沙盘游戏疗法对癫痫患儿心理障碍的干预效果研究

发布时间：2018-02-11 03:21

本文关键词： 沙盘游戏癫痫患儿心理障碍　出处：《重庆医科大学学报》2017年10期 　论文类型：期刊论文

【摘要】：目的:探讨沙盘游戏对癫痫患儿心理问题的治疗作用。方法:采用随机对照研究方法,随机纳入在重庆医科大学附属儿童医院神经内科门诊确诊为癫痫的40例患儿,排除无严重躯体疾病及精神病史。40例癫痫患儿随机分为实验组(20例)与对照组(20例)。实验组在药物治疗的同时进行20周沙盘游戏心理治疗,对照组仅进行药物治疗。采用SCL-90症状自评量表为测评工具,对治疗前后的癫痫组患儿进行评估。结果:(1)癫痫组躯体化[(1.97±0.59)分]、强迫[(2.85±0.55)分]、人际关系[(3.12±0.74)分]、抑郁[(3.22±0.85)分]、焦虑[(3.15±0.66)分]、敌对[(3.93±0.94)分]、恐怖[(2.34±0.72)分]、偏执[(3.15±0.81)分]、精神病性[(2.93±0.78)分]指数得分明显高于国内常模,差异具有统计学意义(P0.05)。(2)治疗后实验组躯体化、强迫、人际关系、抑郁、焦虑、敌对、恐怖、偏执、精神病性指数得分均较对照组有明显降低(P0.05)。(3)治疗后实验组躯体化、强迫、人际关系、抑郁、焦虑、敌对、恐怖、偏执、精神病性指数得分均较治疗前有明显降低(P0.05)。结论:癫痫患儿有心理障碍。沙盘游戏心理治疗能够有效缓解癫痫患儿的心理行为问题。
[Abstract]:Objective: to explore the therapeutic effect of sand table play on children with epilepsy. Methods: a randomized controlled study was conducted in 40 children diagnosed as epilepsy in the Department of Neurology, affiliated Children's Hospital of Chongqing Medical University. 40 children with epilepsy were randomly divided into two groups: the experimental group (n = 20) and the control group (n = 20). The control group was treated with drugs only. SCL-90 symptom checklist was used as the evaluation tool. Results the children in the epileptic group before and after treatment were evaluated. Results: in the epilepsy group, somatization [1.97 卤0.59], compulsion [2.85 卤0.55], interpersonal relationship [3.12 卤0.74], depression [3.22 卤0.85)], anxiety [3.15 卤0.66], hostility [3.93 卤0.94], terror [2.34 卤0.72], paranoid [3.15 卤0.81], psychotic [2.93 卤0.78]. The score of the index is obviously higher than that of the domestic norm. After treatment, the scores of somatization, obsessive-compulsion, interpersonal relationship, depression, anxiety, hostility, phobia, paranoid ideation and psychosis index in the experimental group were significantly lower than those in the control group. Relationships, depression, anxiety, hostility, horror, bigotry, The scores of psychosis index were significantly lower than those before treatment (P 0.05). Conclusion: children with epilepsy have psychological disorders.
【作者单位】：重庆医科大学附属儿童医院康复中心;重庆市第五人民医院儿科;
【基金】：2013-2014年度国家临床重点专科建设资助项目[编号:国卫办医涵(2013)544号]
【分类号】：R742.1

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