摘要
目的探讨团体沙盘游戏矫正脑瘫患儿行为问题的疗效。方法选取本院确诊的3～5岁脑瘫患儿，以皮勃迪图片词汇测试（PPVT）排除精神发育严重迟滞者，在此基础上，采用2～3岁及4～16岁阿肯巴克儿童行为量表（ACBCL）分别对3岁年龄段及4～5岁年龄段患儿进行行为评定，同时结合自愿原则，最终确定90例有行为问题的患儿作为研究对象。采用随机对照法，将90例研究对象随机分为实验组和对照组，每组45例，其中3岁年龄段患儿每组17例，4～5岁年龄段男患儿每组18例，4—5岁年龄段女患儿每组10例。实验组在常规康复治疗的基础上同时接受为期10周的团体沙盘游戏治疗，而对照组仅进行常规康复治疗。采用ACBCL分别对2组患儿治疗前、后进行行为评定和统计学分析比较。结果经过10周的团体沙盘游戏治疗后，①3岁年龄段脑瘫患儿实验组的社会退缩、抑郁、攻击性、破坏性行为得分明显降低且低于相应的对照组（P〈0．01）；②4—5岁脑瘫男患儿实验组的社会退缩、抑郁、不成熟、性行为、攻击性、违纪行为得分明显降低且低于相应的对照组（P〈0．05）；③4～5岁脑瘫女思儿实验组的抑郁、体诉、社会退缩、强迫、攻击性、多动得分明显降低且低于相应的对照组（P〈0．05）。结论团体沙盘游戏能有效矫正脑瘫患儿行为问题，对脑瘫患儿心理康复有积极作用。，
Objective To explore the effects of group sand play on the behavior of cerebral palsy （CP） children with behavioral problems. Methods Ninety children with CP aged 3-5 with behavioral problems were se lected, after those with mental retardation had been excluded through the Peabody picture vocabulary test （PPVT）. Their behavioral problems were diagnosed using Aehenbach＇s child behavior check list （ CBCL）. The children were randomly divided into an experimental group and a control group with 45 cases in each. The experimental group re ceived 10 weeks of sand play treatment in addition to routine rehabilitation. The controls received only routine rehabil itation. Results After treatment, the social withdrawal, depression, aggression and disruptive behavior scores of the 3-year olds in the experimental group were significantly lower than before treatment and significantly lower than those of the controls. For the 4 and 5 year-old boys the results were similar in terms of social withdrawal, depression, immaturity, sexual behavior, aggression and delinquent behavior. For the 4 and 5 year-old girls the scores for depres- sion, somatic complaints, social withdrawal, compulsion, aggression, and hyperactivity showed similar significant improvements. Conclusion Group sand play can improve the behavior and promote the mental health of CP children.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2012年第10期755-759,共5页
Chinese Journal of Physical Medicine and Rehabilitation
基金
重庆市卫生局资助项目（2011-2-210）
关键词
团体沙盘游戏
脑瘫
行为
儿童
Group therapy
Sand play
Play
Cerebral palsy
Behavior
Children
