小组训练对学龄前注意缺陷多动障碍儿童注意品质的干预效果

doi:10.11852/zgetbjzz2022-0728

摘要/Abstract

摘要： 目的分析小组形式注意品质四维度训练对学龄前注意缺陷多动障碍(ADHD)儿童的影响,为采用小组注意品质训练改善ADHD儿童的注意功能提供实验依据和参考。方法以扬州市妇幼保健院2020年1月—2021年12月儿童康复科门诊收治的64例4~6岁学龄前ADHD儿童为研究对象,随机分至实验组和对照组。对照组采用常规认知行为、感统及社交训练,实验组采用常规训练结合小组注意训练,实验前后使用NJ22B儿童注意力测试仪对儿童进行注意品质评估测试,采用SNAP-Ⅳ对儿童注意缺陷和多动进行评估,全面评价学龄前ADHD儿童在训练前后的变化。结果干预前实验组与对照组SNAP-Ⅳ注意力不集中、多动和注意稳定性、广度、转移、分配注意品质总分各项目分值两组间差异无统计学意义(P>0.05),实验组SNAP-Ⅳ注意力不集中(t=8.487)、多动(t=8.558)和注意稳定性(Z=4.784)、广度(Z=4.560)、转移(Z=3.087)、分配(Z=3.536)注意品质总分(Z=4.918)各项目干预前后差异有统计学意义(P<0.001)。干预后对照组与实验组在SNAP-Ⅳ多动/冲动(t=2.961)、总分(t=3.461)及注意品质测试中的注意稳定性(Z=2.347)、注意品质总分(Z=2.507)之间差异有统计学意义(P<0.05)。结论小组注意品质训练能改善学龄前ADHD儿童注意品质各维度能力,减少多动冲动和改善注意力。

关键词: 注意缺陷多动障碍, 注意缺陷, 多动冲动, 注意品质

Abstract: Objective To analyze the effect of four-dimensional training of attentional quality in group form on preschool children with attention deficit hyperactivity disorder (ADHD), in order to provide experimental basis and reference for improving attentional function of ADHD with group attentional quality training. Method A total of 64 preschool ADHD children aged 4 to 6 who were admitted to the outpatient department of Children's Rehabilitation Department in Yangzhou Maternal and Child Health Hospital from January 2020 to December 2021 were selected as the study subjects, and were randomly divided into the experimental group and the control group. The control group received conventional cognitive behavior, sensory integration and social training, while the experimental group was given group attention training additionally. Before and after the experiment, the NJ22B Children's Attention Tester was used to evaluate the children's attention quality, and the SNAP-Ⅳ was used to evaluate the children's attention deficit and hyperactivity. Results Before intervention, there was no statistical significance between the two groups in the total score of SNAP-Ⅳ in attention, hyperactivity and attention stability, breadth, transfer and distribution of attention quality between the experimental group and the control group (P>0.05). In the experimental group, the scores of SNAP-Ⅳ inattention(t=8.487), hyperactivity(t=8.558) and attention stability (Z=4.784), breadth(Z=4.560), transfer(Z=3.087), distribution(Z=3.536) and the total score of attention quality(Z=4.918) were significantly different before and after intervention (P<0.001). After intervention, there were statistically significant differences between the control group and the experimental group in the SNAP-Ⅳ hyperactivity/impulsivity(t=2.961), total score(t=3.461), as well as attentional stability(Z=2.347) and total attentional quality score(Z=2.507) in the SNAP-Ⅳ test (P<0.05). Conclusion Group attention quality training can improve attention quality ability of preschool ADHD children, reduce hyperactivity impulse and improve attention.

Key words: attention deficit hyperactivity disorder, attention deficit, hyperactivity-impulsivity, attention quality

中图分类号:

R749.94

周梅君, 魏蓉美, 袁晓玲, 赵婷, 赵硕. 小组训练对学龄前注意缺陷多动障碍儿童注意品质的干预效果[J]. 中国儿童保健杂志, 2023, 31(3): 336-340.

ZHOU Meijun, WEI Rongmei, YUAN Xiaoling, ZHAO Ting, ZHAO Shuo. Effect of group attention quality training on attention quality in preschool children with attention deficit hyperactivity disorder[J]. Chinese Journal of Child Health Care, 2023, 31(3): 336-340.

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