| 摘要: |
| 目的：探究在作业治疗(Occupational Therapy, OT)中进行模拟真实场景的个性化训练对孤独症谱系障碍(Autism Spectrum Disorders, ASD)患儿治疗效果的影响。方法：选取于2025年5月-2026年4月间就诊于首都医科大学附属北京儿童医院康复科的ASD患儿80例,根据就诊顺序取随机数字表法分为对照组和观察组,每组各40例。研究持续3个月,期间对照组接受常规OT治疗,观察组将模拟真实场景的个性化训练作为作业活动应用于OT治疗。两组患儿在治疗前后分别进行孤独症治疗评估量表(the Autism Treatment Evaluation Checklist, ATEC)和儿童生活功能评估量表(Pediatric Evaluation of Disability Inventory, PEDI)评估,得分的改善值作为评定疗效的依据。结果：研究结束后,两组患儿的ATEC评分和PEDI评分均得到显著改善(P均＜0.001),相比于对照组,观察组患儿得分改善更为明显,其中ATEC量表评分(t=2.488,P=0.015),PEDI量表评分(t=-2.359, P=0.021)。结论：将模拟真实场景的个性化训练应用于OT治疗中,能够更好的改善ASD患儿的核心症状。 |
| 关键词: |
| DOI： |
| 分类号: |
| 基金项目: |
|
|
|
Xu Xiaomeng1,2,3
|
|
1.Beijing Children'2.'3.s Hospital, Capital Medical University
|
| Abstract: |
| Objectives: To investigate the effect of using individuated training based on simulating real-word situations in occupational therapy (OT) as a treatment on rehabilitation of core characteristics on children with autism spectrum disorders (ASD). Methods: 80 ASD children visited Department of Rehabilitation, Beijing Children’s Hospital during May 2025 to April 2026 were randomly selected and divided into control group (n=40) and observation group (n=40). The research lasted 3 months, during which, control group received routine OT training, while observation group accepted activities designed on individuated training based on simulating real-word situations. The severity of ASD symptoms and self-care abilities were evaluated by the Autism Treatment Evaluation Checklist (ATEC) and pediatric evaluation disability inventory (PEDI) at the beginning and the end of the therapy. The decreased scores in ATEC and increased scores in PEDI among assessments were considered as training effects. Results: Comparing ATEC and PEDI scores of the end to the beginning of therapy, both groups received obviously improved (All P<0.001). Comparing to control group, both of ATEC and PEDI scores manifested significantly improved in observation group when treatment finished, while ATEC scores (t=2.488,P=0.015) and PEDI scores (t=-2.359, P=0.021). Conclusion: Using individuated training based on simulating real-word situations in occupational therapy in ASD children can help them relieving symptoms and improving self-care abilities. |
| Key words: |
