机构结构化教育结合家庭康复训练模式对孤独症儿童母亲亲职压力的影响

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摘要目的研究机构结构化教育结合家庭康复训练模式对孤独症儿童母亲亲职压力的影响。方法选取2018年1月～2019年1月我院儿童康复科收治的被初次确诊为孤独症儿童的母亲60 名，按照随机数字表法分为对照组和试验组，每组各30 名。对照组患儿给予机构结构化教育，试验组患儿给予机构结构化教育结合家庭康复训练模式。干预6 个月后使用简易亲职压力指标简表（PSI-SF）、领悟社会支持量表（SSRS）、抑郁自评量表（SDS）、焦虑自评量表（SAS）评估两组儿童母亲的亲职压力情况。结果干预后，试验组母亲的亲子互动失调、离职愁苦、困难儿童评分及亲职压力总分均低于对照组，差异有统计学意义（P＜0.05）；试验组母亲的主观支持、客观支持评分及社会支持总分均高于对照组，差异有统计学意义（P＜0.05）；试验组母亲的SAS、SDS 评分低于对照组，差异有统计学意义（P＜0.05）。结论机构结构化教育结合家庭康复训练模式能够有效降低孤独症儿童母亲的亲职压力，改善孤独症儿童母亲的负面情绪，值得在临床上推广。

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	罗六妹
	陈冰
	黄翠梅
	应秋霞

关键词 ：机构结构化教育, 家庭康复训练, 孤独症儿童, 亲职压力

Abstract：Objective To study the effect of institutional structured education combined with family rehabilitation training model on the parental pressure of autistic children′s mothers. Methods From January 2018 to January 2019,60 mothers who were initially diagnosed as autistic children in department of child rehabilitation of our hospital were selected, and divided into control group and experimental group according to the random number table method, with 30 cases in each group. The children in control group was given institutional structured education, and the children in experimental group was given institutional structured education combined with family rehabilitation training mode. Six months after the intervention, the parental pressure of the two groups were assessed with the simple parental stress index(PSI-SF),perceived social support scale(SSRS),self rating depression scale(SDS)and self rating anxiety scale(SAS).Results After intervention, the scores of parent-child interaction disorder, resignation distress, children with difficulties and the total score of parental pressure in the experimental group were lower than those in the control group, the differences were statistically significant (P＜0.05). The scores of subjective support, objective support and social support of mothers in the experimental group were higher than those in the control group, the differences were statistically significant (P＜0.05). The scores of SAS and SDS of mothers in the experimental group were lower than those in the control group, the differences were statistically significant (P＜0.05). Conclusion Institutional structured education combined with family rehabilitation training mode can effectively reduce the parental pressure of autistic children′s mothers and improve the negative emotions of autistic children′s mothers, which is worth popularizing in clinical practice.

Key words： Institutional structured education Family rehabilitation training Autistic children Parental pressure

引用本文:

罗六妹; 陈冰; 黄翠梅; 应秋霞. 机构结构化教育结合家庭康复训练模式对孤独症儿童母亲亲职压力的影响[J]. 中国当代医药, 2020, 27(7): 192-194.
LUO Liu-mei; CHEN Bing; HUANG Cui-mei; YING Qiu-xia. Effect of institutional structured education combined with family rehabilitation training model on the parental pressure of autistic children′s mothers. 中国当代医药, 2020, 27(7): 192-194.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2020/V27/I7/192

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