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 ›› 2020, Vol. 12 ›› Issue (2): 135-137.doi: 10.3969/j.issn.1674-3865.2020.02.011

• 临床研究 • 上一篇    下一篇

孤独症谱系障碍儿童康复依从性影响因素分析

马宗艳，王素丽，刁颖颖，陈建贵，柴安波   

  1. 261011 山东 潍坊，潍坊市妇幼保健院儿童康复科（马宗艳，王素丽，陈建贵，柴安波）；潍坊医学院儿科教研室（刁颖颖）
  • 收稿日期:2019-12-23 出版日期:2020-04-25 上线日期:2020-04-25
  • 通讯作者: 马宗艳，E-mail：liuxc8209@163.com
  • 作者简介:马宗艳（1984-），主治医师。研究方向：小儿神经系统疾病的康复

Factors affecting rehabilitation compliance of children with autism spectrum disorder

MA Zongyan,WANG Suli,DIAO YIingying,CHEN Jiangui,CHAI Anbo   

  • Received:2019-12-23 Published:2020-04-25 Online:2020-04-25
  • Contact: MA Zongyan，E-mail：liuxc8209@163.com

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摘要： 目的 通过调查影响孤独症谱系障碍儿童康复依从性的相关影响因素，为孤独症谱系障碍儿童有效康复提供理论依据。方法 选取2017年1月至2019年1月在潍坊市妇幼保健院儿童康复科诊断为孤独症谱系障碍的103例儿童作为研究对象，实施机构干预联合家庭干预的为观察组（n=50），由于各种原因未实施机构干预联合家庭干预的为对照组（n=53）。对患儿家长进行问卷调查，问卷内容包括家长对孤独症谱系障碍的认知程度、家庭经济情况、家长的文化水平、家长的职业、家长对长期康复训练效果的信心、家长对医生的信任程度等。了解影响孤独症谱系障碍患儿康复依从性的因素。结果 经单因素分析得出3个因素差异有统计学意义（P<0.05），分别为家长对孤独症谱系障碍不了解、家长对长期康复训练效果缺乏信心、家庭经济困难。Logistic回归分析得出家长对孤独症谱系障碍不了解，对长期康复训练效果缺乏信心，家庭经济困难为影响康复依从性的主要因素。 结论 提高家长对孤独症谱系障碍的认知程度，增强家长对康复的信心，提高社会对孤独症谱系障碍家庭的支持，对改善患儿的综合康复效果，提高孤独症谱系障碍儿童生活质量有重要意义。

关键词: 孤独症谱系障碍, 康复, 依从性, 影响因素, 儿童

Abstract: Objective By investigating the related factors affecting the rehabilitation compliance of children with autism spectrum disorder, this paper aims to provide a theoretical basis for the effective rehabilitation of children with autism spectrum disorder.Methods A total of 103 children diagnosed with autism spectrum disorder in Weifang Maternal and Child Health Care Hospital from Jan. 2017 to Jan. 2019 were included as the research subjects. The observation group (n=50) received institutional intervention combined with family intervention, and the control group (n=53) were not intervened due to various reasons. The parents of the children were surveyed by questionnaires, and the questions included parents' knowledge about autism spectrum disorder, family economy, educational level of parents, parents' occupation, parents' confidence in the results of long term rehabilitation, and parents' belief in physicians. The factors affecting the rehabilitation compliance of children with autism spectrum disorder were investigated.
Results Univariate analysis showed that the differences in the three factors were statistically significant (P<0.05), which were parents' lack of understanding of autism spectrum disorder, parents' lack of confidence in the effect of long term rehabilitation training, and family economic difficulties. Logistic regression analysis showed that parents' lack of understanding of autism spectrum disorders, parents' lack of confidence in the effect of long term rehabilitation training, and family economic difficulties were the main factors affecting rehabilitation compliance. Conclusion It is of great significance for improving comprehensive rehabilitation effect and the life quality of children with autism spectrum disorder to increase the parents' knowledge about autism spectrum disorder, enhance their confidence in rehabilitation and promote the support of the society for the family with autism spectrum disorder.

Key words: Autism spectrum disorder, Rehabilitation, Compliance, Influencing factor