沙盘游戏疗法对原发性肾病综合征学龄期患儿医疗恐惧和行为问题的影响  

Sandplay therapy on medical fear and behaviours in hospitalised pre-school children with primary nephrotic syndromes

作　　者：党冬梅 李婷[2] 刘翠娟 刘华 王月磊 Dang Dongmei;Li Ting;Liu Cuijuan;Liu Hua;Wang Yuelei(Department of Critical Care Medicine,Zoucheng People’s Hospital Mengzi Lake Branch,Jining,273500;Department of Nursing Administration,Zoucheng People’s Hospital,Jining,273500,China)

机构地区：[1]邹城市人民医院孟子湖院区,山东济宁273500 [2]邹城市人民医院护理部,山东济宁273500

出　　处：《现代临床护理》2021年第8期56-62,共7页Modern Clinical Nursing

摘　　要：目的分析沙盘游戏疗法对原发性肾病综合征学龄期患儿医疗恐惧和行为问题的影响。方法采用便利抽样方法,选取2018年1月至2019年11月本院儿科收治的原发性肾病综合征学龄期患儿88例为研究对象,按照入院时间的先后次序,分为观察组和对照组,每组44例。对照组给予常规护理,观察组在常规护理基础上实施沙盘游戏疗法,干预前后,采用儿童医疗恐惧调查量表(the child medical fear scale,CMFS)和儿童行为量表(child behavior checklist,CBCL)评价其效果。结果干预后观察组CMFS量表总分(23.00±2.79)分低于对照组的(26.07±4.20)分并且低于干预前的总分(29.18±3.88)分,组间和组内比较,差异均有统计学意义(P<0.001或P<0.05);观察组CBCL量表总分(40.75±4.37)分低于对照组的(53.64±5.03)分并且低于干预前的总分(60.00±4.73)分,组间和组内比较,差异均有统计学意义(P<0.05)。结论沙盘游戏疗法可有效改善学龄期原发性肾病综合症住院患儿的医疗恐惧和行为问题。Objective To investigate the effects of progressively integrated sandplay therapy on the medical fear and behaviours in hospitalised pre-school children with primary nephrotic syndrome.Methods A total of 88 hospitalised pre-school children were evenly divided into observation group and control group according to the administration time,with 44 children per group.The control group received routine nursing care,while the observation group was managed with sandplay therapy.The clinical effects were assessed by child medical fear scale(CMFS)and child behaviour checklist(CBCL),respectively,before and after the intervention.Results With the intervention of sandplay,the total score of CMFS in the observation group was significantly lower than that of the CMFS of the control group and the before intervention(23.00±2.79 vs.26.07±4.20,respectively;P<0.05).The total score of CBCL with sandplay therapy in the observation group was significantly higher than that of the control group and lower than that of before treatment(40.75±4.37 vs.53.64±5.03,respectively;P<0.05).Conclusion Sandplay therapy effectively relieves the medical fear and settle the behaviour in the hospitalised pre-school children with primary nephrotic syndrome.

关 键 词：沙盘游戏疗法 原发性肾病综合症 学龄期 医疗恐惧 行为问题 

分 类 号：R473.72[医药卫生—护理学]