学龄前孤独症谱系障碍患儿饮食行为干预的效果评价.pdfVIP

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学龄前孤独症谱系障碍患儿饮食行为干预的效果评价

摘要：目的探究对学龄前孤独症谱系障碍患儿实施饮食行为干预的效果。方法将76例存在饮食行为问题的学龄前孤独症谱系

障碍患儿按病区分为干预组和对照组各38例。对照组实施常规饮食指导，干预组在对照组基础上实施基于循证证据的饮食行为

挑食、不良进食习惯维度评分，胃肠道症状及孤独症症状严重程度评分显著低于对照组（均P0.05）。结论对存在饮食行为问

题的学龄前孤独症谱系障碍患儿实施基于循证证据的饮食行为干预，可有效改善患儿饮食行为问题，缓解胃肠道症状，减轻疾病

严重程度。

关键词：孤独症；学龄前；饮食行为；挑食；不良进食习惯；胃肠道症状；饮食护理

Abstract:ObjectiveToexploretheeffectofdietarybehaviorinterventioninpreschoolchildrenwithautismspectrumdisorder.

MethodsAtotalof76preschoolchildrenwithautismspectrumdisordersufferingfromeatingbehaviorproblemswererandomlydi-

videdintoanexperimentalgroupandacontrolgroup,with38casesineachgroup.Thecontrolgroupreceivedroutinedietarygui-

dance,whiletheexperimentalgroupadditionallyreceivedevidence-baseddietarybehaviorintervention.ResultsThirty-sixchildren

intheexperimentalgroupand35childreninthecontrolgroupcompletedthestudy.After12weeksoftheintervention,thesub-

scalescoreofactiveeatingabilityoftheexperimentalgroupwassignificantlyhigherthanthatofthecontrolgroup,whileitssub-

scalescoresofpickyeatingandbadeatinghabits,gastrointestinalsymptomsandtheseverityofautismsymptomsweresignificant-

lylowerthanthoseofthecontrolgroup(allPo.05).ConclusionImplementationofevidence-basedeatingbehaviorintervention

forpreschoolchildrenwithautismspectrumdisordersufferingfromeatingbehaviorproblems,caneffectivelyimprovetheireating

behaviorproblems,alleviategastrointestinalsymptoms,andreducetheseverityofthedisease.

Keywords:autism;preschoolage;eatingbehavior;pickyeating;pooreatinghabits;gastrointestinalsymptoms;diet

nursing

孤独症谱系障碍（AutismSpectrumDisorders，会减轻孤独症患儿胃肠道症状、挑战性行为及感觉异

ASD，下称孤独症)是一类起病于发育早期,以社交沟常等[。但现有研究多集中于孤独症患儿饮