CAJ | 학술논문

目的探讨家庭护理干预方法对注意缺陷多动障碍患儿家人心理调节和生活质量的影响.方法将77例注意缺陷多动障碍患儿家人按随机数字表法随机分为观察组38例和对照组39例,对照组只是按时接送患儿,常规交代患儿注意事项,不接受特别的辅导和干预；观察组采用集体干预和个别干预相结合的方法进行家庭护理干预.干预前后运用症状自评量表、疲劳评估表和生活质量综合评定问卷对两组进行测评.结果护理干预后观察组家人心理健康状况改善,症状自评量表评分(141.27±30.28)与对照组(164.13±29.81)比较差异有统计学意义(t=2.35,P＜0.01)；观察组家人疲劳程度减轻,疲劳评估表中躯体疲劳、脑力疲劳、总分(3.66±1.64、4.14±1.79、4.97±1.96)与对照组(6.69±2.06、4.19±1.28、10.88 ±2.32)比较差异均有统计学意义(t=2.01,P＜0.05；t=2.00,P＜0.05;t =3.82,P＜0.01)；总体生活质量评分明显提高,生活质量综合评定问卷评分观察组躯体功能维度、心理功能维度、社会功能维度、物质生活维度(67.52±10.34、75.36±12.84、62.53±11.01、43.22±8.94)与对照组(57.11±9.97、52.23±11.59、51.63±10.75、40.21±9.08)比较除物质生活维度无差异外(t=0.98,P ＞0.05),其他均较对照组改善更明显,差异有统计学意义(t分别为2.94,5.57,2.91；P均＜0.01).结论家庭护理干预有助于注意缺陷多动障碍患儿家人的心理调适,减轻疲劳,提高生活质量.
목적 탐토가정호리간예방법대주의결함다동장애환인가인심리조절화생활질량적영향.방법 장77례주의결함다동장애환인가인안수궤수자표법수궤분위관찰조38례화대조조39례,대조조지시안시접송환인,상규교대환인주의사항,불접수특별적보도화간예；관찰조채용집체간예화개별간예상결합적방법진행가정호리간예.간예전후운용증상자평량표、피로평고표화생활질량종합평정문권대량조진행측평.결과 호리간예후관찰조가인심리건강상황개선,증상자평량표평분(141.27±30.28)여대조조(164.13±29.81)비교차이유통계학의의(t=2.35,P＜0.01)；관찰조가인피로정도감경,피로평고표중구체피로、뇌력피로、총분(3.66±1.64、4.14±1.79、4.97±1.96)여대조조(6.69±2.06、4.19±1.28、10.88 ±2.32)비교차이균유통계학의의(t=2.01,P＜0.05；t=2.00,P＜0.05;t =3.82,P＜0.01)；총체생활질량평분명현제고,생활질량종합평정문권평분관찰조구체공능유도、심리공능유도、사회공능유도、물질생활유도(67.52±10.34、75.36±12.84、62.53±11.01、43.22±8.94)여대조조(57.11±9.97、52.23±11.59、51.63±10.75、40.21±9.08)비교제물질생활유도무차이외(t=0.98,P ＞0.05),기타균교대조조개선경명현,차이유통계학의의(t분별위2.94,5.57,2.91；P균＜0.01).결론 가정호리간예유조우주의결함다동장애환인가인적심리조괄,감경피로,제고생활질량.
Objective To explore the effect of the family nursing intervention on the families of children with attention deficit hyperactivity disorder.Methods The total of 77 families of children with attention deficit hyperactivity disorder were randomly divided into observation group ( n =38 ) and control group ( n =39).The families in the observation group received nursing intervention by combining use of collective intervention and individual intervention methods.The families in the control group received no additional intervention except for picking up the children as usual.The Symptom Checklist 90 (SCL-90),Fatigue Scale-14 (FS-14) and Generic Quality of life inventory-74 were used for assessing.Results The mental health status was improved in observation group after the nursing intervention.There was a significant difference in symptom checklist score between observation group and control group ( 141.27 ± 30.28 vs 164.13 ± 29.81 ; t =2.35,P ＜ 0.01 ) ; The score of physical fatigue,mental fatigue score and total score in the observation group (3.66 ±1.64,4.14 ± 1.79,4.97 ± 1.96) were lower than in the control group (6.69 ± 2.06,4.19 ± 1.28,10.88 ±2.32,respectively),there were statistically significant differences ( t =2.01,P ＜ 0.05 ; t =2.00,P ＜ 0.05 ;t =3.82,P ＜ 0.01 ) ; Significant improvements in the overall quality of life score was found in the observation group.The score of comprehensive assessment of quality of life questionnaire in the observation group was superior to that in the control group regarding the physical function ( 67.52 ± 10.34 vs 57.11 ± 9.97 ),psychological function of dimension(75.36 ± 12.84 vs 52.23 ± 11.59 ),social function dimensions ( 62.53 ±11.01 vs 51.63 ± 10.75),and the differences were statistically significant (t =2.94,5.57,2.91 ;P ＜0.01 ).Conclusions Family nursing interventions can improve the quality of life among families of children with attention deficit hyperactivity disorder by psychological and fatigue adjustment.