ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2017, Vol. 9 ›› Issue (2): 130-133.doi: 10.3969/j.issn.1674-3865.2017.02.012

• 临床研究 • 上一篇    下一篇

生物反馈治疗结合家长培训对于注意缺陷多动障碍儿童的疗效观察

蒋婷婷,朱萍   

  1. 221000 江苏 徐州,徐州市儿童医院儿童保健科
  • 出版日期:2017-04-25 发布日期:2017-12-18
  • 通讯作者: 朱萍,E-mail:xzetyyzhuping@163.com
  • 作者简介:蒋婷婷(1984-),女,主治医师。研究方向:儿童保健

Effect of biofeedback treatment in combination with parents training on children with attention deficit hyperactivity disorder

JIANG Tingting, ZHU Ping   

  1. Department of Child Healthcare, Xuzhou Children's Hospital, Xuzhou 221000,China
  • Online:2017-04-25 Published:2017-12-18

摘要:


目的:探讨生物反馈治疗结合家长培训对注意缺陷多动障碍(ADHD)儿童的疗效,为ADHD儿童的综合治疗提供依据。
方法:2015年1月至2016年6月在徐州市儿童医院儿童保健科就诊的ADHD患儿80例,随机分为对照组和观察组各40例。对照组使用大脑生物反馈治疗仪每20次为1个疗程,连续治疗3个疗程。观察组在对照组治疗基础上增加家长培训治疗,其中包括注意力训练、行为矫正、亲子关系建立以及父母教养方式培训等,培训时间每次2 h,每周1次,为期4周。两组分别在治疗前及治疗3个疗程后采用心理量表、大脑工作能力指数(AYP)、家长满意程度来评定干预效果。
结果:治疗前后两组ADHD儿童的心理量表各项评分及AYP评分均有明显改善,差异有统计学意义(P<0.05);治疗后观察组注意力控制评分、家长满意程度中的亲子关系评分及总评分均高于对照组,差异有统计学意义(P<0.05)。
结论:作为一种非药物治疗方法,生物反馈治疗结合家长培训能有效地改善儿童注意缺陷及多动症状,提高儿童学习能力,改善亲子关系,家长易于接受,值得推广。

关键词: 注意缺陷多动障碍, 生物反馈, 治疗, 家长培训, 亲子关系

Abstract:
Objective:To explore the intervention effect of biofeedback treatment in combination with parents training on children with attention deficit hyperactivity disorder(ADHD) and to provide evidence for the comprehensive treatment for ADHD children.
Methods:Eighty children with ADHD were randomly divided into two groups, the intervention group and the control group. Two groups were treated with biofeedback, 20 times as a course for 3 courses. The parents of the intervention group accepted parents training for 4 weeks, 2 hours per time, once a week, which included attention training, behavior modification, establishment of parenthood and training of parenting style. The intervention effect was evaluated using the Psychological Scale, AYP(an index reflecting the brain's performance ability) and parents' satisfaction before and after 3 courses of treatment.
Results:After the treatment, ADHD children's scores on the Psychological Scale and AYP were all significantly better than those before treatment in both groups, with significantly statistical differences(P<0.05). The control group's score of attention control, the parent-child relationship scores and the total scores of parents satisfaction were lower than those of the intervention group after the treatment, and the difference was statistical (P<0.05).
Conclusion:Biofeedback treatment in combination with parents training, as a nonpharmacological treatment, can effectively improve the symptoms of children with attention deficit hyperactivity disorder, and increase children's learning ability; furthermore, it can improve the parent-child relationship, and is more likely to be accepted by parents, which is worth promoting.

Key words: Attention deficit hyperactivity disorder, Biofeedback, Treatment, Parents training, Parent-child relationship