亲子合作式地板游戏疗法对孤独症病儿症状控制、社交反应及其父母育儿压力的影响  

Influence of parent-child cooperative floor play therapy on symptom control,social reaction and parental rearing pressure of children with autism spectrum disorder

作　　者：张于凤 刘玲 胡碧琼 ZHANG Yufeng;LIU Ling;HU Biqiong(Department of Child Health,Jingzhou Maternal and Child Healthcare Hospital,Jingzhou,Hubei 434020,China)

机构地区：[1]荆州市妇幼保健院儿保科,湖北荆州434020

出　　处：《安徽医药》2025年第3期560-564,共5页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨亲子合作式地板游戏疗法对孤独症谱系障碍(ASD)病儿的症状控制、社交反应及病儿父母育儿压力的影响。方法选取2020年2月至2022年2月于荆州市妇幼保健院采用常规康复疗法及亲子合作式地板游戏疗法进行治疗的ASD病儿为研究对象,从不同治疗方法的病儿中按随机数字表法各选取55例分为对照组和观察组,于治疗3个月后评估病儿儿童孤独症评定量表(CARS)评分、社交反应及病儿父母育儿压力的变化。结果协方差主体间效应检验显示,治疗后,观察组病儿儿童孤独症行为量表(ABC)总分、CARS评分和社交反应量表(SRS)评分分别为(95.98±12.61)分、(27.77±2.98)分及(107.73±12.44)分,低于对照组的(108.34±14.44)分、(30.65±3.26)分和(117.29±13.58)分,均差异有统计学意义(P<0.05)。治疗后,观察组病儿简式育儿压力问卷(PSI-SF)中育儿愁苦、困难儿童、亲子互动失调评分为(28.11±3.08)分、(27.26±2.88)分及(25.42±2.59)分,低于对照组的(32.09±3.54)分、(30.94±3.25)分和(28.12±2.91)分,均差异有统计学意义(P<0.05)。结论亲子合作式地板游戏疗法能够降低ASD病儿CARS评分及病儿父母育儿压力,提高病儿社交反应能力。Objective To explore the influence of parent-child cooperative floor play therapy on symptom control,social reaction and parental rearing pressure of children with autism spectrum disorder(ASD).Methods Selecting ASD children treated with conventional rehabilitation therapy and parent-child cooperative floor play therapy at Jingzhou Maternal and Child Health Hospital from February 2020 to February 2022 as the research subjects.Respective 55 children with ASD treated with different therapies were randomly selected and assigned into control group and observation group.Children autism rating scale(CARS)scores,social responsiveness and parenting stress were evaluated after 3 months of treatment.Results The inter-subject effect test results of covariance showed that after treatment,the total scores of the child autism behavior scale(ABC),CARS score and social response scale(SRS)in the observation group were(95.98±12.61)points,(27.77±2.98)points and(107.73±12.44)points,respectively,which were lower than those in the control group[(108.34±14.44)points,(30.65±3.26)points and(117.29±13.58)points,respectively],and the differences were statistically significant(all P<0.05).After treatment,the scores of parental distress,difficult child and parent-child dysfunctional interaction in the observation group were(28.11±3.08)points,(27.26±2.88)points and(25.42±2.59)points in Parenting Stress Index,Short Form(PSISF),which were lower than those in the control group[(32.09±3.54)points,(30.94±3.25)points and(28.12±2.91)points,respectively],and the differences were statistically significant(all P<0.05).Conclusion The parent-child cooperative floor play therapy can reduce the CARS score of children with ASD and parental distress of the parents,and improve the children's social responsiveness.

关 键 词：孤独症谱系障碍 亲子合作式地板游戏疗法 孤独症评定量表评分 社交反应 父母育儿压力 

分 类 号：R72[医药卫生—儿科]