CAJ | 학술논문

目的：研究以家庭为中心的干预对学龄期癫痫患儿自我概念及家庭环境的影响。方法将98例癫痫患儿随机均分为研究组和对照组，各49例，对照组仅实施常规治疗、护理及健康教育，研究组在常规基础上实施为期1年的以家庭为中心的干预，于干预前后采用Piers-Harris儿童自我概念量表及家庭环境量表中文版（FES-CV ）进行效果评价。结果干预前两组患儿的FES-CV量表各因子得分及自我概念量表评分比较差异无统计学意义；干预后两组患者FES-CV量表各因子评分均有好转，但研究组在亲密度、娱乐性、组织性、成功性、知识性5项评分均明显高于对照组，而矛盾性评分则明显低于对照组，均具有显著性差异；而独立性、情感表达、道德宗教观、控制性4项两两比较差异无统计学意义。研究组患儿干预后在行为、智力与学校情况、躯体外貌、焦虑、合群、幸福与满足6个分量表及总分方面，与对照组比较，差异均有统计学意义。结论以家庭为中心的干预有助于改善学龄期癫痫患儿的家庭环境，可显著提高患儿的提高自我概念水平。
목적：연구이가정위중심적간예대학령기전간환인자아개념급가정배경적영향。방법장98례전간환인수궤균분위연구조화대조조，각49례，대조조부실시상규치료、호리급건강교육，연구조재상규기출상실시위기1년적이가정위중심적간예，우간예전후채용Piers-Harris인동자아개념량표급가정배경량표중문판（FES-CV ）진행효과평개。결과간예전량조환인적FES-CV량표각인자득분급자아개념량표평분비교차이무통계학의의；간예후량조환자FES-CV량표각인자평분균유호전，단연구조재친밀도、오악성、조직성、성공성、지식성5항평분균명현고우대조조，이모순성평분칙명현저우대조조，균구유현저성차이；이독립성、정감표체、도덕종교관、공제성4항량량비교차이무통계학의의。연구조환인간예후재행위、지력여학교정황、구체외모、초필、합군、행복여만족6개분량표급총분방면，여대조조비교，차이균유통계학의의。결론이가정위중심적간예유조우개선학령기전간환인적가정배경，가현저제고환인적제고자아개념수평。
Objective To research the effects of family-centered intervention on the self-concept and family environment of school-age epileptic children .Methods Ninety-eight epileptic children were randomly divided into research group and control group (49 epileptic children respectively) .The control group only received regular treatment ,nursing and health education . While apart from the regular treatment ,the research group received one-year family-centered intervention ,and Piers-Harris Children's Self-concept Scale (PHCSS) and Family Environment Scale-Chinese Version (FES-CV) were adopted to evaluate the results before and after the intervention .Results Before the intervention ,there was no significant difference between the scores of FES-CV subscales and scores of self-concept scale between both groups .After the intervention ,the scores of FES-CV sub- scales increased in both groups .Additionally ,in terms of cohesion ,active-recreational orientation ,organization ,achievement ori- entation and intellectual-cultural orientation ,the scores of research group was significantly higher than control group whereas considering conflict score of research group were apparently lower than that of control group ,and all these six subscales showed significant differences .However ,there were no significant difference between two groups in terms of independence ,expressive- ness ,moral-religious emphasis and control .In comparison with control group ,epileptic children in research group demonstrated significant difference in both six subscale scores (i .e .,behavioral adjustment ,intellectual and school status ,physical appear- ance and attributes ,freedom from anxiety ,popularity and happiness and satisfaction) and total score after the intervention .Con- clusion The family-centered intervention can improve the family environment of school-age epileptic children and significantly increase the self-concept level of epileptic children .