ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2022, Vol. 14 ›› Issue (1): 41-44.doi: 10.3969/j.issn.1674-3865.2022.01.011

• 临床研究 • 上一篇    下一篇

基于丹佛模式下的感觉统合训练对2～5岁孤独症谱系障碍患儿交往能力及父母育儿压力的影响

张晓宇, 张艳蕾   

  1. 450000 郑州，郑州大学附属儿童医院、河南省儿童医院、郑州儿童医院康复医学科

  • 收稿日期:2020-12-30 出版日期:2022-02-25 上线日期:2022-04-25
  • 通讯作者: 张晓宇，E-mail：zxycmdln@163.com

Effect of sensory integration training based on the Denver model on the communication ability of children with autism spectrum disorder aged 2 to 5 years and parenting stress

ZHANG Xiaoyu, ZHANG Yanlei   

  1. Department of Rehabilitation Medicine, Children's Hospital affiliated to Zhengzhou University, Henan Children's Hospital, Zhengzhou Children's Hospital, Zhengzhou 450000, China

  • Received:2020-12-30 Published:2022-02-25 Online:2022-04-25
  • Contact: ZHANG Xiaoyu，E-mail：zxycmdln@163.com

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摘要： 目的 探讨基于丹佛模式下的感觉统合训练对2～5岁孤独症谱系障碍患儿交往能力及父母育儿压力的影响。方法 选取2018年7月至2019年7月于我院就诊的2～5岁孤独症谱系障碍患儿120例为研究对象，随机分为对照组和观察组各60例。对照组给予沙盘游戏和维生素D3等综合治疗，观察组在对照组基础上予以基于丹佛模式下的感觉统合训练。3个月后，采用儿童孤独症行为量表(ABC)、儿童孤独症评定量表(CARS)、孤独症治疗评估量表(ATEC)评价患儿核心症状；采用儿童心理教育评估第3版量表(PEP-3)评价患儿交往能力；采用简式育儿压力问卷(PSI-SF)评价父母育儿压力。结果 干预后，观察组患儿ABC、CARS、ATEC评分及PSI-SF各项评分均低于对照组，组间均数比较差异有统计学意义(P<0.05)。干预后，观察组患儿PEP-3评分各项高于对照组，组间均数比较差异有统计学意义(P<0.05)。结论 基于丹佛模式下的感觉统合训练应用于2～5岁孤独症谱系障碍患儿中，通过改善患儿核心症状、交往能力，从而有效降低父母育儿压力。

关键词: 孤独症谱系障碍, 丹佛模式, 交往能力, 父母育儿压力

Abstract: Objective To explore the effect of sensory integration training based on Denver model on the communication ability of children with autism spectrum disorder aged 2 to 5 years and parenting stress.Methods From July 2018 to July 2019, 120 children with autism spectrum disorder aged 2 to 5 years visited our hospital, who were selected as study subjects, and were divided into control group(n=60) and observation group(n=60) according to random number table method. The control group was given comprehensive treatment such as sand game and vitamin D3, and the observation group was given sensory integration training based on the Denver model in addition to the treatment for the control group. After 3 months, ABC，CARS, and ATEC were used to assess the core symptoms; PEP-3 was used to evaluate the communication ability of children; PSI-SF was used to evaluate the parenting stress.Results After intervention, the scores of ABC, CARS and ATEC and the scores of PSI-SF in the observation group were lower than those in the control group(P<0.05). The score of the third version(PEP-3) scale in the observation group after intervention was higher than that in the control group(P<0.05).Conclusion Sensory integration training based on the Denver model can be applied to children with autism spectrum disorder(ASD) aged 2 to 5 years old, which effectively reduces parenting stress by improving their core symptoms and communication ability.

Key words:

Autism spectrum disorders, Denver model, Communication ability, Parenting stress