强化心理护理配合感觉统合训练干预对孤独症谱系障碍患儿发育商、临床症状改善情况的影响

Effect of Strengthening Psychological Nursing Combined with Sensory Integration Training Intervention on Development Quotient and Clinical Symptoms Improvement in Children with Autism Spectrum Disorder

目的探究强化心理护理配合感觉统合训练对孤独症谱系障碍(ASD)患儿发育商、临床症状改善情况的影响.方法选择2020年3月—2023年3月枣庄市妇幼保健院收治的82例ASD患儿为研究对象,按照随机数字表法将其分为对照组及观察组,每组41例.对照组采用常规护理,观察组采用强化心理护理配合感觉统合训练干预,均持续3个月.比较两组患儿的发育商、临床症状改善情况.结果护理后,观察组的Gesell小儿神经心理发育量表中适应性行为、大运动行为、精细动作、语言能力、个人社交能力评分分别为(79.69±5.16)分、(85.06±4.63)分、(82.89±5.46)分、(85.84±5.73)分、(79.79±5.47)分,均高于对照组,组间差异有统计学意义(P<0.05).护理后,观察组的孤独症儿童行为检查表评分、儿童孤独症评定量表评分、自闭症儿童心理教育评估量表(第3版)评分分别为(61.29±3.66)分、(26.13±3.10)分、(103.07±10.29)分,均高于对照组,组间差异有统计学意义(P<0.05).结论强化心理护理配合感觉统合训练可减轻ASD患儿的临床症状,促进其发育.

Objective To explore the effect of strengthening psychological nursing combined with sensory integration training intervention on developmental quotient and clinical symptoms improvement in children with autism spectrum disorder(ASD).Methods 82 children with ASD treated in Zaozhuang Maternal and Child Health Hospital from March 2020 to March 2023 were selected as the study objects and were divided into a control group and an observation group according to random number table method,with 41 cases in each group.The control group received routine nursing,and the observation group received strengthening psychological nursing combined with sensory integration training intervention.Both groups received continuous nursing for 3 months.The improvement of developmental quotient and clinical symptoms were compared between the two groups.Results After nursing,in the observation group,the scores of adaptive behavior,gross motor behavior,fine motor,language ability and personal social ability in the Gesell developmental schedule of the observation group were(79.69±5.16)points,(85.06±4.63)points,(82.89±5.46)points,(85.84±5.73)points and(79.79±5.47)points,respectively,which were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).After nursing,the scores of autism behavior checklist,childhood autism rating scale and the psychoeducational profile-3rd edition in the observation group were(61.29±3.66)points,(26.13±3.10)points and(103.07±10.29)points,respectively,which were higher than those in the control group,the differences between the groups were statistically significant(P<0.05).Conclusion Strengthening psychological nursing combined with sensory integration training can alleviate the clinical symptoms and promote the development of children with ASD.