沙盘游戏在儿童青少年焦虑性情绪障碍中的应用效果  

Effect of sandplay on anxiety disorder in children and adolescents

作　　者：武君芳[1] 郭凤莲[1] 柴珺 杨翠芳 翟姗姗 Wu Junfang;Guo Fenglian;Chai Jun;Yang Cuifang;Zhai Shanshan(Department of Psychiatry,Taiyuan Central Hospital,Taiyuan 030009,China)

机构地区：[1]太原市中心医院精神科,太原030009

出　　处：《中国实用医刊》2023年第9期71-74,共4页Chinese Journal of Practical Medicine

摘　　要：目的:探讨沙盘游戏在儿童青少年焦虑性情绪障碍中的应用效果。方法:抽取2019年4月至2022年4月太原市中心医院收治的焦虑性情绪障碍患儿100例,根据双色球法分为对照组和观察组,每组50例。对照组采用常规药物治疗,观察组采用常规药物联合沙盘游戏治疗。比较两组临床疗效、治疗依从性,比较两组治疗前后焦虑症状评分[参考汉密尔顿焦虑量表(HAMD)]、生活质量评分[参考少儿主观生活质量问卷(ISLQ)],比较两组不良反应发生情况。结果:观察组总有效率(94.00%,47/50)、治疗依从性(94.00%,47/50)均高于对照组(74.00%,37/50;72.00%,36/50),P均<0.05。治疗前,两组HAMD评分比较差异未见统计学意义(P>0.05);治疗2、4、8周后,观察组HAMD评分均低于对照组(P均<0.05)。治疗前,两组ISLQ评分比较差异未见统计学意义(P>0.05);治疗8周后,观察组ISLQ评分高于对照组(P<0.05)。观察组不良反应发生率(10.00%,5/50)与对照组(14.00%,7/50)比较差异未见统计学意义(P>0.05)。结论:焦虑性情绪障碍儿童青少年患者采取药物联合沙盘游戏治疗,可提高患儿治疗依从性,更好地改善焦虑症状,提高预后,改善生活质量,且安全性高。Objective To investigate the effect of sandplay on anxiety disorder in children and adolescents.Methods A total of 100 children and adolescents with anxiety disorder admitted to Taiyuan Central Hospital from April 2019 to April 2022 were selected,and they were divided into control group and observation group by dichromatic sphere method,with 50 cases in each group.The control group was treated with conventional drugs,while the observation group was treated with conventional drugs combined with sandplay.The clinical efficacy and treatment compliance of the two groupswere compared.The anxiety symptom scores assessed by Hamilton anxiety scale(HAMD),and quality of life scores assessed by inventory of subjective life quality(ISLQ)were compared between the two groups before and after treatment.The incidence of adverse reactions were compared between the two groups.Results The total effective rate(94.00%,47/50)and treatment compliance(94.00%,47/50)of the observation group were higher than those of the control group(74.00%,37/50;72.00%,36/50),both P<0.05.Before treatment,there was no significant difference in HAMD scores between the two groups(P>0.05);after 2,4 and 8 weeks of treatment,the HAMD scores of the observation group were lower than those of the control group(all P<0.05).Before treatment,there was no significant difference in ISLQ score between the two groups(P>0.05);after 8 weeks of treatment,the ISLQ score of the observation group was higher than that of the control group(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the observation group(10.00%,5/50)and the control group(14.00%,7/50),P>0.05.ConclusionssDrug therapy combined with sandplay in the treatment of anxiety disorder in children and adolescents can improve treatment compliance,alleviate anxiety symptoms,promote prognosis and quality of life,with high safety.

关 键 词：焦虑性障碍 儿童青少年 沙盘游戏 汉密尔顿焦虑量表评分 少儿主观生活质量问卷评分 不良反应 

分 类 号：R749.72[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]