目的 研究家庭干预模式在儿童孤独症谱系障碍(ASD)中的临床应用效果,为其应用于临床提供证据。方法 选取襄阳市妇幼保健院2017年4月—2018年4月期间收治的76例ASD患儿作为研究对象,以是否进行家庭训练分为观察组(n=43)和对照组(n=33),对照组患儿予以上午医院规范训练,在家不训练;观察组患儿则上午在医院训练,其他时间由家长在家随时随地训练,分别对两组患儿治疗前后的ASD治疗评估量表(ATEC)和ASD行为量表评分(ABC)进行比较,同时评定两组儿童的面部表情卡配对情况。结果 治疗前,观察组和对照组患儿ATEC和ABC量表评分差异均无统计学意义(t=0.21、0.24,P>0.05);治疗后,观察组患儿的ATEC和ABC量表评分均明显低于对照组,差异均有统计学意义(t=8.55、9.51,P<0.05),也低于治疗前(t=7.02、10.97,P<0.05);另外,两组患儿间伤心、高兴、生气、害怕等面部表情卡配对情况指标差异比较具有统计学意义(t=12.14、8.16、8.34、4.31,P<0.05)。结论 医院结合家庭进行ASD综合干预能取得更好的效果,值得在其康复治疗中推广应用。
Abstract
Objective To research the clinical effect of family intervention in children with autism spectrum disorder(ASD),in order to provide evidence for its clinical application. Methods A total of 76 cases of ASD children were selected as participants in Xiangyang Maternal and Child Health Care Hospital from April 2017 to April 2018.And the participants were divided into the observation group (n=43) and control group (n=33) according to whether receiving training at home or not.Children of the control group were not intervened by their parents at home,and were only trained for half a day in the morning in hospital.The observation group were trained by their parents at home anytime and anywhere additionally.Chidren were assessed by the ASD Treatment Evaluation Scale (ATEC) and the ASD Behavior Checklist (ABC) before and after treatment,and were assessed by the match of their facial expression cards at the same time. Results Before treatment,there were no significant differences on the score ATEC and ABC scales between the two groups (t=0.21,0.24,P>0.05) ).After treatment,the scores of ATEC and ABC in observation group were significantly lower than those in control group(t=8.55,9.51) and those before treatment(t=7.02,10.97),and the differences were significant(P<0.05).In addition,there was statistically significant difference on the matching indexes of facial expression cards such as sadness,joy,anger and fear between the two groups (t=12.14,8.16,8.34,4.31,P<0.05). Conclusions Comprehensive interventions in hospitals and home can result in better efficacy,so it is worth popularizing and being applied in rehabilitation treatment.
关键词
孤独症谱系障碍 /
家庭干预模式 /
儿童
Key words
autism spectrum disorder /
family intervention model /
children
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