情景感统训练对ADHD合并感统失调儿童的作用  

The Effect of Situational Sensory Integration Training on Children with ADHD and Sensory Integration Disorders

作　　者：陈艳娟[1] 许才娟 董尚胜[1] 钟彩虹 CHEN Yan-juan;XU Cai-juan;DONG Shang-sheng;ZHONG Cai-hong(Department of Children's Rehabilitation,Jiangmen Maternal and Child Health Hospital,Jiangmen 529000,Guangdong,China)

机构地区：[1]江门市妇幼保健院儿童康复专科,广东江门529000

出　　处：《医学信息》2021年第5期100-103,共4页Journal of Medical Information

摘　　要：目的分析情景感统训练对注意缺陷多动障碍(ADHD)合并感统失调儿童的临床疗效,为此类儿童的临床治疗提供参考依据。方法选取2018年6月~2019年6月在江门市妇幼保健院就诊的ADHD合并感统失调儿童163例,根据干预方式将其分为新情景感统组56例,传统感统组55例,对照组52例,比较干预前后三组中文版注意缺陷多动障碍SNAP-Ⅳ评定量表、儿童感觉统合评定量表评分情况,自编训练调查问卷(治疗师版),调查治疗师对不同干预方式的认知情况。结果干预后,三组儿童感觉统合评定量表评分比较,差异有统计学意义(P<0.05),其中新情景感统组、传统感统组前庭觉、触觉、本体觉因子得分均高于对照组,差异有统计学意义(P<0.05),而新情景感统组学习技能因子较传统感统组及对照组改善,差异有统计学意义(P<0.05);三组SNAP-Ⅳ评定量表得分比较,差异有统计学意义(P<0.05),其中新情景感统组、传统感统组的注意缺陷因子、多动冲动因子得分均高于对照组,差异有统计学意义(P<0.05);共调查34名治疗师,结果显示,新情景感统在儿童对训练模式的兴趣、配合程度、异常行为等方面更有优势。结论新情景感统训练对ADHD儿童的注意力、多动冲动及感觉统合能力有改善作用,且其改善作用优于传统感统训练。Objective To analyze the clinical effects of situational sensory integration training on children with attention deficit hyperactivity disorder(ADHD)and sensory integration disorders,and to provide a reference for the clinical treatment of such children.Methods A total of 163 children with ADHD and sensory integration disorders who were treated at Jiangmen Maternity and Child Health Hospital from June 2018 to June 2019 were selected.According to the intervention method,they were divided into 56 people in the situational sense group,55 people in the traditional sense group,and 52 people in the control group.Before and after the intervention,the three groups of Chinese version of Attention Deficit Hyperactivity Disorder SNAP-ⅣRating Scale and Children's Sensory Integration Rating Scale were compared before and after the intervention.Self-made training questionnaire(therapist version)was used to investigate the therapist's perception of different intervention methods.Results After the intervention,the scores of the three groups of children's sensory integration rating scale were compared,the difference was statistically significant(P<0.05).Among them,the scores of vestibular sense,touch and proprioception factors in the situational sense group and the traditional sense group were higher than those of the control group,the difference was statistically significant(P<0.05).The learning skill factor of the situational sense group was better than that of the traditional sense group and the control group,the difference was statistically significant(P<0.05);The three groups of SNAP-IV rating scale scores were compared,the difference was statistically significant(P<0.05),Among them,the scores of the attention deficit factor and the hyperactivity factor of the situational sense group and the traditional sense group were higher than those of the control group,the difference was statistically significant(P<0.05);A total of 34 therapists were surveyed,and the results showed that situational integration has advantages in child

关 键 词：注意缺陷多动障碍 情景感统训练 传统感统训练 

分 类 号：R749.94[医药卫生—神经病学与精神病学]