心理社会干预对改善儿童孤独症伴精神发育迟滞患者的效果

The value of implementing psychosocial intervention programs in improving the autism status and intellectual development of children with autism and mental retardation

目的探讨心理社会干预方案在改善儿童孤独症伴精神发育迟滞患者病情中的价值。方法遵循随机原则,选择2021年4月~2022年4月在我院确诊为儿童孤独症且合并精神发育迟滞的50例患者,以入院单双数分组后每组25例,对照组实施吡拉西坦片治疗,观察组则在对照组基础上实施心理社会干预。记录干预前后各项临床指标变化,格里菲斯(Griffiths)发育评估量表(Griffiths Developmental Assessment Scale,GDS)评分。结果观察组25例患者经心理社会干预治疗后GDS评分高于对照组(P<0.05);观察组孤独症行为评分结果,睡眠质量评分结果,Conners父母症状问卷(Parent Symptom Questionnaire,PSQ)评分结果,均较对照组降低;生活质量评分结果,则较对照组升高(P<0.05)。结论在儿童孤独症伴精神发育迟滞治疗中,选择心理社会干预措施可减少疾病对患者睡眠质量,生活质量的影响,亦可促进适应能力,大运动,精细运动恢复。

Objective To explore the value of psychosocial intervention programs in improving the condition of children with autism with mental retardation.Methods Following the principle of randomization,50 patients diagnosed with childhood autism and combined with mental retardation in our hospital from April 2021 to April 2022 were selected.After admission,each group was divided into odd and even groups,with 25 patients in each group.The control group received treatment with Piracetam tablets,while the observation group received psychological and social interventions on the basis of the control group.Record changes in various clinical indicators and Griffiths Developmental Assessment Scale(GDS)scores before and after intervention.Results The GDS scores of 25 patients in the observation group were higher than those in the control group after psychological and social intervention treatment(P<0.05);The observation group showed a decrease in autism behavior score,sleep quality score,and Conners Parent Symptom Questionnaire(PSQ)score compared to the control group;The quality of life score showed an increase compared to the control group(P<0.05).Conclusion In the treatment of childhood autism with mental retardation,choosing psychosocial interventions can reduce the impact of the disease on sleep quality and quality of life,and also promote adaptability,large exercise and fine motor recovery.