| 摘要: |
| ［摘要］ 目的 观察团体社交干预联合精准家庭干预在孤独症谱系障碍(ASD)患儿中的应用效果。方法 招募2022年5月至12月徐州医科大学附属徐州儿童医院康复科收治的ASD患儿52例，采用随机数字表法将其分为对照组和观察组，每组26例。对照组接受常规团体社交干预训练，观察组接受常规团体社交干预联合精准家庭干预，两组干预时间均为6个月。比较两组干预前后儿童孤独症评定量表（CARS）、美国孤独症治疗评估量表（ATEC）、小儿神经心理发育检查表评分以及心理教育量表第3版（PEP-3）评分等。结果 经干预后，两组ATEC、CARS评分均较干预前显著降低（P<0.05），且观察组评分较对照组更低，差异有统计学意义（P<0.05）；两组小儿神经心理发育检查表的适应能力、语言、个人-社交行为评分，以及PEP-3的社交能力、生活自理能力、认知能力评分均较干预前显著提高（P<0.05），且观察组评分较对照组更高，差异有统计学意义（P<0.05）。两组干预后小儿神经心理发育检查表的大运动、精细运动评分较干预前显著提高（P<0.05），但两组间比较差异无统计学意义（P>0.05）。结论 团体社交干预联合精准家庭干预可有效改善ASD患儿社交、认知及生活自理能力。 |
| 关键词: 团体社交干预 精准家庭干预 孤独症谱系障碍 儿童 儿童孤独症评定量表 心理教育量表第3版 |
| DOI：10.3969/j.issn.1674-3806.2024.08.11 |
| 分类号:R 749.94 |
| 基金项目: |
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| Observation on the application effect of group social interaction intervention combined with precise family intervention in paediatric patients with autism spectrum disorder |
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GONG Tiantian1, GONG Zunke2, BAO Kexiu1, WU Ye1, WANG Min1
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1.Department of Rehabilitation, Xuzhou Children′s Hospital Affiliated to Xuzhou Medical University, Jiangsu 221000, China; 2.Department of Rehabilitation Medicine, Xuzhou Rehabilitation Hospital Affiliated to Xuzhou Medical University, Xuzhou Central Hospital, Jiangsu 221000, China
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| Abstract: |
| ［Abstract］ Objective To observe the application effect of group social interaction intervention combined with precise family intervention in paediatric patients with autism spectrum disorder(ASD). Methods A total of 52 paediatric patients with ASD who were admitted to the Department of Rehabilitation of Xuzhou Children′s Hospital Affiliated to Xuzhou Medical University from May 2022 to December 2022 were recruited and divided into control group and observation group by random number table method, with 26 cases in each group. The control group received routine group social interaction intervention training, and the observation group received routine group social interaction intervention combined with precise family intervention. The intervention time was 6 months in both groups. The scores of Childhood Autism Rating Scale(CARS), Autism Treatment Evaluation Checklist(ATEC), and Neuropsychological Development Examination Table for Children and Psychoeducational Profile-Third Edition(PEP-3) were compared between the two groups before and after intervention. Results After intervention, ATEC and CARS scores in both groups were significantly lower than those before intervention(P<0.05), and the ATEC and CARS scores in the observation group were lower than those in the control group, and the differences were statistically significant(P<0.05). The scores of adaptive ability, language and individual-social interaction behavior of the Neuropsychological Development Examination Table for Children, and the scores of social interaction ability, self-care ability of daily living and cognitive ability of PEP-3 in both groups were significantly higher compared with those before intervention(P<0.05), and the scores in the observation group were higher than those in the control group, and the differences were statistically significant(P<0.05). After intervention, the gross motor and fine motor scores of the Neuropsychological Development Examination Table for Children in both group were significantly higher compared with those before intervention(P<0.05), but there were no statistically significant differences between the two groups(P>0.05). Conclusion Group social interaction intervention combined with precise family intervention can effectively improve the social interaction ability, cognitive ability and self-care ability of daily living in paediatric patients with ASD. |
| Key words: Group social interaction intervention Precise family intervention Autism spectrum disorder(ASD) Children Childhood Autism Rating Scale(CARS) Psychoeducational Profile-Third Edition(PEP-3) |
