Thực nghiệm các biện pháp giáo dục hành vi cho học sinh rối loạn tăng động giảm chú ý nghiên cứu ba trường hợp học hòa nhập ở đầu cấp tiểu học

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ISSN: 2354-0753

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Article history

ABSTRACT

Nguy6n Th! Hoa,

Received:

lglSDAz

Accrpte.d:30192022
Published: 20/l 12022

Keyrrords
AD/HD, behavioral
education, students with
AD/HD, tire fint stage of
inclusive primary education,
experirnental rcsults

HQC

Attention deficit hypemctiviry disorder (ADHD) is a common developmental
disorder in children. For students with ADHD at the first stage of inclusive
prirnary education, behavioral problems are evident because they have just
moved tom a preschool envimnment (play is the main activity) to the
ginury school envionment (leaming is the nuin actiyity). In addition, when
entering primary school, they have to sit during class and listen to lecorcs,
follow the schedule, observe dre discipline,... Thus, in order to help snrduts
with ADHD meet the program rcquiements, it is necessary to irnplement
behavioral education for drem. This study shows ttre experimenal results of
the measurcs on three cases of ADHD studenB and provides sonr
discussions. The experimental rcsults slrw that the application of lhe
measures ofbehavioral education is effective, helping to reduce inappropriate

behaviors, enhance appropriate behaviors and improve leaming outcomes of
all thrce students with attention deficit hyperactivity disorder at the first shge

of inclusive prinury education.

l

MO.tAu
R6i lo4n tang tlQng ginm ch[ f (AD/HD) c6 ti le krh6 lon, chi6m khodng 3-5% HS trong dQ tudi hqc duong
(American Psychiatric Association,2013). Mqt si5 nghien cuu de kting tllnh lgi thii cria gi6o dgc hod nhAp
(GDHN) d6i vdi HS r6i loqn tang dQng ginm chri j. Hoang Th! H4nh vi Trin Ven C6ng (2018) khing tlinh,
GDHN gi0p HS nii loan AD,/HD c6 nhidu co h$i hsn dA dat dugc c6c ti€u chuin cao hcm vi tro thenh nguoi
hqc dOc lip. Karhu vh cQng su (2018) cho th6y ang voi su h6 tg cta hQ thting h6 trg hinh vi tich cuc trong
GDHN da mang lqi thanh cdng trong viQc lirm gidm hnnh vi phri rtii cria HS riii loan AD/HD. HS r6i logn
AD/HD hqc hda nh{p d ttiu c6p ti6u hgc (TH) vtra chuyiin nr mim non (choi li ho4t (hqc li hoat d$ng cht d4o) n€n cic em c6 nhi€u hinh vi khdng phir hqp nhu: Kh6 khin trong tuan tht nQi quy
quy tlinh. thi6u chrl ! khi hqc qp... Nhrng hdnh vi ndy gdy cin tro iit ld'n cho HS trong qurl trinh hqc 6p t?i
lop hqc hda nhip. HiQn nay, c6 nhidu phuong ph6p can thiQp, ri liQu vn gi6o dpc cho HS r5i loan AD/HD nhu:

Tri liQu thu6c, tri ligu cim gi6c vin ttQng, tri liQu hinh vi nhan thfc, can thiQp dpa tr6n cha m9, can thiQp dua
ECn truong hac,... Vigc nghien cuu vd 6p dung cAc phuong phrip niy dd tluo. c ti6n hinh vir d4t duqc nhtng ki:t
qud nh6r d!nh. Theo Prasad (2012), tri li€u thu6c c6 th6 lem teng thdi luong duy tri nhiQm vu vi ting tlQ chinh
xic khi lim bai tip cta HS rtii lo4n AD/HD. Ngoii ra, nhtng can thi€p lop hqc c[ng c6 thi lam giem hanh vi
kh6ng thsc hi€n nhigm ru vir hAnh vi phi rtii cta HS rtli lo4n AD/HD (Groen eI al., 2016). T4i ViQt Nam,
Nguyan Thi Hring Nga (2004) d6 ung dpng mQt vdi liQu ph6p tnm Ii trong tri liQu AD/HD cho HS THCS d TP.
Hd NOi. D6 Thi Thdo vi cQng su (2021) tl6 tlua ra mQt sii biQn ph6p can thiQp vd gi6o dpc hanh vi (GDHV) cho
HS r6i loen AD/HD nhu: didu chinh m6i tnrong, n6i dung, phuong phip d4y hqc, su dpg phin thuong... Tuy
nhi6n, hi€n chua c6 nghiCn cfiu nio tlua ra c6c biQn phrip GDHV cu thii cho HS r6i loan AD/HD cing nhu chi
ra kilt qui thgc nghiQm cric biQn phrip GDHV tren nhtng HS r6i loan AD/HD hqc hda nh{p o ddu cdp TH.
Theo tl6, n€n co so trinh bay vd mQt sii khrii niQm vd biQn phip v6 GDHV cho HS r6i lo4n AD/HD d ttiu c6p
TH, trong bai b,io niy, chring tdi s€ tlua ra k6t quri thgc nghiQm c6c biQn ph6p GDHV mn ba mrong hgp HS n5i lo?n
AD/HD hqc hoa nhip rai Truong TH D6ng Son, TP. Bic Giang.
38

VJE

Tap chi Gieo duc (2022],, 22i'22),

3842

ISSN: 2354-0753

qut nghiGn crim
si kluii nQn vd bQn ptuip vi gido dyc himh
6r ifru.cip tidu hgc
2. K6t

vi cho hgc sa,h

2.1. MOt

riii toqn dng Qng

giin

chrt !, hgc hba nhQp

li mot d?ng pi lo4n phrlt tri6n g6m nh&ng bi6u hiQn thuong xuy6n vA kdo dai cia su gil,rn chri
mtc hoic kh6 ki6m scrit so voi nhtng tllc di6m ph6t tri€n chung d ctng d0 nr6i (Karhu et a1.,.2018).
C6c triQu chung cia AD/HD bi6u hiQn tong nhieu mdi truong vd gdy dnh hudng tl6n vifo hgc tip vi c6c mdi quan
he cua HS n5i loen AD/HD (Groen et at.,2016). GDHV cho HS nii loan AD/HD li qu6 trinh tric ddng c6 mgc tlich,
m kii hoa. ch thdng qua cic ho4t tlgng grrio dqc nhim hinh thanh cric hanh vi pht hgp. ngln ngua vi gidm rhidu cac

hanh vi kh6ng phi hqp cua HS r6i loqn AD/HD, gitip cric em c6 hanh vi phir hqp trong viQc tham gia hgc tip vi c6c
R6i lo4n AD/HD

j,

ho4t rlQng qu.i

ho4t tlQng gi6o duc d nha tilcmg (D6 Tli Thrio vi cqng su, 2021). BiQn phep CDHV cho HS r6i loan AD/HD hoc
hda nhip otliu c6p TH li cdch thuc cu th€ dd xriy dgng nQi dung chucmg trinh. phuong phrip. crlch thric to chuc ho4t
tlong GDHV dUa t€n tl{c tli6m c6 n}r.tn HS r6i lo4n AD/HD vd dich girip GV vd cha me HS thyc hiQn GDHV c6 hi€u qu.i.
Theo mQt sd uc giri. cic biQn phrip GDHV cho US nii lo4n AD/HD tap trung vdo: Thuc hign cric di,iu chinh
(Hoang Thi H?nh & Tran Ven Cdng,2018; Groen et a1.,2016), thuc hien c6c biQn phrip GDHV pht hqp (D6 Thi
su dung nh6m bqn h6 ng (Karhu et al., 2018; Groen et a1.,2016;D6 ThiThao vi cQng sg,
ph6p
2021)... C6c biQn
GDHV t{p fung vio cd ba giai doen trudc, tsong vd sau khi hanh vi xiy ra. Do d6, trong
nghidn crlru niy chung t6i ti€p cnn crlc biQn phnp GDHV Qp rung vio ci ba giai doan v6,i vifo chia cic biQn ph6p
GDHV thanh 3 nh6m: (l) Nh6m crlc biQn phrip ngen ngira hanh vi kh6ng pht hqp; (2) Nh6m cdc biQn ph,ip gidm
thiiiu hanh vi khdng pht hqp; (3) Nh6m c6c biQn ph6p hinh thanh vi phat fiin hinh vi pht hqp.

Thio vi @ng sy,202l);

ii

logn dng $rrg ginn
hql phop C,!a dtlc hdnh vi t4n.ba tntory hgp hpc sinh
Truvng TiAu hgc D6ng Son, Thdrt ph6 Bdc Giang
Nhirn khing dinh tinh khoa hqc, kh,i rhi vi hi€u qu.iL iua sic bi9n ptulp tl6 xruit thong qua kiem dinh dp dung c.ic biqn
phrip GDHV cho HS nii loan eO,+n hoc hda nhap d diu ijp TH, nehi6n irru dnqc tiiln hanh qua 4 buoc sau: ( I ) Diurh

2.2. Kiil qwi ilt4x nghQm cdc

chi i, h\c hba nhQp

t

Dffi

gi6 k6t qua tltp
thrrc nghiem; (2) Xiy (mg muc ti6u ra I,Ap k6 hoa. ch; (3) Thuc nghiQm tic tlQng; (4)
nghign Kh6ch th6 dum gia nghi6n crru g6m co 3 HS nii loan AD,+{D dang hqc hoa n}t|p qi Tnrong TH Ddng Son, TP.
Bic Giang, rong tt6 m 2 HS lop 2 vn I HS lcrp l. Thoi gian trrrc nghiQm duw ti6n hanh uong n6m hqc 2021-2022.
gi6

tuuc

K

qua tlanh gia mrtc rhq nghii
2.2.1.
- Ddnh gid mrrc dd AD/HD: Dfa tren thang .liimh gi6 r6i loqn ting dQng giam cht

!

ADHDT2, k0t qui dugc the

hiQn d brimg sau:
1.

Krit

mut

dinh

AD/HD

ftn

03 HS thon

chri
Hg t6n

L6p

th6
do

T.G.B
P,H.D
P.Q.H

2
1
3

tlo

thar

la
Chi sii

T6ng tti6rn
thang alo

ADiHD

Mrirc

alQ

2t

7

l4

8

I5

86

Cao

20

6

33

8

83

Cao

lll

8

0

2

l4
l0

'71

TB

(Trung bhh: TB)
imh gid phot.,rien D..ra Sn thang tl6nh gi6 WISC IV - Thang tlo tlinh gi6 tri tu€ Wechsler cho
(Wechsler, 2005), k€t qua tlugc th6 hiQn d bang sau:
thli
thic

th€ cua cdc
2. Ctic

-

T.G.B
Cdc ning lFc

Di6m

x6p

Di6m

loai
TB
TB

ala huD

TB
TB
TB

Ning luc tu duy ng6n ngt - VCI
Ntus luc tu duy tri siec - PRI
Nans luc shi nhd c6ng vi€c - WMI
T& dO xu li fi6ns tin - PSI

103

Tri tuC tdns the - FSIQ

r00

95

90
106

X6p b4i

em

P.Q.H

P.H.D

als hoD

td

Di6m
da hqp

X6p b4i

93

TB

0
t02

TB cao

85

TB thap
Th6p
TB thep

10

ThaD

ll0

TB $ap

73

Thdp

9,1

TB

85
1',1

TB

- Dtinh gtui hanh vi: Circ hinh vi ! rong hac t!p; (3) Hdnh vi t6 chrrc sip rllp kdm; 1+) Hanh vi chiing diiii (5) Hanh vi fi5i loan giao tiiip ung

thiiiu chn

39


VJE

xt. Cic
nhu sau:

Tap chi Gi6o duc (2022),22(22).3842

ISSN: 2354-0753

c6u hdi khno sit du.gc xiy d\mg theo nguy6n tic cua thang do Likert 5, hrcmg rhg voi 5 lga chgn
{ugc mi hoi
( I ) Ret nang (5 tliCm), (2) Nlng (4 diem), (3 ) TB (3 di€m), (4) Nhe (2 tli6m), (5) Khdng co van d€ ( I ili€m).
3. KAt

STT

HQ ten

I

1

T,G.B
P.I{.D

-l

P,Q,H

Gidi
tinh

\im

Nam
Nam
Nam

&inh

hdnh

i

hqc da aic nghiQn
'l'B tli6m hAnh vi
(2)
(3)
(1)

W

(l)

l/4t2014

2

3,11

3.78

02/6/20t4

2

3.00

4,89

2,00

3,89

sinh

24ntD0t3

thi

(s)

3,t'7

t,60

l,3tt

r.80
2,83

120

Mtrc

TBC

d0

2,'t2

TB

3,t3

3.43

2,13

2,43

Nanc
Nhq

- Mti,c tlQ coc hanh vi: CAc cau hdi kheo sit 5 lua chen dusc mi hoi nhu sau: (l) Rat nAng (5 di€m), (2) Nang (a diem), (3) TB (3 rli6m), (4) Nhe (2 tti6m),
(5) Kh6ng c6 vin cl6 ( I di6m).

Bang 4.

Kit qua dlimh gii hanhvi caa j HS
T.G.B

Nhtim hdnh vi

T6"ng

,IB

di6m
Khd khrn trong hran thri
nOi quy quy dinh
Thi6u chn ! khi hoc tdp
Yiiu kdm vi ki ning tri
chuc strp x6p
Chdne d(ii

R6i loan hinh
tiep rmg

vi

siao

xt
Chung

nrtc

nlc

tem

P.H.D
M'irc d0

T6ng
tti6m

TB

P.Q.H
Mrirc alo

T6"ng
ali6m

.TB

M

'c

al6

26

3,71

Nang

2t

3,00

NfuC

l4

2,00

Nh9

14

3,78

NEne

41

.1.89

P-at nens

35

1Rq

Nans

t9

3,11

TB

26

4,33

Pit

ng

t1

2.83

TB

8

t.60

KCVD

9

t,80

KCVD

6

t20

KCVD

ll

1.38

KCVD

25

3,13

TB

t7

2.t3

Nhe

1dl

Nins

2,43

NhE

TB

(Khing cd vdn di: KCYD)
- Hdnh vi cua T.G.B truoc th{c nghiem:
hanh vi kh6 khan trong tudn ttrir nQi quy, B ttang d mfc dQ n6ng, em
.Va
tlrudng xuy€n n6i/tni loi q do. Tmng qrui trinh hqc gp, nhi6u lic GV dua m ydu cirl nhigm qr nhtmg em kh6ng dd
ti vd kh6ng lim theo y€u cau cua GV. Em ng6i hqc khdng tlugc t{p trung, kha neng chri 1i khi nghe gieng thip.
Khodng thoi gian chri f vio nhiQm qr cua em dugc khoang 7-10 phril. M6i gid hoc em nhin di ch6 ktllc khoring 8l0 hn. V€ hanh vi yiiu kdm trong tri chric sip xiip, emlh6ngtiiit quin li dd dung c6 nhrin cua minh, tlac bi6t ld d6
dtng hoc t.ip. Theo k6t qu,i tl6nh giri thi em khdng c6 vin tl6 v6 hanh vi ch6ng tt6i vd kh6ng c6 nhtng hanh vi khong
pht hqp fong miii quan h€ hn be. Em choi hd; thurin voi cric ban, thutmg xuy€n cho crb ban muqn brit hoac dE
dung hqc dp khi cic ban hoi muon. C6c ban cing rit y6u quli G.B.

.- Honh vi da P.H.D tnaic thry nghiQm; Vi hanh vi kh6 kh6n rrong tuan tht nQi quy, D c6 hanh vi la hdt g3y
mdt trtt ty lop hoc. Thm.k6t qud quan slt bing bring quan sat himh vi ABC lhi mai gro irqc O ta het khoang

tin.
Sau khi GV tluara y€u ciu (lim toin, doc. . .) em kh6n-g bao gid ldm ngay vi em lhitiu chi 1i, kh6ng nghe GV htting
din vi kh6ng hi6u aich lim. GV thuong phrii huong din cn lop xong m6i quay ra hud'ng dan em thi em mti Uit aiu
lam. D6i khi GV kh6ng co thoi gian huring din ri€ng cho em, ktit quri la em kh6ng thgc hien nhiCm lu. Hanh vi dri€u
chti ;i trong hoc 4p ln hanh vi drlng lo ngai nhat cfu H.D. Hiu hilt cric hinh vi d nhom ndy cua em thudnq xuy6n, chi co. hanh vi kh6 khin khi nghe huong din bdng loi tluoc t[inh girl o muc thuong xuy€n. Do yilu
kdm v6 chtic n6ng di6u hanh c6ng voi kha nnng r6p trung cht 1i kdm n€n vigc nr to chrrc sip xCp dd_dung cing nhu
t6 chfc sip x6p khi thgc hign nhism w cua em r'it kdm. Em khdng c6 bi6u hifn cua hi,nh vi ch6ng tl6i. B6n canh d6,
em con co klo khen mng cic hrinh vi giao tiiip ung xt. Em kh6ng bao gio chu d6ng chno hoi rhiy cd c0ng nhu
kh6ng bi6t chi tlqng choi vrii c6c bqn.

l+

iit

- Honh vi rua P.Q.H mrtc rhry nghiQm: Q.H tuen thd trit nQi quy quy dlnh cua lop hgc. Em ngdi y6n rai ch6 cua
minh su6t bu6i hgc. Tuy nhi€n hinh vi kh6ng lim theo huong din cua GV th6 hiQn d muc iit thuong xuyen. VC bidu
hiQn cua hanh vi thi€u chti rong hgc t6. p, H thudng quay ngang quay ngrla. Em g4p kho khan khi nghe huong din
bang loi. Khi GV giao nhiQm w em kh6ng lim ngay mi luOn cin CV ntric ntro dd bi diu lam. Em cing ift dE bi
xao hng boi cia kich thich ben ngoiri nhu ti6ng nguoi tli lai ngodi ctra, ti6ng cic ban nor chuygn... Ngodi ra- vi Uiiu
hifn crla hinh vi rolg hl ninC t6 ghtc srie xilp con yiiu kdm, em thuong xuy6n thgc hien
rap mQi qich l$n x0n,
c6u thi- kh6ng crin nhac ki lu0ng. Do d6 bdi em lirm thuong mic nhi6u 6i vi tiy xoa nhidu. Em cing khong bao gid
danh thoi gian tlii so6t ve sua l6i.

j

tii

40

Tap chi Gi6o duc (2022),22(22),3842

ISSN:2354-0753

2.2.2. Kiit qua sou thw nChiem
Sau khi tlinh gi6 tnrdc thuc nghiQnL chung t6i tiiSn henh x6y drmg k6 hoach GDHV cho 3 HS vi drtrc hiQn kii
hoqch GDHV trong fimhqr.2Dl-2022. Sau qu.i trinh thp nghi6m, chung tditiih trmh a:ilr gia hi, c.ic c6u h6i
klr.io sit tlugc x6y drmg $eo nguy€n tic cua drang tlo Likert 5, kiit qu.i drinh gi6 hanh vi tlugc th6hi€n o baLng sau:

Bdng 5. KAt

dinh gid hdnh vi caa 3 HS sau thqc nghiem

T.C.B

\h6nr hinh r i

T6.nC

TB

tli6m
Kh6 kh,n tlong tuan thn
nQi quy quy dinh

Thi6u chri

f

chirc saD xeD
Ch6ng d6i

R6i loan hanh vi giao ti6p

xu

lftilt

alo

diim

TB

P.Q.H
Mrirc

alQ

Tiing
di6m

TB

M['r

t)q

KCVD

alo

2.43

TB

l5

2,14

Nhe

9

2,67

TB

36

4,00

Nans

25

ll

1,83

Me

t0

3,33

TB

l0

1.6'1

Nhc

7

130

KCVD

7

1,40

KCVD

5

t.00

KCVD

9

l,l3

KC\D

t8

2,25

Nhq

l2

1,50

KC\D

1,89

Nhe

2,62

TB

I,65

KCVD

khi hoc tAp

Y6u kem v6 ki n ng t6

rmg

t7

P.H.t)
T6ng

Chung

TB

cia T.G.B sou thqc nghE2: K6t qui cho th6y, hinh vi cua G.B co sr; ttray d6i khri 16 nng sau thuc
nghrfm. Di6m hanh vi gidm nr 2.74 xudng con 229, nr muc dQ TB xu6ng mtc tlQ nhe. C:ic hrirnh vi thanh ltran ctng
- Hdnh vi

co sir thay d6i theo huorg tich cqc, trong d6 hanh vi kh6 khdn trong hr6n thu nQi quy quy dinh co srr rhay ddi nhidu
nh6t, sau tt6 li hdnh vi thi6u chri hong hqc t{p vd hdnh vi yilu kim trong. td chtc sip xiip. Voi chi6c chun tluo. c
buQc duoi gh6 gitip B tu tri liQu, c6ng voi viQc GV st dung the hanh vi va t6 chtc cho B hoat dQng li€n tr:c di girip

f

lam gidm hanh.vi di ra ngoai qr do vi hAnh vi kh6ng ng6i y6n cta B. GV dung thd quy tlinh hanh vi gi[ y€n l4ng,

gio tay khi mudn noi vir dung tay dua l6n miQng "suyt" trudc vd trong khi B noi tU do de khi6n hdnh vi noi n-r do cua
em gidm xu6ng cdn khoring 2 ldr/gid hqc. Hnnh vi chi 1i khi hqc qp c0ng duqc cii thi6n horr, tuy nhi€n, sg cht d6ng
cua B aong thqc hiQn nhiQm vu vin o muc thip. Voi nh[ng huong din vi gi6m srit ctia GV, cha m9 vi b4n ngdi
canh thi B d6 quan tim giir gin tld dtng hqc t{p vd ttd dring cd nh6n hon. Tuy nhi€n, G.B vin chua c6 tlug. ,U .h,l

thlc hiQn. Ngoei nhtng k6t quA dugc th€ hi€n tr€n su thay tl6i tich cgc v€ hanh vi, G.B con c6 nhirng ti€n b6
iilng kd trong hqc 6p. Trong qu.l trinh ttryc nghiQrq khu vyc noi G.B sinh s6ng bi rinh huong,boi Covid-19 n6n bi
phgng toa I thdng. Trong I thring em kh6ng duqc ddn lop hqc. Su girl.n doan ndy inh huong din su fi6n g cua em.
Neu nhu kh6ng bi dnh huong cua dich gnh thi co thd em cdn d4t tlugc nhiiu tirin bo hon.
tlQng

Hdnh vi caa P.H.D sau thgc nghiQm: Ktit quri cho ttriy, hanh vi cua H.D co su thay ddi tich cgc sau rhyc lghiQq.
.Di6m hanh vi girim tr-r 3,41 xu6ng con 2,87, nr mric ning xu6ng cdn muc TB. Trong d6 hanh vi co su lhay aOi nfrieu
nhAt ld hanh vi nr.dn tht n6i quy quy nhung khdng nhi6u. D6i voi hinh vi kh6 kh6n trong tuin thu n$i quy, sau khi nhl6u mn ta trdtdii ttru trtt sq chf ! cua
GV vd GV ld tli, cQng voi tlugc GV nhic nhd nhi6u Lin thi hinh vi la h6t cira em tli giriLrn xu6ng cdn 2 l6n/gio hqc...
Hanh vi nh6p nh6m vd di lai tai ch6 cua D c[ng tluor cdi thiQn. Nh6n t]rtc vd ki nang cua D ngay cang teng, do vny
co nhtng nhiQm vr; em ty thyc hign md khdng cin qr h6 trq cta GV vi ban be ctng ang l6n. Do duoc h6 trq nhidu
hon ttr GV vd ban be n€n D buor diu tlEbiilt sip xilp dd dtng ci nh6n gqn gang hon. Em da bi6t chia l6_tlung srch
vd duoi ngdn bin thanh hai ben, I b€n tl€ s.ich.vd mdt b6n d6 v6. Em tl€ d6 dung hoc t{p trong rui vi d€ gita srich
vi vd. Tuy nhi6n khi c6t hay l6y sich vd vAnc.in.c6 ban giSm sir vi h6 W. Ngodi nhing thay ddi tich cua v€ hdnh
vi, kCt que hac tip cua D cfing c6 chuy€n bi6n tdt. D th c6 th6 dac s6c don giri'n vd tlgc tl6nh vnn c6c tu c6 dm
gh6p. D cnng da bi6t chi tay vao tirng nr khi tlgc, tni loi tluqc mot s{i cau hoi dqc hiAu li€n quan d6n chi tiiit chinh vd
don girin trong bdi th6ng qua minh hoa bing tranh anh. Em bit tliu vi6t duoc chinh ti nghe viir nhanh hon, tuy nhi€n
ch& vidt cia D v6n chua ttugc rt ndt vd chua dILng hang liii. D bir tliu thgc hiQn tluoc phdp cang co nhd co irl dung
dd v{t ngc quan (que tinh), ruy nhi€n cdn hay nh6m l6n.

ths nghiQm: K6t qua cho th6y hanh vi cua Q.H sau thyc nghigm m su thay d6i tich
Truric
vi

cgc.
sau thUc nghiQm mfc tlg hdnh vi cua.H ddu o mric tl6 nhg nhrmg sau thuc nghidm tli,lm v5 hinh vi tld
gid,rn tu 2,35 xudng cdn 1,92. Cric hanh vi thanh phin tl6u co sU cei thien 6t. Trcng d6 hinh vi chri y khi hac 6. p qei
thiQn nhi6u nhit (n14,00 xu6ng 3,20, ur muc dQ ning xu6ng muc TB). Ddy cfing la hanh vi co v6n dA nh6r crla H va
chung tOi c0ng tip trung trd trq hanh vi.nay nhidu nh6t cho H. H chri ling nghe khi CV gidng bai hon, H kh6 chri
dQng trong b6t dau thuc hiQn c6c y6u ciu, nhiQm vu GV giao. Cric nhiQm vg duqc GV tli6u chinh pht hqp voi khi
- Hdnh vi cua P.Q.H sau

j

4l


VJE

Tap chi Gieo duc (2022],, 22(22\,

ISSN: 2354-0753

3842

vi ho4t dQng choi ng6n ho4c c6c bni t4p the cllit ngin tai ch5 nen
th,i, Lodn thenh nhiqm;6tiJ, ra gie* hi, Li,"h vi qr-iy xuting. duoi. Nhtng tii5n bQ tich cuc ,d su
y *"g hqc tAp cnng di girip cho kEt qurl hgc riip cua H c6 sU tiiin b0 d.,Lng kti. Hi6.n H tta ttrUc hi€n

n6ng cria H vd sip xi.ip xen k€ giEa ho4t tlQng hqc

H k[a hrrrg
,ap

*"g

quy trinh
iuoc c6i ""ni
ohdo tinh cone. rru. nhan chia cic s6 diin hdng nghin. Em thgc hifn lirm tinh khriL nhanh vd dung
nhanh
hon. Tuy
vi€t
vi6t
ta
nghe
H
chffi
dqc
lip.
phep
mot
c6ch
tinh
vin
co
hai
gidi
loi
biiiodn c6
,i, Lit Aiu biir
ve kich
nhl€u
cai
thign

vidt
duo.
c
vi6t
chua
n€n
cht
tru6-c
khi
nhlic
ki
vir
can
kh6ng
nhi6n, em rin c-dn khrl vQi virng
tri
loi
tluo. c
Em
cflng
tl6
luot.
rhim,
dqc
bi6t
doc
vin
chra
hon
nhmg

,hunh
.f,im ta. ro" aO aq" i* e.
"ej6i
da
"o
hga
tuc
minh_
hdi
nhu
guan,
chinh
c6u
viQc
GV
didu
nho
biri
hon
nhiAu cdu h6i tloc hi6u liln quan d6n ndi dung
phuc
gian
il6n
mo
di
nr
don
hoi
lua
chgn.

ciu
nhi6u
n'ic
nghi6m
dans hoa cdu trOi edm cau hoi co,&hdng, cdu hoi
vor cdc criu hoi gqr y'
Cp."H aa Ui6t uier mQt do4n van ngin d\ra tren so Nhin chung, ba tnrdng trqp HS n6l 1o4n AD/HD ttdu c6 sg tiiin bQ khrl 16. C6c biQn phrip GDHV mi chung toi
xiv dms dd dem lai hi6u qud rich cuc. Trong do. C.B lir HS co kdt qud thay dditinh vi tlt ntrit tgirLrn O.t: aiem
nit. C.6 U,Ong.t'i ri6n bo, ve hiurh vi md cdn ti6n b0 vd hoc tip. sg tien bQ niry b6t ngu6n tt nQi.luc cta em. Ngoii
vi tot thf 2
ra. H.D co biC;hien hiurh vi o mric nqng nhdt nhmg. k6t qua ttryc nghiem lai the hi€n sg thay tloi hiurh
lai nhmg
hgp
con
voi
hai
truong
(siam 0.gl tlidm TBt. Mac du H.D codidm ri tue thdp nhit vi thip hon nhidu so
qigia
co
dinh.
em-con
mq
L-Jll.* a-* rra nq tich cuc hon air nhiar. Ngoii tui6 t q.ua GV t?i lop hoa nhap. b6

Cdc
su h'6 uu cuaGV day tai nhir hang ngdy. H.D ld t'uong hqp duy nhit trong sd ba trudng hgp co tiet hqc cdnhin.
nai d,-n oh,ii hoo t one k6 troacli Cbfry duo. c cha m9 vd GV d4y tai nhd thuc hiQn rdt tich cgc vd triQt <16. Qua diy
.r,"Gi.'Coun'"t'o Hi noi toan aoruo hqc hoa nha-p rdtcin srrphiii hqp cua giadinh. Tiiit hqc cd nhen hd1, HS

rit quan npng. gop phin nring cao hifu qui GDHV. Cuoi cung. Q. H co ket que thay doi hinh
nii toa, ,qOmO
"mg
vi ttr6p nhit. e.H ld truong hqp cO didm gidm cht 1i cao nhit mac du hien H dang hoc lop 3. Dieu niry cho thiy. cing
hqc tdn lop cao hon. ki6n thric nhidu vir kh6 hon sC khi6n HS r6i lo4n AD/HD gap kh6 khAn nhieu hon: Hq W !,et
hgc c6 nhin cho qu6 trinh GDIIV vir qui trinh h6 ro hoc uip cho HS r6i lo?n AD/HD duo. c kl6ng dinh la crin thiet.
KCt qua thgc nghiQm cho
euy rinh GDI-IV'cin AD/HD mi cdn tqo ra
phi
HS
r6i
loan
hgp
cta
kh6ng
gi6m
hanh
vi
tim
phap
trrdng
chi
blnv
,iav, rt. trra"g uie"
tap
ki
nnng
hqc
xn

hQi
vd
K
ndng
nh6n
thric,
"
su phrit tri6n nhidu mat d c6c em nhu:
3. K6t luAn
Bii bio thuc nehi€m st dung c6c bi6n ph6p GDIIV t€n 3 trucmg hqp HS ri5i loan AD/HD hqc hda nhqp d d6u
c6p TH, k6t qrui thgc nghiQm da chrmg minh hiQu qu.i cira c6c biQn phip GDHV. Cr,r ttr6, sau khi 6p dung cic biQn
pirep CiW, fra.f, vi ttrOng phu hqp iua cdc HS gidm nhu cac em it ra khOi chd ,gai qr ao n*,, it Uo do nhiQm vu
iron. . .: hanh vi pht hgp ring l6n nhu chri 1; r io bni t6t hon. khoriLng thoi gian cht yi tiLng len... vir kEt qudL hqc tAp cua
c:ic HS tluoc cdLi thi6n. e.n c?nh aO, te t6t quai GDt-tV cho HS ftii loan AD/HD hgc hoa nh{p o diu cip TH tlat higu
qui cao cin co su ph6i hqp tiir voi gia dinh HS, thrc hiQn qic bi6n phip can thiQp ci nhan nhem h6 tq th6m cho HS.

Tii

fieu thrm kheo

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DSM-5. WC: American Psychiatric Association.
ddng cl6. ng giam cil l. \XB Gi6o duc
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ti

ViCt Nam.

y.,

Tucha, L., & Tucha O. (2016). The Effects of Classroom Interventions on Off-Task and Disruptive
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Viet Nam.
Karhu, A., Niirhi, V., & Savolainen, H. (2018). Inclusion of pupils with AD/HD symptoms in mainstream classes
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tnnrg hgc co so. Tap chi T6m li hoc, 7,35-38.
Prasad, V. (2012). Muttimodal Treatment of Attention D{icit Hyperactivity Disorder. Springer-Verlag Berlin

Crroen,

Heidelberg.

Wechsler, D.-(2005). Ilechsler Intelligence Scale for Children-Fourth Editbr. Australian Standardised Edition
(WISCIV Australian). Sydney. NSW: PsychCorp.