摘要目的 探讨家庭护理干预方法对注意缺陷多动障碍患儿家人心理调节和生活质量的影响.方法 将77例注意缺陷多动障碍患儿家人按随机数字表法随机分为观察组38例和对照组39例,对照组只是按时接送患儿,常规交代患儿注意事项,不接受特别的辅导和干预；观察组采用集体干预和个别干预相结合的方法进行家庭护理干预.干预前后运用症状自评量表、疲劳评估表和生活质量综合评定问卷对两组进行测评.结果 护理干预后观察组家人心理健康状况改善,症状自评量表评分(141.27±30.28)与对照组(164.13±29.81)比较差异有统计学意义(t=2.35,P＜0.01)；观察组家人疲劳程度减轻,疲劳评估表中躯体疲劳、脑力疲劳、总分(3.66±1.64、4.14±1.79、4.97±1.96)与对照组(6.69±2.06、4.19±1.28、10.88 ±2.32)比较差异均有统计学意义(t=2.01,P＜0.05；t=2.00,P＜0.05;t =3.82,P＜0.01)；总体生活质量评分明显提高,生活质量综合评定问卷评分观察组躯体功能维度、心理功能维度、社会功能维度、物质生活维度(67.52±10.34、75.36±12.84、62.53±11.01、43.22±8.94)与对照组(57.11±9.97、52.23±11.59、51.63±10.75、40.21±9.08)比较除物质生活维度无差异外(t=0.98,P ＞0.05),其他均较对照组改善更明显,差异有统计学意义(t分别为2.94,5.57,2.91；P均＜0.01).结论 家庭护理干预有助于注意缺陷多动障碍患儿家人的心理调适,减轻疲劳,提高生活质量.

abstractsObjective To explore the effect of the family nursing intervention on the families of children with attention deficit hyperactivity disorder.Methods The total of 77 families of children with attention deficit hyperactivity disorder were randomly divided into observation group ( n =38 ) and control group ( n =39).The families in the observation group received nursing intervention by combining use of collective intervention and individual intervention methods.The families in the control group received no additional intervention except for picking up the children as usual.The Symptom Checklist 90 (SCL-90),Fatigue Scale-14 (FS-14) and Generic Quality of life inventory-74 were used for assessing.Results The mental health status was improved in observation group after the nursing intervention.There was a significant difference in symptom checklist score between observation group and control group ( 141.27 ± 30.28 vs 164.13 ± 29.81 ; t =2.35,P ＜ 0.01 ) ; The score of physical fatigue,mental fatigue score and total score in the observation group (3.66 ±1.64,4.14 ± 1.79,4.97 ± 1.96) were lower than in the control group (6.69 ± 2.06,4.19 ± 1.28,10.88 ±2.32,respectively),there were statistically significant differences ( t =2.01,P ＜ 0.05 ; t =2.00,P ＜ 0.05 ;t =3.82,P ＜ 0.01 ) ; Significant improvements in the overall quality of life score was found in the observation group.The score of comprehensive assessment of quality of life questionnaire in the observation group was superior to that in the control group regarding the physical function ( 67.52 ± 10.34 vs 57.11 ± 9.97 ),psychological function of dimension(75.36 ± 12.84 vs 52.23 ± 11.59 ),social function dimensions ( 62.53 ±11.01 vs 51.63 ± 10.75),and the differences were statistically significant (t =2.94,5.57,2.91 ;P ＜0.01 ).Conclusions Family nursing interventions can improve the quality of life among families of children with attention deficit hyperactivity disorder by psychological and fatigue adjustment.