Abstract: Objective To analyze the feasibility and the effect of improving parenting stress(PS) on the rehabilitation of children with cerebral palsy(CP).Methods Totally 68 CP children who received rehabilitation treatment in Lianyungang from March to December in 2016 and their mothers with moderate-to-severe PS were randomly divided into experimental group and control group. Comprehensive rehabilitation was given to all children,and rehabilitation training guidance was delivered to all mothers. Meanwhile,mothers in experimental group received psychological intervention additionally. After six months of intervention,the PS of mothers and the gross motor function,linguistic function and activity of daily living(ADL) of CP children before and after the experiment was analyzed and compared by SPSS 19.0. Results After six months of intervention,maternal PS score of the experimental group was significantly lower than that of control group(t=-7.051,P＜0.001). Also,children′s gross motor function,linguistic function and ADL in the experimental group were significantly better than those in control group(χ²=6.222,6.745,6.344,P＜0.05). Conclusion Reducing maternal parenting stress could improve the rehabilitation efficacy of CP children.

Key words: cerebral palsy, parenting stress, psychological intervention, activity of daily living

摘要： 目的 分析改善母亲亲职压力提高脑瘫儿童康复效果的可行性。 方法 将2016年3—12月在连云港医院康复治疗的68对脑瘫儿童及其存在中重度亲职压力的母亲随机分为实验组与对照组,儿童和母亲分别接受综合康复治疗和家庭康复训练指导,实验组母亲加予心理干预,实验周期6个月。用SPSS 19.0分析比较实验前后母亲亲职压力和脑瘫儿童运动、语言及日常生活自理能力(ADL)量表得分。结果 干预6个月后,与对照组相比,实验组母亲的亲职压力明显降低(t=-7.051,P<0.001),脑瘫儿童运动、语言、ADL也明显改善(χ²=6.222、6.745、6.344,P<0.05)。结论 降低脑瘫儿童母亲的亲职压力有助于提高脑瘫儿童的康复效果。

关键词: 脑瘫, 亲职压力, 心理干预, 日常生活自理能力