| 摘要: | 論文名稱：探討運用曼陀羅著色於注意力不足過動症兒童及青少年之成效
學系名稱：臺北醫學大學護理學系碩士在職專班
研究生姓名：冷妍芝
畢業時間：一零七 學年度第 二 學期
指導教授：張秀如 臺北醫學大學 護理學系教授
目的：探討曼陀羅著色作為一種輔助性治療，於改善注意力不足過動症
兒童青少年過動相關症狀及心理健康狀況之成效。
方法：本研究透過實驗性之研究設計，將患有注意力不足過動症兒童及
青少年隨機分為二組，實驗組介入曼陀羅著色，控制組操作自由繪畫。
每一次著色或繪畫前、中、後皆會以腦波儀測量受試者之腦波共 18 次。
六週介入前後，由患童之主要照顧者各填寫一次 SNAP IV 量表，患童本
身各填寫一次 BYI II 量表，共 2 次。研究針對問卷之基本人口學資料、個人健康與用藥情形、SNAP IV 、BYI II 及腦波訊號，來了解受試者之介入前與介 入後之整體狀況 並比較前測及後測分數在二組間是否有差異。
結果：在過動相關症狀上，在過動相關症狀上，以以SNAPSNAP--IVIV量表評估，量表評估，實驗組與控制組後測實驗組與控制組後測之分數平均皆低於前測，顯示無論是曼陀羅著色或自由繪畫，對於不專之分數平均皆低於前測，顯示無論是曼陀羅著色或自由繪畫，對於不專注、過動注、過動//衝動及整體過動症狀上皆有所改善衝動及整體過動症狀上皆有所改善，但二組比較並未達到統計，但二組比較並未達到統計上的顯著差異上的顯著差異。。在腦波結果方面，在腦波結果方面，在六週介入後，實驗組之在六週介入後，實驗組之AlphaAlpha波會波會下降，表示專心程度上升，而控制組之下降，表示專心程度上升，而控制組之AlphaAlpha波則是增加。以波則是增加。以BYIBYI--IIII量量表評估發現實驗組表評估發現實驗組((曼陀羅著色組曼陀羅著色組))在進行六週之曼陀羅著色後，憂鬱改善在進行六週之曼陀羅著色後，憂鬱改善程度顯著優於控制組，顯示實驗組患童自我評估在六週之介入後，自覺程度顯著優於控制組，顯示實驗組患童自我評估在六週之介入後，自覺憂鬱情緒有較大幅度之減輕，而控制組憂鬱情緒有較大幅度之減輕，而控制組((自由繪畫組自由繪畫組))在進行六週之自由繪在進行六週之自由繪畫後，於違規行為項目改善程度上顯著較實驗組佳，顯示控制組患童自畫後，於違規行為項目改善程度上顯著較實驗組佳，顯示控制組患童自我評估在六週之介入後，自覺違規行為變少之幅度大於實驗組。而進一我評估在六週之介入後，自覺違規行為變少之幅度大於實驗組。而進一步使用腦波評測儀後發現，在六週介入後，實驗組之步使用腦波評測儀後發現，在六週介入後，實驗組之BetaBeta波會下降波會下降，表，表示呈現較放鬆之狀態示呈現較放鬆之狀態，而控制組之，而控制組之BetaBeta波則是增加。波則是增加。
結論：綜合量表與腦波之評估，曼陀羅著色對於綜合量表與腦波之評估，曼陀羅著色對於ADHDADHD患童過動相關症患童過動相關症狀中專心程度之改善效果優於自由繪畫，曼陀羅狀中專心程度之改善效果優於自由繪畫，曼陀羅著色對於著色對於ADHDADHD患童患童心心理健康狀況理健康狀況中憂鬱情緒及焦慮減輕之改善效果較自由繪畫好，而自由繪中憂鬱情緒及焦慮減輕之改善效果較自由繪畫好，而自由繪畫則對於改善違規行為上有較好之成效。畫則對於改善違規行為上有較好之成效。
Title of Thesis:The Effects of Mandala Coloring among Children and Adolescents with Attention eficit/Hyperactivity
Disorder Institution: Master Program in School of Nursing, Taipei Medical University
Author:Leng, Yen Chih
Thesis directed by:Chang, Hsiu Ju, Ph.D., Professor
Purpose: To explore the effect of mandala coloring as an auxiliary treatment in improving the symptoms and mental health status of c hildren with attention deficit yperactivity disorder.
Method: Subjects were randomly divided into two groups through experimental research design. The experimental group was involved in mandala coloring, and the control group was designed as free to pain t. The brainwaves of the subjects were measured 18 times before, during and after
each coloring or painting. Before and after the six week intervention, the SNAP IV scale was filled in by the primary caregiver of the child, and the BYI II scale was filled out by the child each time for 2 times. Study
instruments included the basic demographic data, personal health and medication, SNAP IV, BYI II questionnaires and brainwave signals. GEE was used to understand the effectiveness of the subjects by comparing t he pretest and posttest scores between the two interventions.
Results: Regarding hyperactivity related symptoms, the posttest scores of both experimental and control groups were lower than the pretest, indicating that whether subjects received mandala col oring or free painting, the
symptoms of hyperactivity/impulsivity, and total score of SNAP were improved. However, the interaction effect was not significant. After six weeks of intervention, the Alpha wave of the experimental group decreased, indicating t hat the level of concentration increased, while the Alpha wave of the control group increased. On the BYI II scale, it was found that the experimental group (mandala coloring group) had a significantly better depression improvement than the control group a fter six weeks of mandala coloring. This indicated that subjects in the experimental group self
coloring. This indicated that subjects in the experimental group self--rated rated their depression was improved after six weeks of intervention. On the other their depression was improved after six weeks of intervention. On the other hand, subjects in the control group (free painting group) reported that there hand, subjects in the control group (free painting group) reported that there was a significant reduction in the level of violations after the sixwas a significant reduction in the level of violations after the six--week free week free painting. Furthermore, the brain wave tester found that after six weeks of painting. Furthermore, the brain wave tester found that after six weeks of intervention, the Beta wave of the experimental group decreased, indicating a intervention, the Beta wave of the experimental group decreased, indicating a relaxed state, while therelaxed state, while the Beta wave of the control group increased.Beta wave of the control group increased.
Conclusion: Results obtained from questions and brain wave indicated that mandala coloring is better than free painting in the improvement of the mandala coloring is better than free painting in the improvement of the concentration symptoms in ADHD children. Mandala coloring is more concentration symptoms in ADHD children. Mandala coloring is more effective in improving depression and anxiety, while free painting effective in improving depression and anxiety, while free painting demonstrated effect on improving violations.demonstrated effect on improving violations |
