CAJ | 학술논문

目的：：探讨脑瘫患儿父母接受心理干预对其康复疗效的影响。方法：将脑瘫患儿220例随机分为患儿 A组和患儿 B 组各110例,另选取2组患儿对应父母220例,分为父母 A 组和父母 B 组各110例。2组患儿均采用常规康复治疗,父母 B 组未进行任何干预,父母 A 组接受心理干预3个月。结果：父母 A 组症状自评量表(SCL-90)总分、总均分及躯体化、强迫状态、人际关系、抑郁、焦虑、敌对、偏执等七项因子分值在干预前后均高于国内常模(P <0.01,0.05),且干预后均较干预前明显下降(P <0.05),恐怖、精神病性二项因子分值高于国内成人常模,但差异无统计学意义；多因素回归分析表明,父母的性别、年龄和文化程度分别仅对焦虑和抑郁因子分有影响(P <0.05),经济收入对总分、人际关系、焦虑、抑郁等因子分都有影响(P <0.05)；干预后父母 B 组护理时间无明显改变,父母 A 组的游戏、治疗及教育时间均较干预前及父母 B 组明显增加(P <0.01)；2组患儿干预后 GMFM-88评分均较干预前明显提高(P <0.01,0.05),且患儿 A 组更高于患儿 B 组(P <0.05)。结论：对脑瘫患儿父母进行心理干预可以更好地提高患儿康复疗效。
목적：：탐토뇌탄환인부모접수심리간예대기강복료효적영향。방법：장뇌탄환인220례수궤분위환인 A조화환인 B 조각110례,령선취2조환인대응부모220례,분위부모 A 조화부모 B 조각110례。2조환인균채용상규강복치료,부모 B 조미진행임하간예,부모 A 조접수심리간예3개월。결과：부모 A 조증상자평량표(SCL-90)총분、총균분급구체화、강박상태、인제관계、억욱、초필、활대、편집등칠항인자분치재간예전후균고우국내상모(P <0.01,0.05),차간예후균교간예전명현하강(P <0.05),공포、정신병성이항인자분치고우국내성인상모,단차이무통계학의의；다인소회귀분석표명,부모적성별、년령화문화정도분별부대초필화억욱인자분유영향(P <0.05),경제수입대총분、인제관계、초필、억욱등인자분도유영향(P <0.05)；간예후부모 B 조호리시간무명현개변,부모 A 조적유희、치료급교육시간균교간예전급부모 B 조명현증가(P <0.01)；2조환인간예후 GMFM-88평분균교간예전명현제고(P <0.01,0.05),차환인 A 조경고우환인 B 조(P <0.05)。결론：대뇌탄환인부모진행심리간예가이경호지제고환인강복료효。
Objective:To explore the effect of psychological intervention given to the parents on rehabilitation ef-fectiveness of cerebral palsy children.Methods:220 children with cerebral palsy were equally randomized into two groups as children group A and children group B.The 220 parents were recruited into two equally numbered group as parent group A and parent group B.The two groups of children received routine treatment for rehabilitation.Par-ent group A was given a three-month psychological intervention,while parent group B received no intervention.Re-sults:Parent group A scored higher than the national norm in the following:total score and total average score of SCL-90,and factors as somatization,obsessive-compulsive state,interpersonal relationship,depression,anxiety, hostility,bigotry (P <0.01,0.05),and the scores after the intervention were significantly lower than those before the intervention (P <0.05).The scores of terror and psychoticism were not statistically higher than those of nation-al norm.Multi-factor regression analysis showed that the gender,age and education of the parents only influenced anxiety and depression factors (P <0.05 ).Economical status posed impact on the total score,interpersonal rela-tionship,anxiety and depression factors (P <0.05 ).After the intervention,time for caring the children changed unobviously in parent group B,significantly shorter than that in parent group A,which was significantly longer for playing games,receiving treatment and educating than that before the intervention (P <0.01).The GMFM-88 sco-ring of both children groups after the intervention was obviously higher than that before the intervention (P <0.01, 0.05),with children in group A scoring more than group B (P <0.05).Conclusion:Psychological intervention to parents is benefical for the rehibilitation of cerebral palsy children.