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初级保健护士开展的心理教育小组干预对多动症儿科患者症状控制的有效性。多动症家长研究。

Effectiveness of a psychoeducational group intervention developed by primary care nurses on symptom control of pediatric patients with ADHD. ADHD parent study.

作者信息

Rodrigo Jiménez Daniel, Foguet-Boreu Quintí, Juvanteny Emma Puigoriol, Izquierdo Munuera Eulàlia

机构信息

Department of Psychiatry, Vic University Hospital, Vic, Spain.

Faculty of Medicine, University of Vic - Central University of Catalonia (UVic-UCC), Vic, Spain.

出版信息

Health Psychol Behav Med. 2022 Nov 24;10(1):1176-1189. doi: 10.1080/21642850.2022.2148672. eCollection 2022.

Abstract

Attention Deficit Hyperactivity Disorder (ADHD) is a common childhood disorder with an estimated prevalence of 5%. The purpose of this study is to evaluate the effectiveness of a psychoeducational intervention performed by primary care nurses on parents of children with ADHD. We recruited participants composed of parents and children between 6 and 12 years with ADHD. We conducted a two-branch randomized control trial. The intervention programme consisted of nine group sessions (5-12 parents) with a duration of 10 months. The primary outcomes were the attention tasks measured with the Test of Variables of Attention (TOVA) and the ADHD symptomatology. Forty-eight children were included in the study. The average age of the parents was 42.6 years (standard deviation, SD: 6.3), and of the children 10.1 years (SD: 1.9), 81.3% were boys. TOVA and the symptoms after the intervention showed no statistically changes in both groups. The intervention group showed more knowledge of ADHD (17.3 vs 11.5,  = 0.008) and knowledge of drugs (6.1 vs. 4.5,  = 0.005) than the control group after the intervention. A psychoeducational intervention performed by primary care nurses on parents of children with ADHD did not show any modification in the attention tasks, and only changed the knowledge of ADHD of the parents that received the intervention.

摘要

注意缺陷多动障碍(ADHD)是一种常见的儿童疾病,估计患病率为5%。本研究的目的是评估初级保健护士对ADHD儿童家长进行的心理教育干预的有效性。我们招募了由6至12岁患有ADHD的家长和儿童组成的参与者。我们进行了一项双组随机对照试验。干预计划包括九个小组会议(每组5 - 12名家长),为期10个月。主要结果是用注意力变量测试(TOVA)测量的注意力任务和ADHD症状。48名儿童被纳入研究。家长的平均年龄为42.6岁(标准差,SD:6.3),儿童的平均年龄为10.1岁(SD:1.9),81.3%为男孩。干预后两组在TOVA和症状方面均无统计学上的变化。干预组在干预后比对照组表现出更多关于ADHD的知识(17.3对11.5,P = 0.008)和药物知识(6.1对4.5,P = 0.005)。初级保健护士对ADHD儿童家长进行的心理教育干预在注意力任务方面未显示出任何改变,仅改变了接受干预的家长对ADHD的知识。

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