心理与行为研究 ›› 2014, Vol. 12 ›› Issue (2): 238-243.

• 应用心理学 • 上一篇    下一篇

心理干预对轻中度脑瘫儿童综合功能和生活质量的影响*

郭新志1,2,孙阳3,张向葵1   

  1. 1 东北师范大学教育学部心理学院,长春 130024
    2.山西省脑瘫康复医院,太原 030000
    3. 吉林农业大学应用心理学系,长春 130118
  • 收稿日期:2013-09-15 出版日期:2014-03-20 发布日期:2014-10-24
  • 通讯作者: 张向葵,女,东北师范大学心理学院教授,博士生导师,E-mail:zhangxk@nenu.edu.cn。
  • 作者简介:郭新志,女,东北师范大学心理学院博士研究生,山西省脑瘫康复医院院长,教授。
  • 基金资助:
    本研究受到国家社会科学基金“十二五”规划2013年度教育学一般课题(BBA130012)、教育部人文社会科学研究规划基金项目(08JAXLX002)、吉林省教育科学“十二五”规划重点项目(ZZ1107)和山西省脑瘫康复医院“十二五”规划课题(SNY120910)资助。

Effect of Psychological Interventions on Comprehensive Function and Quality of Life of Mild to Moderate Cerebral Palsy

Guo Xinzhi1,2,Sun Yang3,Zhang Xiangkui1   

  1. 1 School of Psychology, Northeast Normal University Faculty of Education, Changchun 130024;
    2 Shanxi Cerebral Palsy
    Rehabilitation Hospital, Taiyuan 030000;
    3 Applied Psychology Department, Jilin Agriculture University, Changchun 130118
  • Received:2013-09-15 Online:2014-03-20 Published:2014-10-24

摘要: 采用对照组和干预组前测、后测设计,对80名脑瘫儿童的综合功能和生活质量进行了测量,分析了心理干预对脑瘫儿童康复疗效的影响。结果表明:(1)四组脑瘫儿童后测综合功能评定效果存在显著差异。(2)生活质量问卷中,在使用特殊器具感觉维度上,四个组别间的追踪水平逐级显著递增;在对疼痛和困扰感觉维度上,四个组别间的后测水平、追踪水平均逐级显著递减;在其它四个维度上,四个组别间的后测水平、追踪水平均逐级显著递增。(3)在使用特殊器具感觉维度上,三个干预组内的追踪水平显著高于前测和后测水平;在对疼痛和困扰感觉维度上,三个干预组内的前测、后测和追踪水平均呈逐级显著递减趋势;在其它四个维度上,三个干预组内的前测、后测和追踪水平均逐级显著递增。干预组比对照组能显著提升脑瘫患儿的综合功能和生活质量。

关键词: 轻中度脑瘫儿童, 综合功能, 生活质量, 心理干预

Abstract: This study used a repeated measures analysis of variance to assess the effect of psychological interventions on the comprehensive function assessment for disabled children (CFA-DC) and the cerebral palsy quality of life questionnaire for children (CP QOL-Child) in 80 children with cerebral palsy. The result revealed that: 1) There were significant differences on the post-test comprehensive function among the four groups. 2) The four scores of track measurements in the feelings about special appliances subscale from CP QOL were significant increasing by degrees, while the post-test and track measurements scores in the feelings about pain and puzzle subscale gradually decreased significantly. As for other four dimensions, the post-test and track measurements scores were significant increasing by degrees. 3) The track measurement scores in the feelings about special appliances subscale were significant higher than pre-test and post-test scores in each intervention group. The three scores (pre-test, post-test and track measurements) in the feelings about pain and puzzle subscale showed a decreasing trend in each intervention group. As for other four dimensions, the three scores (pre-test, post-test and track measurements) showed a grow trend in each intervention group. There were significant effects on CFA and QOL in intervention groups.

Key words: mild to moderate cerebral palsy, comprehensive function, quality of life, psychological intervention

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