团体游戏辅导方案对学龄期肾病综合征患儿行为问题和应对方式的影响

Effect of play therapy-based group counseling on behavior disorders and mental coping of school-age nephrotic syndrome children

目的探讨团体游戏干预对学龄期肾病综合征儿童行为问题和应对方式的影响。方法将140例学龄期肾病综合征儿童按照随机数字表法分为试验组和对照组,每组各70例。对照组采用常规护理干预,试验组在此基础上实施团体游戏辅导方案。采用Conners父母用症状问卷(PSQ)和慢性病儿童应对方式量表(CODI)测量,以干预前后患儿各量表得分变化评估整体干预效果。结果干预后试验组患儿行为问题发生率为18.0%(11/63),低于对照组的33.8%(23/68),差异有统计学意义(χ^(2)值为4.131,P=0.042)。干预后试验组品行问题、心身问题、多动指数等因子得分为(1.12±0.23)、(0.24±0.08)、(1.22±0.32)分,低于对照组的(1.25±0.31)、(0.29±0.09)、(1.39±0.37)分,差异有统计学意义(t值为2.625、2.950、2.825,P<0.05);试验组逃避、接受、负性情绪反应得分以及CODI总分为(12.87±3.19)、(22.51±5.24)、(25.83±4.51)、(101.23±11.48)分,明显高于对照组的(11.27±3.77)、(20.41±4.00)、(24.13±4.38)、(95.38±8.33)分,差异有统计学意义(t值为2.191~3.361,P<0.05)。结论团体游戏辅导方案有助于减轻肾病综合征儿童行为问题和提高患儿的心理应对能力。

Objective To investigate the effect of play therapy-based group counseling on behavior disorders and mental coping of school-age nephrotic syndrome children.Methods A total of 140 school-age nephrotic syndrome children were randomly divided into experiment group(n=70)and control group(n=70).Children in the control group recieved routine care,while experiment group carried out play therapy-based group counseling based on the routine care.With the Conners Parent Symptom Questionnaire(PSQ)and Coping with a Disease(CODI),the overall curative effect was assessed before and after intervention by their scores.Results After intervention,the incidence rate of behavior disorder of nephrotic syndrome children in the experiment group was 18.0%(11/63),lower than in the control group 33.8%(23/68),the difference was statistically significant(χ^(2) value was 4.131,P=0.042).The conduct,psychosomatic disorder and hyperactivity index scores in the experiment group were(1.12±0.23),(0.24±0.08),(1.22±0.32)pionts,lower than(1.25±0.31),(0.29±0.09),(1.39±0.37)pionts in the control group,the difference was statistically significant(t values were 2.625,2.950,2.825,P<0.05);the scores of acception,escape,negative feelings and total CODI scores were(12.87±3.19),(22.51±5.24),(25.83±4.51),(101.23±11.48)pionts,higher than(11.27±3.77),(20.41±4.00),(24.13±4.38),(95.38±8.33)pionts in the control group,the difference was statistically significant(t values were 2.191-3.361,P<0.05).Conclusion Play therapy-based group counseling can effectively alleviate behavior disorders and improve mental coping of school-age nephrotic syndrome children.