视觉训练联合认知行为干预对注意缺陷多动障碍患儿的影响  

Effect of visual trainning combined with behavioral intervention on children with attention deficit hyperactivity disorder

作　　者：池边柳 赵莎 周源源 胡娜 秦琨 CHI Bianliu;ZHAO Sha;ZHOU Yuanyuan;HU Na;QIN Kun(The Affiliated Children's Hospital of Central South University Xiangya Medical School(Hunan Children's Hospital),Changsha 410007,China)

机构地区：[1]中南大学湘雅医学院附属儿童医院/湖南省儿童医院,湖南省长沙市410007

出　　处：《护理实践与研究》2024年第8期1108-1113,共6页Nursing Practice and Research

基　　金：长沙市科学技术局自然科学基金(编号:kp2208089)。

摘　　要：目的探讨视觉训练联合认知行为干预对注意缺陷多动障碍患儿的影响。方法选取2021年1月—2022年12月医院治疗的80例注意缺陷多动障碍患儿,按照组间基线资料均衡可比的原则将其分为观察组和对照组,每组40例。对照组患儿采用常规专科护理,观察组患儿在对照组的基础上应用视觉训练联合认知行为干预。对两组患儿护理前后Conners儿童行为量表(Parent Symptom Questionnaire,PSQ)评分、视听整合持续性操作测试(Integrated Visual And Auditory Continuous Performance Test,IVA-CPT)评分和睡眠状况(总睡眠时间、睡眠潜伏期、睡眠效率)改善情况进行对比。结果两组患儿干预前PSQ评分和IVA-CPT评分以及睡眠质量水平相比差异无统计学意义(P>0.05);干预3个月后,观察组患儿的PSQ评分、IVA-CPT评分以及睡眠状况指标水平均优于对照组,差异有统计学意义(P<0.05)。结论视觉训练联合认知行为干预对注意缺陷多动障碍患儿的行为表现和注意力改善具有积极的影响,其能够帮助患儿逐步建立良好的睡眠习惯,改善睡眠问题,有利于提高患儿睡眠质量水平,促进患儿病情的康复。Objective To discuss the effect of visual trainning combined with cognitive behavior intervention on children with attention deficit hyperactivity disorder.Methods 80 cases of children with attention deficit hyperactivity disorder treated in hospital from January 2021 to December 2022 were divided into an observation group and a control group according to the principle of balanced and comparable baseline data between groups,with 40 cases in each group.The control group received routine specialist care,the observation group applied visual behavioral intervention combined with cognitive behavioral intervention on the basis of the control group.Parent Symptom Questionnaire(PSQ)scores,Integrated Visual And Auditory Continuous Performance Test(IVA-CPT)scores,and improvements in sleep status(total sleep time,sleep latency,sleep efficiency)were compared between the two groups before and after nursing intervention for children with attention deficit hyperactivity disorder.Results The PSQ score,IVA-CPT score and sleep quality level of children with attention-deficit hyperactivity disorder in the two groups were not statistically significant compared with those in the control group(P>0.05).After 3 months of intervention,the PSQ score,IVA-CPT score and sleep status index of the children in the observation group were better than those in the control group,and the difference was statistically significant(P<0.05).Conclusion Visual behavior intervention combined with cognitive behavior intervention had a positive impact on the behavioral performance and attention improvement of children with attention deficit hyperactivity disorder,which could help children gradually establish good sleep habits and improve sleep problems,it is conducive to improving the quality of sleep of children and promoting the recovery of children.

关 键 词：视觉训练 认知行为干预 专科护理 注意缺陷多动障碍 行为表现 注意力 

分 类 号：R473.74[医药卫生—护理学]