沙盘游戏疗法在脑性瘫痪儿童家长心理健康促进中的应用

摘要

Objective To apply sandplay therapy in cerebral palsy children's parents for the psychological problems. Methods 40 par-ents of cerebral palsy children were randomly divided into experimental group (n=20) and control group (n=20). The experimental group ac-cepted sandplay therapy once a week for 10 weeks, and the control group without any intervention. All the parents were assessed with Symp-toms Check-List 90 (SCL-90), Self-Esteem Scale (SES), compliance questionnaire, Quality of Life Questionnaire-Core 30 (QLQ-C30) be-fore and after the experiment. Results The scores of all the factors of SCL-90 were lower in the experimental group than in the control group (P<0.05), with the higher scores of compliance and self-esteem (P<0.05), and the high quality of life in physical function, role in work and social function (P<0.05) in the experimental group. Conclusion Sandplay therapy can be used to solve the psychological problems of cere-bral palsy children's parents, and improve their compliance, self-esteem and quality of life.%目的：探讨沙盘游戏治疗脑瘫儿童家长心理问题的应用效果。方法脑瘫患儿的家长40名，随机分为实验组(20名)与对照组(20名)。实验组行沙盘游戏治疗，每周1次，共10次。对照组不进行干预。实验前后采用临床症状自评量表(SCL-90)、自尊量表(SES)、遵医嘱行为量表、生活质量核心问卷(QLQ-C30)进行评定。结果实验组SCL-90各因子分低于对照组(P<0.05)，遵医行为、自尊评分高于对照组(P<0.05)，躯体功能、角色功能、社会功能等方面的生活质量评分高于对照组(P<0.05)。结论沙盘游戏能够有效解决脑瘫儿童家长的心理问题，提高遵医行为和自尊水平，改善生活质量。