摘要
目的研究家庭一体化延伸护理对孤独症患儿认知能力、交往能力及症状控制效果的影响.方法选取2019年6月—2021年6月我院收治的64例孤独症患儿为研究对象,按照随机数表法分为两组,每组32例.对照组采用常规护理,观察组在对照组基础上开展家庭一体化延伸护理.比较两组干预前后的认知能力、交往能力、症状控制效果以及家属满意度.结果干预前,两组中国修订韦氏儿童智力量表(C-WISC)评分比较,差异无统计学意义(P>0.05);干预后,观察组C-WISC中的语言认知评分(112.38±11.25)分、智商体现评分(98.43±10.02)分、操作认知评分(103.42±9.17)分及总分(314.47±31.48)分均高于对照组,组间差异有统计学意义(P<0.05).干预前,两组儿童孤独症评定量表(CARS)评分、婴儿-初中生社会生活能力量表(SM)评分比较,组间差异无统计学意义(P>0.05);干预后,观察组CARS评分(23.81±6.09)分低于对照组,SM评分(9.14±1.02)分高于对照组,组间差异有统计学意义(P<0.05).观察组患儿家属满意度为93.75%,高于对照组的75.00%,差异有统计学意义(P<0.05).结论临床对孤独症患儿实施家庭一体化延伸护理,能够提高对其症状的控制效果,促进其认知能力及交往能力恢复,提升家属满意度.
Objective To study the effect of family integrated extended nursing on cognitive ability,communication ability and symptom control effect of children with autism.Methods 64 children with autism admitted to the hospital from June 2019 to June 2021 were selected as the research objects,and divided into two groups according to the random number table method,with 32 cases in each group.The control group received routine nursing,while the observation group received family integrated extended nursing on the basis of the control group.The cognitive ability,communication ability,symptom control effect before and after intervention and family satisfaction were compared between the two groups.Results Before intervention,there was no significant difference in Chinese Wechsler intelligence scale for children(C-WISC)score between the two groups(P>0.05);after intervention,the language cognition score,IQ performance score,operation cognition score and total score in C-WISC of observation group were(112.38±11.25)points,(98.43±10.02)points,(103.42±9.17)points and(314.47±31.48)points,which were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).Before intervention,there was no significant difference between the two groups in child autism rating scale(CARS)score and infant junior high school social life ability scale(SM)score(P>0.05);after intervention,the CARS score of the observation group was(23.81±6.09)points,which was lower than that of the control group,and the SM score was(9.14±1.02)points,which was higher than that of the control group,and the differences between the groups were statistically significant(P<0.05).The satisfaction rate of family members of children in the observation group was 93.75%,which was higher than 75.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion The clinical implementation of family integrated extended nursing for children with autism can improve the control effect of their symptoms,promote the recovery of their cognitive ability and communication ability,and improve the satisfaction of their families.
作者
贾瑞杰
JIA Ruijie(The Seventh Ward of Rehabilitation Center,The Children's Hospital Affiliated to Zhengzhou University(Henan Provincial Children's Hospital,Zhengzhou Children's Hospital),Zhengzhou Henan,450000,China)
出处
《反射疗法与康复医学》
2022年第14期124-127,共4页
Reflexology And Rehabilitation Medicine
关键词
孤独症
儿童
家庭一体化延伸护理
认知能力
交往能力
症状控制效果
Autism
Children
Family integrated extended nursing
Cognitive ability
Communication skills
Symptom control effect