002) phidn ban ngan danh cho giao vidn (GV) va phu huynh (PH) dd didm RLGCY ciia tre Didm RLGCY PH va GV ciing ddnh gid CO cac miic sau; Muc binh thu&ng: Duoi 60 diem (tre CO hanh vi nhu tre binh thuang); Mirc gi&i hgn: 60-64 diem (tre eo mdt sd hdnh vi cd vdn de han so vai tre binh thuang); Mice cao: 65-69 didm (tre c6 kha nhiiu hdnh vi cd vdn de han so vai tre binh thuong); Mirc rdt cao: Trdn 70 didm (tre eo rat nhieu hdnh vi cd vdn de hon tre binh thuang) Theo each tinh diem ciia thang Conners, diem T-score bdng 65 duac xem Id diem mdc quyet dinh de xdc dinh xem cd nen tiep tuc thdm dd tre cd RLGCY hay khdng Ndu giam diem moc xuong didm, thi T-score Id 60, ta se cd nhiiu tre cdn theo doi han so v&i thifc te Chiing toi chgn nhiing tre co diem T-score tu 60 didm, phuang an phuc vu huang nghidn cihi sang Igc (Screening) [2] Theo ICD-10 va DSM-IV, RLGCY CO dgc trung la khai bdnh sdm (truac tuoi) qua trinh phat tridn, dac bidt bgc 16 ro o liia tuoi tidu hgc Vi vay, chiing toi chgn khao sat 821 hgc sinh tidu hgc (HSTH) (tii 8-11 tudi) dang hgc tCr lap ddn lap tai 20 truong tieu hoe ciia TPHCM va 821 phu huynh, 21 giao vien chu nhiem ciia cac em (trdn co sa lay mlu nhieu bac va chgn mau ngau nhien dan) 2J Ti litre CO RLGCY & HSTH (8-11 tudi) tgi TPHCM Biiu L Phdn phoi diim RLGCY RLOCY GV 131 SS 46 ndm 2013 Tap chi KHOA HOC DHSP TPHCM Bilu cho thiy: Dudng phan phdi chuin diem RLGCY cua tre GV va PH danh gia cd xu hudng la mdt dudng thang, hau nhu khdng cd sy tuang quan giiia danh gia cua GV va PH ve RLGCY d tre Trong dd, danh gia eua GV va PH nhu sau: Cd trudng hgp ca GV va PH diu danh gia dilm RLGCY d mirc gidi ban, 11 trudng hgp miic cao va trudng hgp cimg d miic rat cao Tuy nhien, cd nhidu trudng hgp bat thudng, dd diem danh gia giua GV va PH each biet cao Chang ban cd trudng hgp GV danh gia didm RLGCY cua tre d mirc rat cao, nhung PH chi danh gia d miic gidi ban Hoac cd trudng hgp PH danh gia dilm RLGCY rat cao, nhung GV Iji danh gia d mirc gidi ban Cac trudng hgp cdn lai PH/GV danh gia dilm RLGCY cao/rat cao, nhung GV/PH Iai«danh gia mirc gidi han/cao Kiem dinh cho thiy hau nhu khdng cd sy tuang quan giQa dilm RLGCY GV va PH danh gia tren tre (HSTQ Pearson=0,012, Sig=0,47>0,05) Bdng Diim RLGCY trung binh Trung binh RLGCY PH 69,63 RLGCY GV 65,24 Bang cho thay diem RLGCY trung binh cua tre GV danh gia (65,24) thip ban PH danh gia (69,63), nhien diem GV danh gia tap trung hon (do lech chuin thip) Kiem dinh cho thay, ed sy khac biet cd y nghia ve diem RLGCY trung binh giua danh gia cua GV va PH (t=3,737, Sig=0,001