Influence of play-based metaphors on negative emotion and behavior in children recovering from brain injury

WANG Chenjun; LI Xia; LIU Yiwei

doi:10.11852/zgetbjzz2023-0742

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Chinese Journal of Child Health Care ›› 2024, Vol. 32 ›› Issue (5) : 566-571. DOI: 10.11852/zgetbjzz2023-0742

Clinical Research

Influence of play-based metaphors on negative emotion and behavior in children recovering from brain injury

WANG Chenjun, LI Xia, LIU Yiwei

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Abstract

Objective To explore the effect of metaphors based on children′s games on the negative emotion and behavior of children during the recovery period of traumatic brain injury, in order to provide reference for making intervention strategy for these children. Methods From May 2021 to October 2022, a total of 60 children aged 6-12 years who underwent rehabilitation in the rehabilitation center of the Second Affiliated Hospital of Wenzhou Medical University were selected into this study, and were randomly divided into experimental group and control group, with 30 cases in each group.The control group was given routine nursing, while the experimental group was given metaphorical intervention based on children′s games.The scores of social living ability, abnormal behavior detection rate, depression score, anxiety score and cognitive function were compared between the two groups. Results The scale score of the two groups was not significantly different before intervention(P>0.05).After intervention, the infant-junior high school students′ social living ability score, Mini-Mental State Examination and the Loewenstein Occupational Therapy Cognitive Assessment score in the experimental group were higher than those in the control group (t=3.175, 5.265,7.835,P<0.001).The scores of Child Behavior Checklist (CBCL), the children′s depression inventory and the screen for child anxiety related emotional disorders in the experimental group were lower than those in the control group (Z=7.823, t=6.398, 6.248, P<0.001). Conclusions Metaphorical intervention based on children′s games can reduce the negative emotions of anxiety and depression in children with traumatic brain injury, improve their social life ability, reduce the CBCL score, and improve the cognitive function.

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game / metaphor / traumatic brain injur / emotion / children

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WANG Chenjun, LI Xia, LIU Yiwei. Influence of play-based metaphors on negative emotion and behavior in children recovering from brain injury[J]. Chinese Journal of Child Health Care. 2024, 32(5): 566-571 https://doi.org/10.11852/zgetbjzz2023-0742

References

[1] 孙薇薇, 米雪.以家庭为中心的康复护理对脑外伤患儿神经功能及日常活动能力的影响[J].中国疗养医学, 2020, 29(8):848-850.
Sun WW, Mi X.The impact of family-centered rehabilitation nursing on the neurological function and daily living abilities of children with brain injuries[J].Chin J Convalesc Med, 2020, 29(8):848-850.(in Chinese)
[2] 潘丽, 王冲, 刘艳青, 等.小儿脑外伤后患儿康复护理的效果观察[J].中国医学创新, 2018, 15(22):96-99.
Pan L, Wang C, Liu YQ, et al.Observation on the effect of rehabilitation nursing for children post brain injury[J].Chin Med Innov, 2018, 15(22):96-99.(in Chinese)
[3] 温雯.游戏治疗在儿童语言障碍康复中的应用[J].中国听力语言康复科学杂志, 2021, 19(1):61-65.
Wen W.Application of play therapy in rehabilitation of children′s language disorders[J].Chin J Hear Lang Rehabil Sci, 2021, 19(1):61-65.(in Chinese)
[4] Dwairej DA, Obeidat HM, Aloweidi AS.Video game distraction and anesthesia mask practice reduces children′s preoperative anxiety:A randomized clinical trial[J].J Spec Pediatr Nurs, 2020, 25(1):e12272.
[5] 张伟利.童趣化理念导向的护理策略在小儿无痛胃镜检查中的应用[J].中华现代护理杂志, 2022, 28(25):3437-3441.
Zhang WL.Application of a child-friendly concept-oriented nursing strategy in pediatric painless gastroscopy[J].Chin J Mod Nurs, 2022, 28(25):3437-3441.(in Chinese)
[6] 陈敏, 张蕾, 胡耀芳, 等.学龄前注意缺陷多动障碍73例儿童韦氏智力量表结果特征分析[J].中华全科医学, 2020, 18(7):1147-1149,1164.
Chen M, Zhang L, Hu YF, et al.Analysisof the Wechsler Intelligence Scale features in 73 preschool children with attention deficit hyperactivity disorder[J].Chin Gen Pract Med, 2020, 18(7):1147-1149,1164.(in Chinese)
[7] 张倩, 郭锦丽, 黄永波, 等.医疗游戏辅导对学龄期四肢骨折患儿心理状态及疼痛的影响[J].护理研究, 2022, 36(19):3549-3553.
Zhang Q,Guo JL, Huang YB, et al.The impact of medical game guidance on the psychological state and pain of school-aged children with limb fractures[J].Nurs Res, 2022, 36(19):3549-3553.(in Chinese)
[8] 陈雪, 景坚刚, 杨秋梅, 等.生命健康语境下的隐喻叙事——以儿童疑难疾病为例[J].中国医学伦理学, 2022, 35(12):1371-1375,1393.
Chen X, Jing JG, Yang QM, et al.Metaphorical narratives in the context of life and health:A case study of children with difficult diseases[J].Chin Med Ethics, 2022, 35(12):1371-1375,1393.(in Chinese)
[9] 翁楚倩.“相互说故事”技术对儿童游戏治疗的启示[J].教育导刊(下半月), 2019, 37(9):42-45.
Weng CQ.The implications of ′Mutual Storytelling′ technique in children′s play therapy[J].Educ Guide (Bimonthly), 2019, 37(9):42-45.(in Chinese)
[10] 卫重侠, 李惠琳, 闫瑞龙, 等.综合康复训练对脑瘫合并智力障碍患儿运动、智力及认知功能的影响[J].川北医学院学报, 2021, 36(7):862-865.
Wei ZX, Li HL, Yan RL, et al.The effect of comprehensive rehabilitation training on motor, intellectual, and cognitive functions of children with cerebral palsy and intellectual disability[J].J North Sichuan Med Coll, 2021, 36(7):862-865.(in Chinese)
[11] 金珊, 方向, 杨文明, 等.脑型Wilson病儿童的情绪行为与社会生活能力特点研究[J].中华全科医学, 2022, 20(9):1455-1457,1501.
Jin S, Fang X, Yang WM, et al.Study on the emotional behavior and social living abilities of children with neurological Wilson′s disease[J].Chin Gen Pract Med, 2022, 20(09):1455-1457,1501.(in Chinese)
[12] Neo WS, Suzuki T, Kelleher BL.Structural validity of the Child Behavior Checklist (CBCL) for preschoolers with neurogenetic syndromes[J].Res Dev Disabil, 2021, 109:103834.
[13] 徐小奇, 周德媛, 王春燕.互动式护理模式在哮喘患儿中的应用效果及对患儿行为问题、照顾者自我效能的影响[J].中国医药科学, 2021, 11(1):25-28,42.
Xu XQ, Zhou DY, Wang CY.The effectiveness of interactive nursing models in asthmatic children and their impact on children′s behavioral problems and caregiver self-efficacy[J].Chin Med Sci, 2021, 11(1):25-28,42.(in Chinese)
[14] 秦凯芹, 朱立红.家庭正向行为支持对学龄前癫痫患儿情绪及行为问题的影响[J].癫痫杂志, 2023, 9(5):375-381.
Qin KQ, Zhu LH.The impact of family positive behavior support on emotional and behavioral problems in preschool children with epilepsy[J].Epilepsy J, 2023, 9(5):375-381.(in Chinese)
[15] Sánchez-Rodríguez R, Orsini É, Laflaquière E, et al.Depression, anxiety, and guilt in mothers with burnout of preschool and school-aged children:Insight from a cluster analysis[J].J Affect Disord, 2019, 259:244-250.
[16] Kolaitis G, Zaravinos-Tsakos F, Rokas I-M, et al.Navigating young minds:Reliability and validity of the Greek version of kiddie - schedule for affective disorders and schizophrenia - present and lifetime DSM-5 version (K-SADS-PL-GR-5)[J].BMC Psychiatry, 2023, 23(1):614.
[17] 田伊瑶, 洪素, 黄凯欣, 等.儿童抑郁量表中文版在重庆市6～13岁小学生中的应用效果[J].陆军军医大学学报, 2023, 45(3):272-277.
Tian YY, Hong S, Huang KX, et al.The effectiveness of the Chinese Version of the Children′s Depression Inventory among primary school students aged 6 to 13 in Chongqing[J].J Army Med Univ, 2023, 45(3):272-277.(in Chinese)
[18] 李少闻, 王悦, 杨媛媛, 等.新型冠状病毒肺炎流行期间居家隔离儿童青少年焦虑性情绪障碍的影响因素分析[J].中国儿童保健杂志, 2020, 28(4):407-410.
Li SW, Wang Y, Yang YY, et al.Analysis of factors affecting anxiety and emotional disorders in children and adolescents under home isolation during the COVID-19 pandemic[J].Chin J Child Health Care, 2020, 28(4):407-410.(in Chinese)
[19] Noyes ET, Major S, Wilson AM, et al.Reliability and factor structure of the Saint Louis University Mental Status (SLUMS) Examination[J].Clin Gerontol, 2023, 46(4):525-531.
[20] Shaw M, Moss L, Hawthorne C, et al.Investigation of the relationship between the burden of raised ICP and the length of stay in a neuro-intensive care unit[J].Acta Neurochir, 2018, 126(Suppl):205-208.
[21] 李云, 陈聪英.治疗性童趣游戏对突发性耳聋学龄前患儿心理应激反应及听力恢复的影响[J].护理研究, 2020, 34(10):1774-1779.
Li Y, Chen CY.The impact of therapeutic play on psychological stress response and hearing recovery in preschool children with sudden deafness[J].Nurs Res, 2020, 34(10):1774-1779.(in Chinese)
[22] 刘畅畅.青少年心境障碍患者的非自杀性自伤行为及其社会心理因素[D].芜湖:皖南医学院, 2022.
Liu CC.Non-suicidal self-injury and its socio-psychological factors in adolescents with mood disorders[D]. Wuhu: Wannan Medical College, 2022.(in Chinese)
[23] 徐学翠, 余艳, 李司南, 等.基于ICF-CY框架下游戏疗法联合康复训练对脑瘫患儿的疗效观察[J].实用临床医药杂志, 2022, 26(11):34-37,47.
Xu XC, Yu Y, Li SN, et al.Observationon the effectiveness of game therapy combined with rehabilitation training for children with cerebral palsy under the ICF-CY framework[J].Pract Clin Med J, 2022, 26(11):34-37,47.(in Chinese)
[24] 莫丽华, 陈盈, 杨幸.重复经颅磁刺激联合沙盘游戏疗法对智力低下儿童智力改善及认知发育的影响[J].临床和实验医学杂志, 2021, 20(14):1557-1560.
Mo LH, Chen Y, Yang X.The effect of repetitive transcranial magnetic stimulation combined with sandplay therapy on intelligence improvement and cognitive development in children with intellectual disabilities[J].Clin Exp Med J, 2021, 20(14):1557-1560.(in Chinese)