影响儿童孤独症感觉统合训练疗效的因素分析

Influential factors for the sensory integration training effects in children with autism

摘要:

目的：在实践中发现，影响儿童孤独症感觉统合训练疗效的因素很多。该文从信息的感觉处理模式方面来探讨影响儿童孤独症感觉统合训练效果的因素，从而为孤独症儿童的康复训练提供新的方法。方法：对93例1.8～8.3岁孤独症患儿分别进行孤独症行为评定量表（ABC）的评估、Dunn模式的感觉处理分型，以感觉统合评定量表进行感觉统合训练前后的评定来评估疗效，分析性别、年龄、ABC评分以及感觉处理模式对疗效的影响。结果：ABC评分（Wald=6.768，P<0.01）和感觉处理模式（Wald=13.549，P<0.01）对疗效有显著影响，尤以感觉处理模式影响最大，而性别（Wald=1.549，P>0.05）和年龄（Wald=0.010，P>0.05）则无影响。结论：孤独症儿童的感觉处理模式是影响感觉统合训练效果的主要因素。［中国当代儿科杂志，2009，11（2）：124-127］

Abstract:

OBJECTIVE: There are many factors affecting the sensory integration training (SIT) effects in children with autism. This study explored the influential factors for SIT effects in the aspect of the model of sensory processing. METHODS: Ninety-three autistic children aged 1.8-8.3 years were evaluated by the autism behavior checklist (ABC) and the Dunn's model of sensory processing. The SIT effects were evaluated by the sensory integrative schedule. The effects of sex, age, ABC scores and the Dunn's model of sensory processing were investigated by logistic regression analysis. RESULTS: Logistic regression analysis showed that ABC scores (Wald=6.768, P<0.01) and the Dunn's model of sensory processing (Wald=13.549, P<0.01) were influential factors for the SIT effects. The Dunn's model of sensory processing was shown as a more important influential factor. Sex (Wald=1.549, P>0.05) and age (Wald=0.010, P>0.05) were not related to the STT effects. CONCLUSIONS: The Dunn's model of sensory processing is a major influential factor for the SIT effects in children with autism.［Chin J Contemp Pediatr, 2009, 11 (2):124-127］