借助新媒体建立的支持系统在注意缺陷多动障碍患儿管理中的应用

Application of support system based on new media in the management of children with attention-deficit/hyperactivity disorder

目的探究借助新媒体建立的支持系统在注意缺陷多动障碍(attention-deficit/hyperactivity disorder,ADHD)患儿管理中的应用价值。方法纳入2017年10月—2018年7月于徐州市儿童医院儿童保健科就诊并建档的ADHD患儿及家庭为研究对象,研究组(新媒体管理组)借助微信群以语音授课、互动交流等形式,进行为期10个月的管理,对照组通过ADHD随访门诊进行档案管理,入组前后分别使用SNAP-Ⅳ家长评定量表、Conners教师评定量表及儿童自我意识量表进行评估。结果和基线相比,培训后SNAP-Ⅳ家长评定量表及Conners教师评定量表各因子分均有下降,差异具有统计学意义(P<0.01);儿童自我意识量表中智力和学校、幸福与满足及总分上,差异具有统计学意义(P<0.01),研究组在躯体外貌属性、合群因子分上亦有统计学差异(P<0.01)。不同的管理模式,研究组在SNAP-Ⅳ家长评定量表注意缺陷及冲动多动因子分上具有统计学差异(P<0.05),在对立违抗因子分上具有显著的统计学差异(P<0.01);两组间在不同管理模式后一线药物的应用比例有统计学差异(χ^2=3.908,P=0.048)。结论借助新媒体的管理方式,在ADHD的管理中更加高效便捷,有利于ADHD全程、规范化、系统化的管理,可全面改善患儿的核心症状,提高随访率及一线药物应用率。

Objective To explore the application value of support system which is based on new media in the management of children with attention-deficit/hyperactivity disorder(ADHD).Methods Children with ADHD who were visited and filed at Department of Child Healthcare,Xuzhou Children’s Hospital from October 2017 to July 2018 and their families were selected as the research objects.In the form of voice teaching,interactive communication and so on,the research group(new media management group)achieved 10-month management with the help of Wechat APP.The control group conducted file management through ADHD outpatient follow-up.All objects achieved evaluation by using SNAP-Ⅳparent rating scale,Conners teacher rating scale,and children’s self-awareness scale before and after admission.Results The factor scores of SNAP-Ⅳparental rating scale and Conners teacher rating scale all decreased after training as compared with the baseline.The difference was statistically significant(P<0.01).In terms of intelligence,school,happiness,satisfaction,and total scores of children’s self-awareness scale,the differences were also statistically significant(P<0.01).In terms of the physical appearance and group factor scores in the research group,there were also significant differences(P<0.01).Attention deficit and impulsive hyperactivity factor score had statistical differences in different management styles and different research groups(P<0.05),and the factor score of opposite and defiance had a statistically significant difference(P<0.01).There was statistical difference in the application proportion of first-line drugs between the two groups after using different management styles(χ^2=3.908,P=0.048).Conclusion New media management is more efficient and convenient in the management of ADHD.It is beneficial to the whole process,and the standardized and systematized management of ADHD.The core symptoms of ADHD children,the follow-up rate,and the application rate of first-line drug can be comprehensively improved.