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TAP CHi KHOA HOC DHSP TPHCM So 8(74) nam 201S V ROI NHIEU TAM TRf VA SU LIEN HE DEN CAC HANH VI VI PHAM NOI QUY, BAO LUC TRONG TRUOTVC HOC CUA HOC SINH TRUNG HOC TINH LAM DONG NGUYEN DiNH CHAT'''' TOM TA[.]
TAP CHi KHOA HOC DHSP TPHCM So 8(74) nam 201S V ROI NHIEU TAM TRf VA SU LIEN HE DEN CAC HANH VI VI PHAM NOI QUY, BAO LUC TRONG TRUOTVC HOC CUA HOC SINH TRUNG HOC TINH LAM DONG NGUYEN DiNH CHAT' TOM TAT Bill viil phan lich thuc trang rdi nhieu lam Iri ciia fl09 hoc sinh (HS) Irung ho Lam Ddng v5 cdc mat: rdi nhiiu chung cac loai roi nhieu Ihdnh phdn roi nhieu theo g tinh hac hoc hodn cdnh gia dinh Ddng Ihdi chi riii nhieu Idm tri Id mat nhiing ngiiyHn nhdn cua tinh Irgng HS vi pham noi cpn: bao lire Irong trucmg hoc Tren co s /mt vdn de dua Idm li hoc dirang vdo truimg Irung hoc Tir khoa: thuc trang r6i nhieu tam tri, bao luc hpc ducmg, hoc sinh trung hpc, tinh Lam Dong ABSTRACT Mental and behavioral disorders - its connection with the discipline violations and school violence of high school students in Lam Dong province This article analyses the current situations of 809 high school 'Students in Lam province who are suffering from the mental and behavioral disorders on Ihe following aspects, common disorders, kinds of componenlial disorders, disorders according lo gender, educational level, and.family circumstances Besides, the article indicates me and behavioral disorders are one of the causes for students' violations of rules and sch violence Then propose lo make use of psychology in high schools Keywords: mental and behavioral disorders, school violence, high school students Lam Dong province Dat van de Hanh vi vi pham npi quy hpc tap, bao lire trpng truang hpc cua HS trung hpc dang la mpt hien tupng nhiic nh6i du luan xa hpi Nguyen nhan ciia hien tuang tren co the la nguyen nhan xa hpi (moi truang xa hpi, cpng dong noi sinh song hpc tap, gia dinh, truang hpc, nhom ban) va nguyen nhan tam li (dpng CO kha nang thich img, lech lac tam li, nhan each) Nhimg HS co doi s6ng tinh than binh thuong khoe manh thi se tham gia hoat dpng hpc tap binh thuong, lam chu va kiem soat duac hanh vi de thich ling xa hpi Nguac lai, dai s6ng tinh thita ciia HS khong binh thuong (roi nhieu) s5 can tra cac em thyc hien npi quy nhi trucmg, kho kiSm soat hanh vi ciii minh nen hay vi pham npi quy nha truang, tham chi co nhihig hanh vi ch6iig dfii, thach thiic Theo NguySn Thi My Lpc va Dang Hoang Minh [3], siic khoe tinh thin cua HS bi tdn thuong thi thuang co biJo hien ben ngoai nhu r6i loan %\k ngii, bieng an, met moi, giam chii y, qua hifu ThS, Tnrcmg Cao dSng S u pham Oa Lgt; Email: nguyendinhchat@gmail 48 com TAP CHi KHOA HOC DHSP TPHCM ddng, giam sut hgc lap, thifiu hiing thu xa lanh, ngai giao tiep lo sg , hdl hoang, budn chan, tu tu, rdi loan hanh vi chdng ddi, vi pham phap luat Hien lugng trfin dat van dfi la cac trudng trung hgc d Lam Dong, tinh hinh HS bi rdi nhifiu tam tri nhu thfi nao? Sd HS bi rdi nhieu lien he gi den hanh vi vi pham ngi quy, bao lire trudng hgc va giai phap nao cho nha irudng trung hgc Lam Ddng dfi gdp phan giai quyfit van dfi nay? Bai bao la mdt phan kfit qua nghien cuu giai doan ciia dfi tai: "Nghifin cim tham van hgc dudng trudng trung hgc tinh Lam Ddng" Mot so khai niem cc ban / Roi nhieu tdm tri Rdi loan tam than va rdi nhieu tam H la khai nifim ed ciing ddi tugng nghien cim, dd la nhung ngudi khdng binh thudng ve sire khde tinh than Dac tnmg hanh vi ciia nhung ngudi khdng binh thudng vfi siic khde tinh than (cac nghien cim dich tfi hgc cho bifit sd ehifim 15%) [5] so vdi nhung ngudi cd ddi sdng tinh than binh thudng (ti le djch tfi hgc 80%) la hg khdng the hifin, thuc hien dugc thai dp iing xir, hanh vi mdt each binh thudng nhu nhiing ngudi cd ddi sdng Hnh than binh thudng (khde manh) Theo Lfi Khanh, "rdi nhieu tam li difin dira tre cd nhimg thai dp dap ling hoac hanh vi khdng binh thudng, khdng phu hgp vdi each iing xii nhu nhirng diia tre khac cung dp ludl, tre ed nhirng han chfi vt giac quan, vfi van dpng" [2] Rdi nhifiu tam li la rdi loan lam ih^n thfi nhe la md hinh ciia trifiu chiing hanh vi khdng binh thudng da Nguyen Dinh Chdt hinh mdt co cau ndi tam phan nao cd dinh, dd de giai tda nd rat can den nhung giai phap he thdng, bfin vttng ca bfin va bfin ngoai giao due tam li va tri lieu tam li Nguyin Khac Vien eho rang rdi nhifiu lam li "tiie la chua den loan lam, chua den lan nhan each gay mat djnh hudng, nhung cilng da hinh mpt co cau ndi tam phan nao cd dinh can dugc thao gd mgt each cd he thdng chir khdng phai la phan iing nhat thdi) [8, tr.l 01] Pham Song, Tran Tuan [6] de nghi sii dung khai nifim roi nhieu tdm tri vi roi nhieu tdm H hay roi logn tdm thdn la nhung ngudi khdng binh thudng vfi mat siic khde tinh than ma tam than hpc gpi la "mental disorders", tam li hpc ggi la ''mental health problems" Hai tac gia de xual sir dung khai nifim roi nhieu tdm tri vi nhiing li sau: Khai nifim "rdi nhifiu tam tri" ddi hdi su can thifip cua ca nhan, gia dinh xa hdi dfin viec cham chu:a sire khde tinh than cho ngudi benh va trien vpng hdi phuc nfiu dugc can thiep: Khai nifim ''rdi nhifiu lam tri" thfi hien dugc su phire tap cua ca chfi benh sinh siic khde tam than, hau qua tat yfiu nfiu khdng dugc dieu trj; Khai nifim "rdi nhifiu tam tri'* thfi hifin mirc rdi loan tam than nhe hon, cd thfi difiu tri trd lal binh thudng hon so vdi "benh tam than - mental Illnesses" Xet bdi canh van hda Viet Nam, cd dinh kifin sai Iam ve bfinh tam than, do dung thuat ngtr "rdi nhifiu tam tri" dem lai mdt hinh anh than thifin vdi nhung ngudi dfi xa hdi khdng di 49 TAP CHI KHOA HOC DHSP TPHCM '^1 So 8(74) nam 2015 - D4U hieu thir hai cd hai bifiu hien, bifiu hifin thii nhal ggi la gia tang ho^t ddng, tifiu chuan chan doan cd dau hieu Bifiu hifin thir hai ggi la linh xung dpng, tifiu chuan chan doan cd dau hifiu Cung theo lal lieu trfin, mdt datng rdi loan hanh vi difin hinh khac la rdi loan cu xir va rdi loan thach thiic chdng doi Cac tifiu ehuan chan doan rdi loan cu xir gdm 14 dau hifiu Cac tifiu chuan ch^ doan rdi loan chdng ddi, khifiu khich gfim dau hieu Can cti cac tieu ehuan chan doan tren chung tdi cho rang hanh vi vi pham ndi quy, bao lire trudng hpc ciia HS trung hpc cd thfi xem nhu la cac hanh vi Rdi nhifiu lam tri d HS trung hpc rdi nhieu hpe tap va rdi loan cu xir, rfii khdng phai la nhiing hanh vi nhk thdi loan thach thiic chdng ddi phan ling lai hoan canh ma la mdt cdu true Mdt nhung nguyen nhan gay ndi tam dang hinh phan nao dn dinh hanh vi rdi nhifiu hgc tap la nhiing HS can phai dugc can thifip he thdng dfi trd lai dd mac phai lang ddng giam ehu y binh thudng HS rdi nhifiu tam tri dupc (ADHD) Rdi loan cu xir, rdi loan chfing xem la rdi loan tam than the nhe nhung ddi, khieu khich la mdt nhthig chua phai la bfinh tam than, ed thfi can nguyen nhan gay hanh vi mang tinh thiep dfi hdi phue bang giai phap tam li bao Iyc cua HS nha trudng hgc dudng va tri lieu tam li Nhung HS mac phai cac rdi loan 2.2 Hanh vi vi phgm npi quy, bgo lire hanh vi thudc rdi loan cu xir d miic nhe tr irang hgc va trung binh thudc loai rdi loan hanh vi Cac dau hifiu bfin ngoai ciia rdi ciia nhimg ngudi cdn cd kha nang thich nhifiu lam tri da dugc nhifiu nha khoa hgc ling xa hdi nghifin cim va dugc tdng kfit y van 2.3 Sdng lgc rdi nhieu tdm tri thfi gidi Sang lpc rdi nhifiu tam tri la sii Theo tai lieu So tay thong ke vd chdn dyng cac cdng eu (test, bang hdi tam If) dodn cdc roi logn tdm than riit gon -IV- dfi phat hifin nhanh nhirng ca nhan a cdc tieu chudn chdn dodn cua Hifip hdi tam cdng ddng dang bi rdi loan tam than qudc tfi [1] thi rdi loan tang ddng giam than nham cd bien phap can thiep kip chu y chia dau hieu ehinh: thoi, giup hg trd lai mdt site khde tinh D4U hieu thii nhat ggi la m^t chii y, than binh thudng tieu chuan chan doan cd d§u hifiu Trfin thfi gidi, ed nhifiu cdng cu nghi la bfinh tam than Theo chiing tdi, rdi nhieu tam tri la rdi loan tam than thfi nhe dSn dfin mk kha nang kiem soat hanh vi khien cho chu the khdng the hifin dugc thai dp, thuc hien dugc cae hanh vi img xii nhu nhtmg ngudi kh^c van the hifin va thuc hifin mdt each binh thudng Trfin co sd dd, rdi nhieu tam tri d HS tmng hgc la nhflng khd khan tam li d mirc nd gay trang thai tam li khdng binh thudng va lech lac cua ca nhan vugt qua ngudng kiem soal eua y thiic, sinh nhung hanh vi khdng binh thudng, khdng phu hgp vdi each iing xir thdng ihuimg nhu nhimg HS khac vific chap hanh difiu le, ngi quy nha trudng 50 PAP CHi KHOA HOC DHSP TPHCM Nguyen Dinh Chdt iang lgc rdi nhieu tam tri nhu thang ve Phuong phap tifin hanh sang lgc la ianh vi eiia trfi em ciia Achenbach timg HS thyc hien bang hdi difiu kifin trudc dd dugc can bd nghien ciiu T991) thang long quat hanh vi cua hudng dan chi tifit y nghta cua vific tra ldi Conners (CBRS-SR), thang lugng gia bang hdi va each tra ldi bang hdl Thdi :huan doan ADHD eiia C Keith Conner, gian tra Idi bang hdi tdi thifiu 20 phiit 3RQ (self - Reporting Questionaire) dung cho ngudi ldn eua WTO phat trien Cdng cu sang lgc rdi nhieu la bang va khuyen cao sir dung hdi SQD 25 (RTCCD 2004) Bang hdi gdm 25 cau hdi la cae dau hifiu dac trung Trong nghifin ciiu nay, chiing toi sir cua loai hanh vi rdi nhifiu (rdi nhieu dung cdng cu sang lgc rdi nhieu tam tri cam xiic, rdi nhifiu hanh vi ADHD, rdi SQD 25 (Strength and Dificulties nhifiu quan he ban be va rdi nhifiu quan Questionnaire) cua Robert Goodman d he xa hgi) de HS dpc cham, suy nghT va Vien sire khde tam than Luan Ddn da dugc tu dien vao phan tra ldi Trung tam nghifin ciiu va phat trifin cdng ddng (RTCCD) nghifin ciiu chuan hda dich - Tifiu chi danh gia tung loai rdi nhifiu va danh gia rdi nhieu chung Phifiu tfi hgc thich nghi d Vifit Nam nam 2004 sang lpc SDQ 25 khdng phan bifit rdi Thu'c trang roi nhieu tam tri cua nhifiu nang hay nhe ma chi dua tri sd HS trung hoc tinh Lam Dong 3.1 Phu-ffng phdp vd cong cu nghien rdi nhieu tdi thifiu - Phuang phap vSx li sd lieu theo timg CU'U phifiu cua timg HS Sau dd khao sat tinh Mau khao sat sang Igc rdi nhifiu la hinh rdi nhifiu tam tri tren toan thfi mau HS ldp 8, 9, 10, 11, 12 ciia trudng trung khao sat hgc d 6/12 huyfin, thi xa, phd tren 3,2 Ket qud sdng lgc roi nhieu tdm tri vimg kinh lfi - xa hdi khac cua tinh cua HS trung hgc tinh Ldm Dong Lam Ddng 3.2.1 Tinh hinh chung Mau khao sat 809 khach the vdi dp Sau xir li 809 bang hdi SQD 25 tin cay 95%, sai so ^ ~ 0,5, tri sd trung binh (RTCCD 2004 da dugc HS tra ldi dSy du, 3,117, trung binh dp lech so vdi tri trung chung tdi thu dugc kfit qua nhu sau: binh 1,263, dp lech chuan (o = 0,679) Bieu J Tinh hinh roi nhieu tdm tri cua HS frung hgc tinh Ldm Dong ti-ong mdu khdo sdt • Roi nlueu I.iin [n J54.5"*" l^^l D (.'linsiu CO enc btioi iihieii 1^111 lu ^ g W Sue khoe (mil lUiiiioiiiitc: Lmtli tljUoiic; TAP CHi KHOA HOC DHSP TPHCM Bifiu dd cho thay ti lfi HS rdi nhieu tam tri la 28,2% Nhdm cd nguy co cao roi nhieu tam tri (cd cac chi sd dugc nhd han so vdi chi sd thap nhat d mirc cd rdi nhifiu) ehifim ti le 17,3% Sd HS cd sue khde tinh than binh thudng (khdng rdi nhifiu) chiem H lfi 54.5% Vdi 28,2% HS mau khao sal bi roi nhieu thi ti le cao hon mdt sd nghifin ciru d cac nudc nhu Nhat An Dp Dire, Thuy ST Tay Ban Nha, Brazil, Hoa Ki ve roi nhieu tam tri tre em tii' dfin 18 tudi Cac nghifin cim cho bifit ti le luu hanh rdi nhieu tir 12,7% dfin 22.5% 16] Tuy nhifin so vdi cac nghien ciiu ciia nhung tac gia Vict Nam da cdng bd thi ti le d mirc hgp li Chang han Dang Hoang Minh, Hoang Cam Tu [4] sir dung thang hanh vi trfi em cua Achenbach da ihieh nghi d Viet Nam (Achenbach, 1991) trfin 1721 khach thfi la HS THCS d Ha Ndi thi ti le rdi nhifiu la 25.8% Tran Dire Thach & cdng sy [7] sir dung cong cu sang lpc SDQ 25 RTCCD 2004 dfi sang lpc rdi nhieu trfi em tir 11-18 tudi d Da Nang vdi 3097 khach thfi, ti le rdi nhieu la 15,2% - 37,5%, d Khanh Hda vdi 3340 khach thfi li lfi rdi nhifiu 14,0% - 24.3% Su khac \t li lfi rdi nhifiu cd thfi cac nguyen nhan nhu co mau va lay mau cdng cy sang lpc, phuang phap phan tich sd lifiu Kfil qua sang lgc trfin cho thay ti lfi mac phai rdi nhieu tam tri ciia HS Lam Ddng d mirc tuong duong vdi cac nghifin ciru dich tfi hge d Viet Nam thdi gian qua Sd HS mac phai rdi nhifiu tam tri nfiu khdng dugc tham van can thifip kip thdi cd the vi pham ngi quy, bao lyc Sd 8(74) niim 2015 trudng hgc, dd mdt sd cd nguy co tang nang chuyen sang rdi loan tam than hoac cd nhtmg hanh vi bat thudng d§n dfin hau qua nghiem trpng Sd HS co nguy CO cao rdi nhifiu tam tri neu khong dugc giup dd thi cd thfi mdt sd sfi bi nSng hon chuyfin sang rdi nhifiu tam tri S6 HS khdng bi rdi nhifiu khdng cd nghTa la an toan nfiu khdng dugc thudng xuyen giao due phdng ngira rdi nhifiu 3.2.2 Cdc loai hdnh vi roi nhieu tdm tri cita HS trung hoc tinh Ldm Dong Roi nhieu cdm xiic la rdi loan ngi hda bifiu hien bfin ngoai la hay dau dau dau bung khdng nguyfin nhan thfi ii lo ling, thifiu ty tin, buon rau; Roi nhieu hdnh vi la rdi loan ngoai hda, rdi loan cu xu bieu hien d su khong kifim soat dugc hanh vi, khdng tuan Ihii ndi quy trudng hgc hoac cac chuan muc hanh vi nhu ha\ ndi cau, khdng nghe loi ngudi ldn, giao vien danh nhau, bat nat ban; gian ddi, ndi ddi, ndi difiu va lay cap dd ditng, lifin bac ciia ngudi khac Tdng dong gidm chit y (ADHD) la rdi loan ngoai hda bieu hien d sy khong thfi kifin tri, lap trung chit y, khdng thl ngdi \finmdt chd ludn bdn chdn, biit rut, cd nhtmg vific lam dai dot, khdng hoan ndi mdt cdng viec Roi nhieu quan he bgn be la roi loan ndi hda bifiu hifin d nhimg hanh vi tram cam nhe, xa lanh ban be, choi, lam mdt minh, it hoac khdng cd ban than, ban be cung thudng xa lanh, khdng thich giin, thudng bi yfim thfi sinh hoat, hay bi ban bat nat, de gkn, thich choi vdi nguoi ldn ludi nhung khd gkn, khd choi vdi tre em hay cimg tudi TAP CHi KHOA HOC DHSP TPHCM Nguyen Dmh Chat Roi nhieu giao tiep xd hoi thudng cd bieu hifin it quan lam dfin ngudi khac, ddi xir khdng tdt vdi ban, ich ki, khdng san long chia se diing hpc tap, dd choi vdi ban, it giup dd hay lang tranh giiip ngudi khac hoac ban bi dau dm Ihudng ddi xir khdng tdt vdi tre nhd mdi hon va it ty nguyen giiip dd Xii li bang hdi SQD 25 (RTCCD 2004) ti le rdi nhifiu chung khdng bao gdm rdi nhieu giao tiep xa hdi, thu dugc ket qua nhu sau (xem bieu 2): Bieu Cdc logi roi nhieu HS trung hoc tinh Ldm Dong mdc phdi 0^ "7.3% ^ PH att" 28 2% H RiiiiiJlt^i Bifiu dd cho thay sd HS hi rdi nhifiu cam xiic la 39,4% (trung binh 3,170, dp lech chu^n 1,487); Rdi nhifiu hanh vi 43,9% (trung binh 2,510, dp lech chu4n 1,327); ADHD 21,8% (mmg binh 3,430, dp lech chu^ 1,714); Rdi nhifiu quan he giao tifip ban be 59,1% (trung binh 2,90, Ifich chuan 1,363) va rdi nhieu giao tiep xa hgi 30,7% (trung binh 1,340, dp lech chuan 1,753); Ti lfi rdi nhieu chung loan mau 28,2% (trung binh Roinliieii 3,177, dp lech chuan 0,679) Mdt van dfi dat la 28,2% trudng hgp rdi nhifiu tam tri chung thi bao nhieu trudng hgp m^c phai ca loai hay Ioai, loai hoac chi I Ioai rdi nhifiu phan? Tri sd tdi thifiu de xac dinh cd rdi nhieu la tir 14 trd lfin Kfit qua khao sal cua chiing tdi cho thay tri sd rdi nhieu chung cua sd HS mac phai tir 14 dfin 21 (xem bang 1) Bang Phdn phoi so roi nhieu thdnh phdn mdc phdi theo timg tri so roi nhieu So roi nhieu phan Cpng: 14 10 63 20 93 15 33 20 58 16 12 25 41 Cac tri so roi nhieu 17 18 19 0 11 3 19 20 0 2 21 0 1 Cong 19 115 87 228 53 SO 8(74) ndm 201S TAP CHi KHOA HOC DHSP TPHCM 202 ttuong hpp triin phdn lcm hi roi nhilu hanh vi va roi nhieu quan he ban be Tom lai HS trung hpc Lam Dong mic phai r6i nhieu tam tri tuong duong voi ti le m&c roi nhieu ciia tre vi nien a cac nghien ciai khac nuoc cac loai roi nhieu phiin HS deu mic phai vcri nhung ti le khac Phan lcm s6 HS mic phai roi nhieu chung bi roi nhilu ttr din roi nhilu phan 3.2.3 Rdi nhieu lain tri ciia HS trung hoc Ldm Ddng theo gi&i linh Bang duai da>- phiin tich so HS mic ttmg loai roi nhieu thiinh phan chia theo gioi tinh: Trong tdng s6 228 HS bi roi nhieu CO 19 HS rdi nhilu loai (r6i nhieu phSn), 115 HS bi rdi nhilu loai, 87 HS bi rdi nhilu loai va HS bi r6i nhilu ca loai D6ng thoi s6 HS co tti so r6i nhieu t6i thilu (14) nhilu nh4t 93/228 truong hpp, sau la nhting truong hpp co tri so rdi nhilu lin lupt: 15 (58/228); 16 (41/228); 17 (19/228); 18 (9/228); 20 (2/228); 21 (01/228) truimg hpp Dilm dang luu y la so HS bi roi nhilu chung mac phai 2, roi nhieu phin chilm tcri 202/228 truong hpp, bieu cho thay so HS roi nhilu hanh vi va r6i nhieu quan he ban be chiem ti le cao nhat, do co the Bang So sdnh sd HS rdi nhiiu thdnh phdn theo gidi linh Nil- Nam Roi nhieu phan Roi nhieu cam xiic Roi nhieu hanh \i ADHD Roi nhieu quan he ban be Roi nhieu giao tiep xa hpi N Roi nhieu chung Tan so 130 209 76 236 137 386 121 Miic rdi nhifiu giira HS nam va HS ntr cua mau khao sat la khac HS nir rdi nhieu cam xiic nhifiu hon HS nam (nu: 46,8% >nam: 33.7%) Ti Ifi mSc phai cac Ioai hanh vi rdi nhifiu cdn Iai cua HS nam dfiu eao han HS nii HS nam mac phai rdi nhieu ehung nhifiu ban HS nir (nam: 31,3%>nir: 25,3%; p=6,0) Dp lech tan suat mac rdi nhifiu phkn giiia HS nam va nii dao ddng % 33,7 54,1 19,7 61,1 35,5 31,3 Tan i so 198 174 55 247 118 423 107 Chung % Tan so 46,8 328 41,1 383 13.0 131 58.4 383 27,9 255 809 25,3 228 40.5 47.3 16.2 59.7 31.5 Do lech tan suat 13.1 13.0 6.7 2.7 7.6 28.2 6.0 % khoang 2,7' nghia thdng ke Tir dd riit nhan xet: Rdi nhieu tam tri cd lien quan dfin gidi tinh HS nam mac phai rdi nhifiu chung nhifiu hen Nguyen Dinh Chat TAP CHl KHOA HOC DHSP TPHCM HS nir HS nii roi nhieu cam xiic nhifiu hon HS nam Kfit qua nghifin cim cung phii hgp vdi nghifin ciiu ctia Dang Hoang Minh, Hoang Ckm Tii [4] trfin HS THCS Ha Ndi, ket qua nghifin ciiu cho thay ti Ie rdi nhifiu cua HS nam cao hon HS nii Rifing ti lfi HS cd van dfi hudng ndi (29,7%) cao hon hudng ngoai (23,6%) va HS nii rdi loan hudng npi cao hon HS nam Trong nghien ciiu eiia chung tdi, sd HS ed rdi nhifiu hudng npi (rdi nhifiu cam Xlic - 40,5%) cao hon sd HS cd rdt nhifiu hudng ngoai (rdi loan hanh vi, tang dgng giam chu y - ti Ie trung binh 31,7%), HS nii rdi nhifiu nhifiu hon HS nam 3.2.4 Roi nhieu tdm tri ciia HS trung hoc Ldm Dong theo bdc hoc Bang dudi day phan tich sd Hfiu HS bi rdi nhifiu tam tri theo bac hoc Bdng HS cd roi nhieu tdm tri theo ldp (do tuoi) Tong so HS roi nhieu tam tri TSn suat N Tong so HS CO nguy ca cao roi nhieu Tan suat Lop LopQ LffplO Lop 11 Lop 12 T6ng s6 HS CO roi nhieu 44 25,6 172 21 12,2 51 31,5 162 31 19,1 41 30,1 136 25 18,4 45 29J 154 30 19,5 47 25,4 185 33 17,8 228 28,2 809 140 17,3 Ldp hpe dugc thifit lap theo tudi, ldp 8-9 (13-14 tudi) thudc bac THCS, ldp 10, II, 12 (15-16-17 tudi) thugc bac THPT Ci bang 3, ti lfi trung binh mac phai rdi nhieu ciia HS ldp 8-9 bac THCS cao ban HS THPT (33,05% > 28,56%, p^0,449, nhung ti le trung binh cd nguy CO cao rdi nhifiu ciia HS THCS thdp han HS THPT (I5,6%