摘要
目的探究卡通游戏式健康教育联合团体辅导干预应用于难治性多发性抽动症患儿的护理效果。方法选取2018年2月—2019年5月郑州大学第一附属医院收治的93例难治性多发性抽动症患儿为研究对象,按照随机数表法分为联合组、观察组与对照组,每组各31例。对照组采取儿科常规护理干预,观察组在对照组基础上实施团体辅导干预,联合组在观察组基础上联合卡通游戏式健康教育进行干预。干预前后采用注意缺陷多动障碍量表(SNAP-Ⅳ)、Yale-Brown强迫量表(Y-BOCS)、Piers-Harris儿童自我意识量表(PHCCS)、中文版-韦氏儿童智力测验系统(C-WISC)评分、耶鲁抽动症整体严重程度量表(YGTSS)和儿少主观生活质量问卷(ISLQ)评价3组干预效果。结果干预4周后,3组患儿心理障碍、意识状态、临床症状和生活质量均有改善,联合组SNAP-Ⅳ(21.29±5.15)分、Y-BOCS(12.93±3.53)分、YGTSS(25.47±4.09)分、ISLQ(48.77±8.81)分,均低于对照组和观察组;PHCCS(54.07±6.48)分、C-WISC(97.23±5.94)分,均高于观察组和对照组,差异均有统计学意义(P<0.05)。结论卡通游戏式健康教育联合团体辅导可有效改善难治性多发性抽动症患儿临床症状,缓解其情绪与心理障碍,提高生活质量。
Objective To explore the effects of cartoon game-style health education combined with group counseling in children with refractory Tourette syndrome(TS).Methods Totally 93 children with refractory TS admitted in The First Affiliated Hospital of Zhengzhou University from February 2018 to May 2019 were selected and divided into a combined group,an observation group and a control group,with 31 patients in each group.Patients in the control group received routine pediatric care;patients in the observation group received group counseling on the basis of the control group;patients in the combined group received cartoon game-style health education on the basis of the observation group.Swanson Nolan and Pelham(SNAP-IV),Yale-Brown Obsessive-Compulsive Scale(Y-BOCS),Piers-Harris Child Self-Consciousness Scale(PHCCS),Chinese version-Wechsler Intelligence Scale for Children(C-WISC),Yale Global Tic Severity Scale(YGTSS)and Inventory of Subjective Life Quality(ISLQ)were used to evaluate the effects of the three groups before and after intervention.Results After 4 weeks of intervention,the mental disorders,consciousness,clinical symptoms and quality of life were improved in the three groups of children.The SNAP-IV,Y-BOCS,YGTSS and ISLQ scores of the combined group were(21.29±5.15),(12.93±3.53),(25.47±4.09)and(48.77±8.81),respectively,lower than those of the control group and the observation group,and the differences were statistically significant(P<0.05).The PHCCS and C-WISC scores of the combined group were(54.07±6.48)and(97.23±5.94),higher than those of the observation group and the control group,and the differences were statistically significant(P<0.05).Conclusions Cartoon game-style health education combined with group counseling can effectively improve the clinical symptoms of children with refractory TS,mitigate their emotional and psychological disorders,and improve their quality of life.
作者
王红歌
孙雪义
张玉
尼晓丽
Wang Hongge;Sun Xueyi;Zhang Yu;Ni Xiaoli(Department of Internal Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)
出处
《中华现代护理杂志》
2020年第20期2773-2777,共5页
Chinese Journal of Modern Nursing
