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孤独症谱系障碍儿童家庭功能与养育者育儿自我效能感的相关性

发布时间:2018-10-09 16:38
【摘要】:目的分析孤独症谱系障碍(ASD)儿童家庭功能与养育者育儿自我效能感(PSE)的相关性。方法采用队列研究方法,2015年8月至2016年2月本院ASD儿童(n=142)的养育者入研究组(n=173),同期正常健康儿童(n=131)养育者入对照组(n=131),使用家庭功能评定量表(FAD)、育儿自我效能感测评工具(TOPSE)对两组进行问卷调查。结果两组FAD及TOPSE得分有显著性差异(P0.05)。高收入、城镇ASD儿童家庭功能优于低收入、农村ASD儿童家庭(P0.05)。研究组FAD得分与TOPSE得分呈负相关(r=-0.152~-0.257,P0.05)。结论 ASD儿童家庭功能健康状况和养育者PSE水平明显低于正常儿童家庭,且家庭功能越差,养育者PSE水平越低。应针对ASD养育者的特点制定个体化的、以家庭为中心的干预策略,为患儿的康复提供良好的家庭环境。
[Abstract]:Objective to analyze the correlation between family function and child-rearing self-efficacy (PSE) in children with autism spectrum disorder (ASD). Methods A cohort study was conducted between August 2015 to February 2016, the nurseries of ASD children (nnt142) were enrolled in the study group (nt173), and the healthy children (nt131) were enrolled in the control group (NN131). The family function rating scale (FAD),) was used to assess the child-care self-efficacy of children. Two groups were investigated by (TOPSE). Results the scores of FAD and TOPSE were significantly different between the two groups (P0.05). High income, urban ASD children's family function is better than low income, rural ASD children's family (P0.05). There was a negative correlation between FAD score and TOPSE score in the study group (r = -0.152, P < 0.05). Conclusion the health status of family function and the level of PSE in children with ASD are significantly lower than those in normal children, and the worse the family function is, the lower the level of PSE is. Individualized and family-centered intervention strategies should be formulated according to the characteristics of ASD nurturers to provide a good family environment for children's rehabilitation.
【作者单位】: 重庆医科大学附属儿童医院儿保心理科儿童发育疾病研究教育部重点实验室儿科学重庆市重点实验室儿童发育重大疾病国家国际科技合作基地;
【基金】:重庆市沙坪坝区科委决策咨询与管理创新项目(No.沙科委发[2015]35号jc201512) 2013-2014年度国家临床重点专科建设项目(No.国卫办医涵[2013]544号)
【分类号】:R749.94

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