学龄前孤独症谱系障碍儿童医教结合饮食行为干预的疗效观察  

Observation on Therapeutic Effect of Medical Education Combined with Dietary Behavior Intervention in Preschool Children with Autism Spectrum Disorder

作　　者：陈川帆 毛文琴 贺花兰 尹林林 CHEN Chuan-fan;MAO Wen-qin;HE Hua-lan;YIN Lin-lin

机构地区：[1]宁波市康复医院儿童康复中心言语认知组,宁波315043 [2]宁波市康复医院儿童康复科,宁波315043

出　　处：《中国听力语言康复科学杂志》2024年第6期666-669,共4页Chinese Scientific Journal of Hearing and Speech Rehabilitation

基　　金：宁波市康复医院院级课题(2020KY04)。

摘　　要：目的观察在医教结合模式干预下,运用作业治疗、早期介入丹佛模式、应用行为分析法等康复技术,对学龄前孤独症谱系障碍(autism spectrum disorder,ASD)儿童饮食行为改善的疗效。方法对宁波市康复医院儿童康复中心康复的80例学龄前ASD儿童进行为期20周的饮食能力干预训练,干预前后采用Peabody运动发育量表(第2版)抓握量表、孤独症婴幼儿早期介入丹佛模式个人独立进餐等级Ⅰ-Ⅳ评定量表、孤独症儿童心理教育评核(第3版)自理能力评定量表对儿童进行评估。结果干预后,观察组与对照组儿童的饮食能力均有所提高,其中运用医教结合策略干预的观察组儿童在抓握能力、饮食能力、自理能力方面提升明显,在行为控制、情绪管理能力方面也得到提高。结论医教结合策略可有效改善学龄前ASD儿童饮食行为,对于改善儿童的行为问题有干预效果。Objective To observe the effect of occupational therapy by appling early intervention Denver model,behavioral analysis of the rehabilitation techniques to the improvement of eating behavior of preschool children with autism spectrum disorder(ASD)under the intervention mode of medical education.Methods 80 preschool children with ASD who recovered from the Children's Rehabilitation Center of Ningbo Rehabilitation Hospital were given dietary ability intervention training for 20 weeks.Before and after the intervention,the children were evaluated using the Peabody Development Motor Scale-2nd edition of Grasping Scale,Individual Independent Eating Rating ScaleⅠ-Ⅳin the Early Denver Model of Intervention for infants with autism,and the autistic children's self-care ability rating scale in Psychoeducational Profile-3rd edition.Results After intervention,the dietary ability of the children in the observation group and the control group was improved,and the grasping ability,dietary ability and self-care ability of the children in the observation group with the combination of medical education strategy were significantly improved.It was also alleviated in behavior control and emotion management ability.Conclusions The combination of medical education strategy can effectively improve the eating behavior of preschool children with autism spectrum disorder,and also has a certain intervention effect on alleviating children's behavior problems.

关 键 词：孤独症谱系障碍 学龄前儿童 医教结合 饮食行为 

分 类 号：R493[医药卫生—康复医学]