摘要
目的探讨情景游戏对住院患儿心理行为、患儿家属焦虑与抑郁程度及住院满意度的影响。方法将101例住院患儿按入院时间分为对照组(50例)和观察组(51例)。对照组给予儿内科常规护理;观察组在此基础上融入情景游戏,分别在入院首日、有创操作前及首次检查前,由研究者将患儿及其家属带至情景游戏室,让患儿在模拟情景与游戏中熟悉并理解相关检查与操作,所有过程鼓励患儿家属参与。采用Achenbach儿童行为量表(CBCL)评价两组患儿的行为问题,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)及自行设计的满意度调查表测评患儿家属的焦虑、抑郁程度及对护理工作的满意度。结果两组患儿入院时与出院前CBCL评分比较,差异有显著性意义(均P<0.01)。观察组出院前CBCL评分低于对照组,但差异无显著性意义(P>0.05);其家属出院前SAS、SDS评分及对护理工作的满意度与对照组家属比较,差异有显著性意义(P<0.05,P<0.01)。结论情景游戏可减缓患儿住院期间的行为退化;可有效降低患儿家属的焦虑、抑郁程度,提高家属满意度。
Objective To investigate the effect of pretend play therapy on the psychobehavior of hospitalized children and on the anxiety and depression level of their parents as well as on the parents＇ satisfaction. Methods One hundred and one hospitalized children were randomized into a control group（n=50） and an observation group（n=51）. Participants in the control group received routine nursing care, while those in the observation group were involved in pretend play therapy besides routine care on admission, before invasive procedures, and before first diagnostic examination procedure. Parents were encouraged to join the play process. Achenbach＇s Child Behavior Check List （CBCL）, SAS, SDS and parents satisfaction questionnaire were selected to evaluate the results. Results CBCL scores of participants from both groups on discharge were significantly higher than those on admission（P〈0. 01 for both）. Children in the observation group had lower CBCL scores than those in the control group on discharge,but the difference was not significant （P〉0.05）. There were significant differences in anxiety and depression level as well as satisfaction with nurses＇ work between parents of both groups （P〈0.05, P〈0. 01）. Conclusion Pretend play therapy can slow down the progress of behavior withdrawal among hospitalized children, and relieve parents＇ anxiety and depression level.
基金
复旦大学科研基金资助项目(CHF400001)
关键词
儿童
家属
情景游戏
心理行为
焦虑
抑郁
满意度
children
parents
pretend play therapy
psychobehavior
anxiety
depression
satisfaction
