以家庭为中心的护理在孤独症患儿康复中的应用效果

Application effects of family-centered care in children with autism

目的:观察以家庭为中心的护理(FCC)在孤独症患儿康复中的应用效果。方法:选取2019年6月至2021年5月该院收治的84例孤独症患儿进行前瞻性研究,按照随机数字表法分为对照组和观察组各42例。对照组给予常规康复护理,观察组给予FCC,比较两组干预前后孤独症状[孤独症行为量表(ABC)、孤独症评定量表(CARS)]评分、发育情况[修订版心理教育量表(C-PEP)],以及护理满意度。结果:干预后,观察组ABC、CARS评分均低于对照组,差异有统计学意义(P<0.05);观察组功能发展量表、病理量表等C-PEP评分均高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为95.24%,高于对照组的80.95%,差异有统计学意义(P<0.05)。结论:FCC应用于孤独症患儿康复中,可改善孤独症状,促进患儿发育,提高家长满意度,其效果优于常规康复护理。

Objective: To observe application effects of family-centered care(FCC) in children with autism. Methods: A prospective study was conducted on 84 children with autism admitted to the hospital from June 2019 to May 2021. According to random number table method, they were divided into control group and observation group, 42 cases in each group. The control group was given routine nursing, while the observation group received the FCC nursing. The scores of autism symptoms [autism behavior scale(ABC), childhood autism rating scale(CARS)], the development [revised psycho-educational profile(C-PEP)], and the nursing satisfaction were compared between the two groups before and after the intervention. Results: After the nursing, the scores of ABC and CARS in the observation group were lower than those in the control group, and the differences were statistically significant(P<0.05). The C-PEP scores of functional development scale and pathological scale in the observation group were higher than those in the control group, and the differences were statistically significant(P<0.05). Further, the nursing satisfaction of the observation group was 95.24%, which was higher than 80.95% of the control group,the difference was statistically significant(P<0.05). Conclusions: FCC nursing in the rehabilitation of the children with autism can improve the autism symptoms, promote the development and improve the satisfaction. Moreover, it is superior to the routine nursing.