心理干预对轻中度脑瘫儿童综合功能和生活质量的影响  

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

作　　者：郭新志[1,2] 孙阳[3] 张向葵[1] 

机构地区：[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

出　　处：《心理与行为研究》2014年第2期238-243,共6页Studies of Psychology and Behavior

基　　金：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);山西省脑瘫康复医院"十二五"规划课题(SNY120910)资助

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。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 ques- tionnaire 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 de- grees, 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 sig- nificant 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 interven- tion 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.

关 键 词：轻中度脑瘫儿童 综合功能 生活质量 心理干预 

分 类 号：B844.1[哲学宗教—发展与教育心理学]