目的 探讨游戏结合分享阅读团体辅导对提升恶性肿瘤患儿心理应对能力的效果。方法 选取唐山市4家三级综合性医院内就诊的白血病等恶性肿瘤患儿58例, 随机分为干预组(n=30例)和对照组(n=28例), 干预组进行游戏结合分享阅读的团体辅导, 时间为3个月, 对照组不接受干预措施。在团体辅导前后分别应用慢性病儿童应对方式量表(Coping With a Disease, CODI)中文版对患儿进行评测。结果 在干预后, 干预组在幻想、自我安慰、远离和接受的得分高于对照组和干预前(P<0.05);在逃避和负性情绪反应的得分低于对照组和干预前(P<0.05)。结论 游戏结合分享阅读团体辅导能提升恶心肿瘤患儿的心理应对能力。

Objective To explore the efficacy of group play therapy combined with shared reading on the mental coping capability of children with cancer. Methods Fifty-eight children with cancer were selected from four first-class hospitals in Tangshan, and were randomly assigned to intervention group(n=30)and control group(n=28).Children in intervention group received play therapy combined with shared reading for 3 months, while those in control group did not.The Coping With a Disease (CODI) was used to investigate the children's coping style before and after intervention between two groups. Results Compared with control group, the scores in wishful thinking, emotional reaction, distance and acceptance increased, and in avoidance and cognitive-palliative decreased in intervention group after intervention (P<0.05).The scores in control group did not differ before and after intervention (P>0.05). Conclusion Play therapy combined with shared reading can result in improvements in mental coping capability of children with cancer.