中国儿童保健杂志 ›› 2014, Vol. 22 ›› Issue (4): 397-399.DOI: 10.11852/zgetbjzz2014-22-04-18

• 临床研究与分析 • 上一篇    下一篇

游戏并分享阅读对恶性肿瘤患儿心理应对能力的干预效果

贾晓琴1, 孙玉倩1, 孙秉赋2, 赵佳1, 崔颖1, 王凤玲2, 宇宏峰3   

  1. 河北联合大学1 护理与康复学院;
    2 附属医院, 河北 唐山 063000;
    3 张家口市崇礼县人民医院普外科, 河北 张家口 076350
  • 收稿日期:2013-11-04 发布日期:2014-04-10 出版日期:2014-04-10
  • 作者简介:贾晓琴(1989-), 女, 甘肃人, 在读硕士研究生, 主要从事临床护理研究。

Efficacy of play therapy combined with shared reading on the mental coping capability of children with cancer.

JIA Xiao-qin1, SUN Yu-qian1, SUN Bing-fu2, ZHAO Jia1, CUI Ying1, WANG Feng-ling2, YU Hong-feng3.   

  1. 1 Nursing and Rehabilitation School of Hebei United University; 2 Affiliated Hospital of Hebei United University, Tangshan, Hebei 063000, China; 3 Chongli People's Hospital, Zhangjiakou City, Zhangjiakou, Hebei 076350, China
  • Received:2013-11-04 Online:2014-04-10 Published:2014-04-10
  • Contact: SUN Yu-qian, E-mail:syq_tt@126.com

摘要: 目的 探讨游戏结合分享阅读团体辅导对提升恶性肿瘤患儿心理应对能力的效果。方法 选取唐山市4家三级综合性医院内就诊的白血病等恶性肿瘤患儿58例, 随机分为干预组(n=30例)和对照组(n=28例), 干预组进行游戏结合分享阅读的团体辅导, 时间为3个月, 对照组不接受干预措施。在团体辅导前后分别应用慢性病儿童应对方式量表(Coping With a Disease, CODI)中文版对患儿进行评测。结果 在干预后, 干预组在幻想、自我安慰、远离和接受的得分高于对照组和干预前(P<0.05);在逃避和负性情绪反应的得分低于对照组和干预前(P<0.05)。结论 游戏结合分享阅读团体辅导能提升恶心肿瘤患儿的心理应对能力。

关键词: 恶性肿瘤, 患儿, 游戏治疗, 分享阅读, 心理应对能力

Abstract: Objective To explore the efficacy of group play therapy combined with shared reading on the mental coping capability of children with cancer. Methods Fifty-eight children with cancer were selected from four first-class hospitals in Tangshan, and were randomly assigned to intervention group(n=30)and control group(n=28).Children in intervention group received play therapy combined with shared reading for 3 months, while those in control group did not.The Coping With a Disease (CODI) was used to investigate the children's coping style before and after intervention between two groups. Results Compared with control group, the scores in wishful thinking, emotional reaction, distance and acceptance increased, and in avoidance and cognitive-palliative decreased in intervention group after intervention (P<0.05).The scores in control group did not differ before and after intervention (P>0.05). Conclusion Play therapy combined with shared reading can result in improvements in mental coping capability of children with cancer.

Key words: cancer, children, play therapy, shared reading, mental coping capability

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