RussellBarkIey父母培训八步法对注意缺陷多动障碍儿童干预的疗效

Effect of eight steps of Bark Iey Russell parental training on children with attention deficit hyperactivity disorder

目的研究Russell Bark Iey父母培训八步法对注意缺陷多动障碍(ADHD)儿童干预的可行性和疗效,为临床干预提供依据。方法采用80名符合ADHD诊断标准的患儿为研究对象,随机分为研究组和对照组。均采用常规药物治疗、心理护理、健康教育,研究组另行为期10周、每周1次八步法家长培训。家长培训具体方法为:分析孩子对抗行为的原因,给予关注和表扬,物质奖励或者惩罚,在公共场所监管孩子、纠正孩子在学校的不良行为。实施前后采用自编调查问卷和Conners父母症状问卷进行效果评估。结果研究组和对照组有效率分别为76.92%和54.05%,经比较有统计学意义(X2=4.41,P<0.05)。治疗10周后,研究组在品行问题、学习问题、心身问题、冲动-多动、焦虑、多动指数上均较治疗前有明显下降(t=7.2825、7.5142、6.9048、2.1560、7.1232、11.4252,P<0.05),对照组在冲动-多动、焦虑、多动指数上均较治疗前有明显下降(t=2.5992、6.8614、2.8384,P<0.05);组间比较:治疗10周后,研究组在品行问题、学习问题、心身问题与对照组有统计学意义(t=15.5986、3.9941、3.8795,P<0.05)。有94.3%的家长觉得这个培训对管教孩子有帮助,并将此培训介绍给其他家长。结论家长培训可以有效改善ADHD儿童的核心症状,家长对培训的满意度高,可以在今后的临床护理工作中积极开展。

Objective To study the feasibility and efficacy of BarkIey Russell parent training for children with attention deficit hyperactivity disorder （ADHD）. Methods 80 children with ADHD were randomly divided into the study group and the control group. The control group were given routine medication, psychological care, health education. The study group were given the BarkIey Russell parent training on the basis of the therapy for the control group. Parent training includes analysis of the reasons for the child＇s behavior, to give attention and praise, material rewards or punishment, supervision in public places children, and to correct the bad behavior of children in school. Using self-compiled questionnaire and Conners questionnaire, we evaluated the effect in both groups. Results The effective rate of the study group and the control group were 76.92% and 54.05%, respectively, the comparison was statistically significant （P, X2=4.41 〈 0.05）. After 10 weeks of treatment, the study group was significantly decrease in among conduct problems, learning problems, psychosomatic problems, impulsivity hyperactivity, anxiety, andhyperactivity index （t = 7.2825, 7.5142, 6.9048, 2.1560, 7.1232, 11.4252, P〈 0.05）, the impulsivity,hyperactivity, anxiety, and hyperactivity index in the control group is significantly decreased （t=2.5992, 6.8614, 2.8384, P〈 0.05） compared with those before treatment; group： after 10 weeks of treatment, study group and the control group were statistically significant in conduct problems, learning problems, psychosomatic problem （t= 15.5986, 3.9941, 3.8795, P〈0.05）. 94.3% of the parents feel that this training on the discipline of the child＇s help, and this training is introduced to other parents. Conclusion parent training can effectively improve the core symptoms of ADHD children, the parents of the high degree of satisfaction.