心理干预对轻中度脑瘫儿童综合功能和生活质量的影响*

采用对照组和干预组前测、后测设计，对80名脑瘫儿童的综合功能和生活质量进行了测量，分析了心理干预对脑瘫儿童康复疗效的影响。结果表明:(1)四组脑瘫儿童后测综合功能评定效果存在显著差异。(2)生活质量问卷中，在使用特殊器具感觉维度上，四个组别间的追踪水平逐级显著递增;在对疼痛和困扰感觉维度上，四个组别间的后测水平、追踪水平均逐级显著递减;在其它四个维度上，四个组别间的后测水平、追踪水平均逐级显著递增。(3)在使用特殊器具感觉维度上，三个干预组内的追踪水平显著高于前测和后测水平;在对疼痛和困扰感觉维度上，三个干预组内的前测、后测和追踪水平均呈逐级显著递减趋势;在其它四个维度上，三个干预组内的前测、后测和追踪水平均逐级显著递增。干预组比对照组能显著提升脑瘫患儿的综合功能和生活质量。

Effect of Psychological Interventions on Comprehensive Function and Quality of Life of Mild to Moderate Cerebral Palsy

This study used a repeated measures analysis of variance to assess the effect of psychological interventions on the comprehensive function assessment for disabled children (CFA-DC) and the cerebral palsy quality of life questionnaire for children (CP QOL-Child) in 80 children with cerebral palsy. The result revealed that: 1) There were significant differences on the post-test comprehensive function among the four groups. 2) The four scores of track measurements in the feelings about special appliances subscale from CP QOL were significant increasing by degrees, while the post-test and track measurements scores in the feelings about pain and puzzle subscale gradually decreased significantly. As for other four dimensions, the post-test and track measurements scores were significant increasing by degrees. 3) The track measurement scores in the feelings about special appliances subscale were significant higher than pre-test and post-test scores in each intervention group. The three scores (pre-test, post-test and track measurements) in the feelings about pain and puzzle subscale showed a decreasing trend in each intervention group. As for other four dimensions, the three scores (pre-test, post-test and track measurements) showed a grow trend in each intervention group. There were significant effects on CFA and QOL in intervention groups.