多媒体图画故事疗法对重症脑外伤患儿认知功能与情绪状态的改善作用

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中文摘要：目的:探讨多媒体图画故事疗法对重症脑外伤患儿认知功能和情绪状态的改善作用。方法:选取2023年1月-2024年5月于某院确诊重症脑外伤的130例重症脑外伤患儿为研究对象。根据术后检查结果、护理模式及入院先后时间的不同将患儿定义为两组:对照组(65例)和干预组(65例)。入院后对两组患儿均进行常规脑外伤治疗，入选者均接受为期3周的干预护理，对干预组进行多媒体图画故事疗法干预护理，对照组仅进行常规护理。采用国际通用量表和医院自制的问卷调查表对患儿的认知功能、情绪状态、家属护理满意度、社会支持及各项功能进行比较。结果:多媒体图画故事疗法干预后，与对照组相比，干预组患儿的认知功能[简易智力状态检查量表(MMSE评分)、蒙特利尔认知评估量表(MoCA评分)]显著升高(t=13。026，11。949;P＜0。001);接受多媒体图画故事疗法的患儿各项功能[Fugl-Meyer运动功能量表(FMA)、日常生活能力量表(ADL)、功能独立性评定量表(FIM)]评分更高(t=6。220，9。224，3。661;P＜0。001);干预组患儿的情绪状态[儿童抑郁障碍自评表(DSRSC)、儿童焦虑情绪障碍筛查量表(SCARED)]显著低于对照组(t=9。256，6。423;P＜0。001);干预组患儿领悟社会支持量表(PSSS)中社会支持(家庭支持、朋友支持、其他支持、PSSS总分)各评分均显著高于对照组(t=5。549，8。051，14。807，9。646;P＜0。001);干预组患儿家属的护理满意度与对照组相比，有明显改善(x2=4。866，P＜0。05)。结论:对重症脑外伤患儿进行多媒体图画故事疗法干预护理，可以有效提升重症脑外伤患儿的认知功能、运动功能、日常生活能力、情绪状态以及患儿家属对护理的满意度，该疗法有助于患儿身体各项功能和情绪状态的纠正，从而提高患儿的康复质量。

外文标题：Effect of multimedia picture story therapy on cognitive function and emotional state of children with severe brain injury

外文摘要：Objective:To explore the effect of multimedia picture story therapy on cognitive function and emotional state of children with severe brain injury.Methods:A total of 130 children with severe brain injury who were diag-nosed in our hospital from January 2021 to May 2024 were selected as the research objects.According to the results of postoperative examination,nursing mode and the time of admission,the children were divided into two groups:Control group(65 cases)and intervention group(65 cases).After admission,all the children in the two groups were treated with routine brain trauma,and all the selected patients received intervention nursing for 3 weeks.The inter-vention group was treated with multimedia picture story therapy,while the control group was only treated with rou-tine nursing.The cognitive function,emotional state,nursing satisfaction of family members,social support and vari-ous functions of children were compared by using the international general scale and the questionnaire made by our hospital.Results:After the intervention of multimedia picture story therapy,compared with the control group,the cognitive function of children in the intervention group(MMSE score,MoCA score)increased significantly(t=13.026,11.949;P＜0.001);Children who received multimedia picture story therapy had higher scores in various functions([Fugl-Meyer Motor Function Scale(FMA),Activity of Daily Living Scale(ADL)and Functional Inde-pendence Assessment Scale(FIM)](t=6.220,9.224,3.661;P＜0.001);The emotional state of children in the inter-vention group[self-rating depression scale for children(DSRSC)and anxiety disorder screening scale for children(SCARD)]were significantly lower than those in the control group(t=9.256,6.423;P＜0.001);The scores of social support(family support,friend support,other support and total score of PSSS)in the intervention group were signifi-cantly higher than those in the control group(t=5.549,8.051,14.807,9.646;P＜0.001);Compared with the control group,the nursing satisfaction of childrens families in the intervention group was significantly improved(x2=4.866,P＜0.05).Conclusion:Intervention nursing of multimedia picture story therapy for children with severe brain injury can effectively improve their cognitive function,motor function,daily living ability,emotional state and their families'satisfaction with nursing.This therapy is helpful to correct their physical functions and emotional state,thus impro-ving their rehabilitation quality.

外文关键词：

Multimedia picture story therapyChildren with severe brain traumaCognitive functionEmotional state

作者：

张露露、石晓霞、马彩霞、丁盼盼、王新彦、常可可

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作者单位：

河南省人民医院,河南省护理医学重点实验室,郑州大学人民医院PICU(郑州)450003

关键词：

多媒体图画故事疗法重症脑外伤患儿认知功能情绪状态

出版年：

2025

DOI：