家庭康复护理干预在自闭症儿童社会交往障碍治疗中的应用效果及影响  

Application effect and influence of family rehabilitation nursing intervention in the treatment of social communication disorders in children with autism

作　　者：叶丽 周笑 余旭芳 梁涌 YE Li;ZHOU Xiao;YU Xufang;LIANG Yong(No.10 Ward,Lishui Second People's Hospital in Zhejiang Provinca,Lishui 323000,China;Department of Nutrition,Lishui Second People's Hospital in Zhejiang Provinca,Lishui 323000,China;No.7 Ward,Lishui Second People's Hospital in Zhejiang Provinca,Lishui 323000,China;Hospital Office,Lishui Second People's Hospital in Zhejiang Provinca,Lishui 323000,China)

机构地区：[1]浙江省丽水市第二人民医院十病区,浙江丽水323000 [2]浙江省丽水市第二人民医院营养科,浙江丽水323000 [3]浙江省丽水市第二人民医院七病区,浙江丽水323000 [4]浙江省丽水市第二人民医院院办,浙江丽水323000

出　　处：《中国现代医生》2019年第31期143-147,共5页China Modern Doctor

基　　金：浙江省公益技术应用研究计划项目（LGF19H090025）

摘　　要：目的分析家庭康复护理干预在自闭症儿童社会交往障碍治疗中的应用效果及影响。方法将本院2016年10月~2018年7月研究时间段内收治自闭症社会交往障碍患儿共75例纳为研究对象,开展回顾性研究分析。根据家属护理模式的选择将其分为对照组36例、研究组39例。患儿均在常规治疗基础上参与研究,研究期间对照组接受临床标准护理,研究组在对照组护理基础上配合家庭康复护理干预。对比两组护理前后患儿各维度自闭症、生活质量评分及家属护理满意度情况。结果护理前两组患儿各维度自闭症评分均无明显差异(P>0.05);护理后两组患者言语/语言/交流、社交、感觉/知觉以及健康/身体/行为评分明显降低(P<0.05),研究组各维度自闭症评分明显低于对照组,差异具有统计学意义(P<0.05);护理前两组患儿生活质量评分均无明显差异(P>0.05);护理后两组患者生理机能、生理职能、精力、社会功能以及情感职能评分明显提高(P<0.05),研究组各维度生活质量评分明显高于对照组,差异具有统计学意义(P<0.05);研究组护理满意度为94.87%,明显高于对照组(77.78%),差异具有统计学意义(P<0.05)。结论予以存在社会交往障碍的自闭症儿童家庭康复护理干预,可在基础治疗、护理基础上,有效改善患儿症状,提升其生活质量,可在临床中借鉴推广。Objective To analyze the application effect and influence of family rehabilitation nursing intervention in the treatment of social communication disorders in children with autism. Methods A total of 75 children patients with autism combined with social communication disorder who were admitted in our hospital during the study period from October 2016 to July 2018 were selected as the study subjects, and a retrospective study was conducted. According to the choice of family care model, they were divided into 36 cases in the control group and 39 cases in the study group.All children participated in the study on the basis of conventional treatment. The control group was given clinical standard care during the study period. The study group was given the family rehabilitation nursing intervention on the basis of the control group. Autism with all dimensions, quality of life scores and family nursing satisfaction in the children patients before and after nursing were compared between the two groups. Results There was no significant difference in the scores of autism with all dimensions between the two groups before nursing(P>0.05);after the nursing, the speech/language/communication, social, sensory/perception and health/body/behavioral scores in both groups were significantly decreased(P<0.05);the autism scores in the study group were significantly lower than those in the control group, and the difference was statistically significant(P<0.05);there was no significant difference in the quality of life scores betweenthe two groups before nursing(P>0.05);after nursing, the physiological function, physiological roles, energy, social function, and emotional function scores in both groups were significantly increased(P<0.05);the quality of life scores with all dimensions in the study group were significantly higher than those in the control group, and the difference was statistically significant(P <0.05);the nursing satisfaction in the study group was 94.87%, which was significantly higher than that of 77.78% in the control

关 键 词：自闭症儿童社会交往障碍 家庭康复护理 应用效果 影响分析 

分 类 号：R473[医药卫生—护理学]