CAJ | 학술논문

目的探讨团体沙盘游戏矫正脑瘫患儿行为问题的疗效.方法选取本院确诊的3～5岁脑瘫患儿,以皮勃迪图片词汇测试(PPVT)排除精神发育严重迟滞者,在此基础上,采用2～3岁及4-16岁阿肯巴克儿童行为量表(ACBCL)分别对3岁年龄段及4～5岁年龄段患儿进行行为评定,同时结合自愿原则,最终确定90例有行为问题的患儿作为研究对象.采用随机对照法,将90例研究对象随机分为实验组和对照组,每组45例,其中3岁年龄段患儿每组17例,4～5岁年龄段男患儿每组18例,4～5岁年龄段女患儿每组10例.实验组在常规康复治疗的基础上同时接受为期10周的团体沙盘游戏治疗,而对照组仅进行常规康复治疗.采用ACBCL分别对2组患儿治疗前、后进行行为评定和统计学分析比较.结果经过10周的团体沙盘游戏治疗后,①3岁年龄段脑瘫患儿实验组的社会退缩、抑郁、攻击性、破坏性行为得分明显降低且低于相应的对照组(P＜0.01)；②4～5岁脑瘫男患儿实验组的社会退缩、抑郁、不成熟、性行为、攻击性、违纪行为得分明显降低且低于相应的对照组(P＜0.05)；③4～5岁脑瘫女患儿实验组的抑郁、体诉、社会退缩、强迫、攻击性、多动得分明显降低且低于相应的对照组(P＜0.05).结论团体沙盘游戏能有效矫正脑瘫患儿行为问题,对脑瘫患儿心理康复有积极作用.
목적 탐토단체사반유희교정뇌탄환인행위문제적료효.방법 선취본원학진적3～5세뇌탄환인,이피발적도편사회측시(PPVT)배제정신발육엄중지체자,재차기출상,채용2～3세급4-16세아긍파극인동행위량표(ACBCL)분별대3세년령단급4～5세년령단환인진행행위평정,동시결합자원원칙,최종학정90례유행위문제적환인작위연구대상.채용수궤대조법,장90례연구대상수궤분위실험조화대조조,매조45례,기중3세년령단환인매조17례,4～5세년령단남환인매조18례,4～5세년령단녀환인매조10례.실험조재상규강복치료적기출상동시접수위기10주적단체사반유희치료,이대조조부진행상규강복치료.채용ACBCL분별대2조환인치료전、후진행행위평정화통계학분석비교.결과 경과10주적단체사반유희치료후,①3세년령단뇌탄환인실험조적사회퇴축、억욱、공격성、파배성행위득분명현강저차저우상응적대조조(P＜0.01)；②4～5세뇌탄남환인실험조적사회퇴축、억욱、불성숙、성행위、공격성、위기행위득분명현강저차저우상응적대조조(P＜0.05)；③4～5세뇌탄녀환인실험조적억욱、체소、사회퇴축、강박、공격성、다동득분명현강저차저우상응적대조조(P＜0.05).결론 단체사반유희능유효교정뇌탄환인행위문제,대뇌탄환인심리강복유적겁작용.
Objective To explore the effects of group sand play on the behavior of cerebral palsy (CP)children with behavioral problems.Methods Ninety children with CP aged 3-5 with behavioral problems were selected,after those with mental retardation had been excluded through the Peabody picture vocabulary test (PPVT).Their behavioral problems were diagnosed using Achenhach's child behavior check list (CRCL).The children were randomly divided into an experimental group and a control group with 45 cases in each.The experimental group received 10 weeks of sand play treatment in addition to routine rehabilitation.The controls received only routine rehabilitation.Results After treatment,the social withdrawal,depression,aggression and disruptive behavior scores of the 3-year olds in the experimental group were significantly lower than before treatment and significantly lower than those of the controls.For the 4 and 5 year-old boys the results were similar in terms of soclal withdrawal,depression,immaturity,sexual behavior,aggression and delinquent behavior,For the 4 and 5 year-old girls the scores for depression,somatic complaints,social withdrawal,compulsion,aggression,and hyperauctivity showed similar significant improvements.Conclusion Group sand play can improve the behavior and promote the mental health of CP children.