医护人员引导式教育联合融合教育在孤独症谱系障碍儿童视频脑电图监测前的应用

Effects of conductive education combined with integrated education by doctors and nurses in autism spectrum disorder children before video-electroencephalogram monitoring

目的探讨医护人员进行的引导式教育联合融合教育,对孤独症谱系障碍(ASD)儿童视频脑电图(v-EEG)监测完成效果的影响。方法选择2018年2至5月,于成都市第三人民医院接受v-EEG监测的61例ASD患儿为研究对象。按照接受v-EEG监测的时间,将其分为观察组(n=31,2018年4至5月接受v-EEG监测)与对照组(n=30,2018年2至3月接受v-EEG监测)。对观察组受试儿,在接受v-EEG监测前30~40 min,采用医护人员进行的引导式教育联合融合教育进行干预;对对照组受试儿,在接受v-EEG监测前7 d,采用社会培训中心进行的引导式教育联合融合教育进行干预。采用χ2检验,对2组患儿头皮损伤率及v-EEG完成率进行统计学比较。本研究经成都市第三人民医院伦理委员会批准(审批文号:[2018]S-28),与所有患儿监护人签署知情同意书。结果观察组ASD患儿头皮损伤率为22.6%,显著低于对照组ASD患儿的53.3%;观察组ASD患儿v-EEG完成率为80.6%,显著高于对照组ASD患儿的56.7%,并且差异均有统计学意义(χ2=4.011、P=0.013,χ2=1.893、P=0.043)。结论ASD患儿在接受v-EEG监测前,采用医护人员进行的引导式教育联合融合教育,有助于患儿配合完成v-EEG监测。

Objective To explore effects of conductive education combined with integrated education by doctors and nurses on quality improvement of video-electroencephalogram(v-EEG)monitoring in autism spectrum disorder(ASD)children.Methods From February to May 2018,a total of 61 ASD children monitored by v-EEG at the Third People′s Hospital of Chengdu and Affiliated Hospital of Southwest Jiaotong University were admitted for this study.According to the time of v-EEG monitoring,they were divided into observation group(n=31,v-EEG monitored from April to May 2018)and control group(n=30,v-EEG monitored from February to March 2018);ASD children in observation group were intervened with conductive education combined with integrated education by doctors and nurses 30-40 min before v-EEG monitoring.ASD children in control group were intervened with conductive education combined with integrated education by social training centre 7 days before v-EEG monitoring.Scalp injury rates and completion rates of v-EEG monitoring were compared between two groups of ASD children by chi-square test.This study was approved by the Ethics Review Board of Investigation in Human Being of the hospital of cases collection(Approval No.[2018]S-28)and guardians of all children signed the clinical research informed consents.Results The scalp injury rate of ASD children in observation group was 22.6%,which was significantly lower than that of 53.3%in control group;while completion rate of v-EEG monitoring in observation group was 80.6%,which was much higher than that of 56.7%in control group,and the differences were statistically significant(χ2=4.011,P=0.013;χ2=1.893,P=0.043).Conclusion It is helpful for ASD children to be cooperated with v-EEG monitoring and finish it with conductive education combined with integrated education by doctors and nurses before v-EEG monitoring.