以家庭为团队的辅导干预在多发性抽动症患儿中的应用  

Application of Family-based Counseling Intervention in Children with Multiple Tics

作　　者：陈颖 何欣 冯碧霞 Chen Ying;He Xin;Feng Bixia(Shenzhen Municipal People′s Hospital,Shenzhen Guangdong 518020,China)

机构地区：[1]深圳市人民医院,广东深圳518020

出　　处：《齐鲁护理杂志》2023年第23期17-20,共4页Journal of Qilu Nursing

摘　　要：目的:探讨以家庭为团队的辅导干预在多发性抽动症患儿中的应用效果。方法:选取2019年3月1日~2022年3月1日收治的156例多发性抽动症患儿为研究对象,按照随机数字表法分为观察组和对照组各78例,对照组实施常规护理干预,观察组在对照组基础上实施以家庭为团队的辅导干预;比较两组干预效果、干预前后自我意识[采用Piers-Harris儿童自我意识量表(PHCCS)]、智力水平[采用中文版-韦氏儿童智力测验系统(C-WISC)]、临床症状[采用耶鲁抽动症整体严重程度量表(YGTSS)]、生活质量[采用儿少主观生活质量问卷(ISLQ)]、严重程度[采用注意缺陷多动障碍评定量表第4版(SNAP-Ⅳ)、Yale-Brown强迫量表(Y-BOCS)]、不良反应[采用不良反应量表(TESS)]及家长满意度。结果:观察组总有效率、家长护理满意度、TESS评分均优于对照组(P<0.05,P<0.01);干预后,两组PHCCS、C-WISC评分均高于干预前(P<0.01),且观察组高于对照组(P<0.05);干预后,两组YGTSS、ISLQ、SNAP-Ⅳ、Y-BOCS评分均低于干预前(P<0.01),且观察组低于对照组(P<0.05)。结论:对多发性抽动症患儿实施以家庭为团队的辅导干预,可有效减轻其注意缺陷多动障碍和强迫障碍,缓解临床症状,提高其自我意识和智力水平,改善生活质量,减少不良反应,干预效果显著且满意度较高。Objective:To explore the application effect of family-based counseling intervention in children with multiple tic.Methods:A total of 156 children with multiple tic syndrome admitted to from March 1,2019 to March 1,2022 were selected as research objects and di-vided into the observation group and the control group each with 78 cases by the random number table method.The control group received routine nursing intervention.Based on the control group,the observation group received family-based counseling intervention The effect of intervention,self-awareness by Piers Harris Child Self-conciousness scale(PHCCS)intelligence level by C-WISC,clinical symptoms by YGTSS,quality of life by ISLQ,degree by SNAP-IV,Y-BOCS,adverse events by TESS and satisfaction by parents.Scores before and after intervention were compared between the two groups.Results:The total effective rate,the nursing satisfaction of the parents and TESS scores in the observation group were higher than those in the control group(P<0.05,P<0.01).After intervention,the PHCCS and C-WISC scores in both groups were higher than those before intervention(P<0.01),and those in the observation group were higher than those in the con-trol group(P<0.05).After intervention,the YGTSS,ISLQ,SNAP-IV,and Y-BOCS scores in both groups were lower than those before in-tervention(P<0.01),and those in the observation group were lower than those in the control group(P<0.05).Conclusion:Family-based counseling intervention in children with multiple tics can effectively relieve attention deficit hyperactivity disorder and obsessive-compulsive disorder,relieve individual clinical symptoms,improve their self-awareness and intelligence level,improve their quality of life,and reduce adverse reactions.The effect is significant and the satisfaction is high.

关 键 词：多发性抽动症 以家庭为团队 辅导干预 生活质量 满意度 

分 类 号：R473.72[医药卫生—护理学]