作　　者： ;

机构地区： 新乡医学院第一附属医院

出　　处： 《中国中西医结合儿科学》 2020年第3期192-195,共4页

摘　　要： 目的探讨家长培训对孤独症谱系障碍(ASD)儿童家长焦虑状态改善及康复效果影响。方法选择2018年7月至2019年6月在新乡医学院第一附属医院住院或门诊接受康复治疗的ASD儿童50例为研究对象,按就诊先后顺序分为观察组和对照组各25例。对照组儿童家长未参加家长培训,观察组儿童家长参加家长培训,两组儿童同时接受常规的康复治疗,康复治疗时间3个月。在康复治疗前后分别采用焦虑自评量表(SAS)对两组儿童家长的焦虑状态进行评估;采用孤独症儿童行为评价量表(ABC量表)和Gesell评估ASD儿童家长培训后康复疗效。结果参加培训的家长焦虑状态得到明显改善,差异有统计学意义(P<0.05)。观察组儿童ABC量表评价与对照组相比较,在感觉及交往方面有明显改善,差异有统计学意义(P<0.05);观察组Gesell在个人-社会方面有改善,差异有统计学意义(P<0.05)。结论家长培训有利于改善ASD儿童家长的焦虑状态,并且有利于ASD儿童感觉及交往方面康复。 Objective To evaluate the effect of parent training on anxiety state of parents and rehabilitation of children with autism spectrum disorder(ASD).Methods A total of 50 ASD children who received rehabilitation treatment in the Fist Affiliated Hospital of Xinxiang Medical College from July 2018 to June 2019 were chosen as the research subjects,and they were divided into two groups according to visit number:25 in observation group and 25 in control group.The parents of the children in control group didn't take part in the parent training,while those in observation group did.The groups of children received conventional rehabilitation treatment at the same time,and the treatment lasted for 3 months.Before and after the treatment,the Self-Assessment Scale(SAS)of anxiety was used to evaluate the parents'anxiety in the two groups;the rehabilitation effect was evaluated by Autism Behavior Checklist(ABC)for children and Gesell in ASD children whose parents took part in the training.Results The anxiety was obviously improved in the parents who took part in the training,and there was statistical difference(P<0.05).Comparing the ABC results of the children between the control group and the observation group,the improvement in senses and communication was significant(P<0.05);according to Gesell results,the children in observation group was better in personal-social aspects,and the difference was statistically significant(P<0.05).Conclusion Parents'training helps to improve the anxiety of parents of ASD children,and it is beneficial to the rehabilitation of ASD children in senses and communication.

关 键 词： 孤独症谱系障碍 家长培训 焦虑 康复 孤独症儿童行为评价量表

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