父母接受心理干预对脑瘫患儿康复疗效的影响

Effect of psychological intervention to parents on rehabilitation effectiveness of cerebral palsy children

目的:探讨脑瘫患儿父母接受心理干预对其康复疗效的影响。方法:将脑瘫患儿220例随机分为患儿A组和患儿B组各110例,另选取2组患儿对应父母220例,分为父母A组和父母B组各110例。2组患儿均采用常规康复治疗,父母B组未进行任何干预,父母A组接受心理干预3个月。结果:父母A组症状自评量表(SCL-90)总分、总均分及躯体化、强迫状态、人际关系、抑郁、焦虑、敌对、偏执等七项因子分值在干预前后均高于国内常模(P<0.01,0.05),且干预后均较干预前明显下降(P<0.05),恐怖、精神病性二项因子分值高于国内成人常模,但差异无统计学意义;多因素回归分析表明,父母的性别、年龄和文化程度分别仅对焦虑和抑郁因子分有影响(P<0.05),经济收入对总分、人际关系、焦虑、抑郁等因子分都有影响(P<0.05);干预后父母B组护理时间无明显改变,父母A组的游戏、治疗及教育时间均较干预前及父母B组明显增加(P<0.01);2组患儿干预后GMFM-88评分均较干预前明显提高(P<0.01,0.05),且患儿A组更高于患儿B组(P<0.05)。结论:对脑瘫患儿父母进行心理干预可以更好地提高患儿康复疗效。

Objective： To explore the effect of psychological intervention given to the parents on rehabilitation effectiveness of cerebral palsy children. Methods： 220 children with cerebral palsy were equally randomized into two groups as children group A and children group 13. The 220 parents were recruited into two equally numbered group as parent group A and parent group t3. The two groups of children received routine treatment for rehabilitation. Parent group A was given a three-month psychological intervention, while parent group B received no intervention. Resuits： Parent group A scored higher than the national norm in the following： total score and total average score of SCL-90, and factors as somatization, obsessive-compulsive state, interpersonal relationship, depression, anxiety, hostility, bigotry （P〈0. 01, 0. 05）, and the scores after the intervention were significantly lower than those before the intervention （P〈0. 05）. The scores of terror and psychoticism were not statistically higher than those of nation- al norm. Multi-factor regression analysis showed that the gender, age and education of the parents only influenced anxiety and depression factors （P〈0. 05）. Economical status posed impact on the total score, interpersonal rela- tionship, anxiety and depression factors （P〈0. 05）. After the intervention, time for caring the children changed unobviously in parent group B, significantly shorter than that in parent group A, which was significantly longer for playing games, receiving treatment and educating than that before the intervention （P〈0. 01）. The GMFM-88 sco-ring of both children groups after the intervention was obviously higher than that before the intervention （P〈0. 01, 0. 05）, with children in group A scoring more than group B （P〈0. 05）. Conclusion： Psychological intervention to parents is benefical for the rehibilitation of cerebral palsy children.