首页|护理过程中采用游戏对门诊儿童社交、情感、行为技能的作用研究

护理过程中采用游戏对门诊儿童社交、情感、行为技能的作用研究

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目的:本研究旨在探究游戏干预对门诊儿童的社交、情感和行为技能的影响。方法:选取从2019年2月至2020年2月于南方医科大学珠江医院儿童保健专科就诊的100例学龄前因积食导致消化不良的儿童作为观察对象,采用随机分组的方法将他们分为实验组和对照组,选择同期健康体检的50例健康儿童作为空白组。本研究共拟定多种游戏包括利用虚拟现实(VR)技术让儿童沉浸其中进行互动游戏、比较简单的乐高拼图游戏及观看动画片互相讨论剧情并模仿表演等等,实验组儿童每周进行4 d的游戏活动,共持续4周,每周与实验组每个儿童进行2次游戏比赛,空白组和对照组儿童无游戏活动。于游戏前后检测社会能力和行为评估量表(SCBE-30),根据该表评估儿童的社交、情感、行为技能。结果:游戏前,3组儿童行为技能(CBS)、社交技能(SC)、情感技能(AW)、消极情感方面的构成得分和情感技能评分差异存在统计学意义(P<0.05),实验组和对照组儿童CBS、SC、AW、消极情感方面的构成得分和情感技能评分差异无统计学意义(P>0.05)。游戏后,实验组和对照组儿童行为技能(CBS)、社交技能(SC)、情感技能(AW)、消极情感方面的构成得分和情感技能评分均有不同程度地增加(P<0.05),与对照组比,实验组CBS、SC、AW、消极情感方面的构成得分和情感技能评分明显增加(P<0.05)。结论:游戏有助于提高学龄前门诊儿童的社交、情感和行为技能,减少对疾病的恐惧和焦虑水平,提高沟通和应对技能,提高自尊。因此,建议对学龄前儿童门诊护理中采用游戏,以帮助儿童康复。
Effect of game playing during nursing on children's social, emotional, and behavioral skills
Objective:To explore the impact of game playing during nursing on the social, emotional, and behavioral skills of children.Methods:Ond hundred kindergarten children with indigestion due to overeating who visited the children's health care division of Zhujiang Hospital of Southern Medical University from February 2019 to February 2020 were randomized into an experimental group and a control group. Fifty healthy children who underwent physical examination during the same period were selected as a blank control group. A variety of games were developed in this research, including the use of virtual reality (VR) technology to immerse children in interactive games, relatively simple Lego puzzle games, and watching cartoons to discuss plots with each other and imitate performances, etc. Children in the experimental group played games for 4 days per week for 4 weeks, and played games with each other 2 times/ week. Children in the control and blank groups had no game activities. The social competence and behavior evaluation scale-30 (SCBE-30) was used to evaluate children's social, emotional, and behavioral skills before and after game playing.Results:Before game playing, the children's behavioral skills (CBS), social competence (SC), anxiety withdrawal (AW), composition score of negative affect, and emotional skill score among the three groups were significantly different (P<0.05), but they did not differ significantly between the experimental group and the control group (P>0.05). After game playing, the CBS, SC, AW, composition score of negative affect, and emotional skill score increased significantly in both groups (P<0.05). Compared with the control group, the CBS, SC, AW, composition score of negative affect, and emotional skill score in the experimental group increased significantly in the experiment group (P<0.05).Conclusion:Game playing helps to improve the social, emotional, and behavioral skills of children in preschool outpatient clinics, reduce the level of fear and anxiety about diseases, improve communication and coping skills, and improve self-esteem. Therefore, it is recommended to use games in the outpatient care of preschool children to help them recover.

赵宏、杨娟、彭文山

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510282 广州,南方医科大学珠江医院儿科中心

护理 游戏 门诊 学龄前儿童 社交 情感 行为

2023

中华临床医师杂志(电子版)
中华医学会

中华临床医师杂志(电子版)

CSTPCD
影响因子:0.99
ISSN:1674-0785
年,卷(期):2023.17(4)
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