基于《国际功能、残疾和健康分类》理论的社交游戏训练对孤独症儿童的疗效及行为的影响  

Efficacy and behavioral impact of social game training based on International Classification of Functioning,Disability,and Health theory on children with autism

作　　者：薛晶晶 张雪娇 何璐娜 巩尊科 XUE Jingjing;ZHANG Xuejiao;HE Luna;GONG Zunke(The Second Clinical Medical College,Xuzhou Medical University,Jiangsu Province,Xuzhou 221000,China;Department of Children’s Rehabilitation,Huaian Maternal and Child Health Hospital Affiliated to Yangzhou University,Jiangsu Province,Huaian 223002,China;Department of Psychiatric Rehabilitation,Xuzhou Rehabilitation Hospital Affiliated to Xuzhou Medical University,Jiangsu Province,Xuzhou 221000,China)

机构地区：[1]徐州医科大学第二临床医学院,江苏徐州221000 [2]扬州大学附属淮安市妇幼保健院儿童康复科,江苏淮安223002 [3]徐州医科大学附属徐州康复医院神经康复科,江苏徐州221000

出　　处：《中国医药导报》2024年第11期78-81,共4页China Medical Herald

基　　金：江苏省卫生健康委科研项目(K2019012)。

摘　　要：目的探讨基于《国际功能、残疾和健康分类》(ICF)理论的社交游戏训练对孤独症儿童的疗效及行为的影响。方法选择2021年6月至2022年6月扬州大学附属淮安市妇幼保健院收治的80例孤独症患儿,按照随机数字表法将其分为对照组(40例,常规康复训练)和观察组(40例,基于ICF理论的社交游戏训练),两组均干预6个月。比较两组治疗前后的治疗效果、行为能力、发育水平、社交状态评分。结果治疗后,两组治疗效果(言语/语言/交流、社交能力、感知/认知能力、健康/躯体/行为)、行为能力评分(感觉、交往、语言、躯体运动、生活自理)、社交状态评分(沟通、社交互动、重复刻板行为)低于治疗前,且观察组低于对照组(P<0.05)。治疗后,两组发育水平评分(语言、大运动、精细运动、个人-社交、适应性行为)高于治疗前,且观察组高于对照组(P<0.05)。结论基于ICF理论的社交游戏训练能够改善孤独症儿童的行为能力、发育水平、社交状态,提高整体治疗效果。Objective To explore the efficacy and behavioral impact of social game training based on International Classification of Functioning,Disability,and Health(ICF)theory on children with autism.Methods From June 2021 to June 2022,80 children with autism admitted to Huaian Maternal and Child Health Hospital Affiliated to Yangzhou University were selected.They were divided into control group(40 cases,routine rehabilitation training)and observation group(40 cases,social game training based on ICF theory).The scores of treatment effect,behavioral ability,developmental level,and social status before and after treatment between two groups were compared.Results After treatment,the scores of treatment effect(speech/language/communication,social ability,perception/cognitive ability,and health/body/behavior),behavioral ability(sensation,communication,language,physical movement,and self-care),and social status(communication,social interaction,and repetitive stereotypical behavior)in both groups were lower than those before treatment,and those of observation group were lower than those of control group(P<0.05).After treatment,the scores of developmental level(language,major motor,fine motor,personal-social,and adaptive behavior)in both groups were higher than those before treatment,and those of observation group were higher than those of control group(P<0.05).Conclusion Social game training based on ICF theory can improve the behavioral ability,development level,and social status of children with autism,and improve the overall treatment effect.

关 键 词：孤独症 儿童 《国际功能、残疾和健康分类》 社交游戏训练 

分 类 号：R748[医药卫生—神经病学与精神病学]