自闭症儿童口腔正畸治疗中系统性心理预防与干预的作用

目的:评估系统性心理预防及干预在自闭症儿童口腔疾病治疗中的作用。方法:将在我医院进行正畸治疗的40例12~16岁自闭症患者按着随机分配分为对照组与实验组,每组各20例。在正畸治疗过程中,对照组实施常规心理行为预防及干预,包括:治疗前的基础准备、治疗过程中注意事项、治疗后康复方案及辅助治疗等。而对于实验组,除了实施常规的行为预防及干预外,还进行系统性心理行为预防及干预,包括:语言疏导、健康教育、辅助矫正、生命体征监测、肢体语言演示等。结果:实验组和控制组的孩子们能够完成正畸治疗,自闭症儿童治疗配合的的程度,听话依从性,显著高于对照组(P0.01),两组之间蛀牙数和牙龈指数存在差异(P0.05)。结论:系统性行为预防及干预能够提高自闭症儿童的配合合作的程度及医嘱依从性,值得在口腔正畸科门诊自闭症儿童患者中推广。

Systematic Nursing Intervention in the Treatment of Orthodontics in Children with Autism

Objective:The purpose of this study was to evaluate systematic nursing intervention in the treatment of oral diseases in children with autism.Methods:40 cases 12-16 years autism children patients with dental disease and orthodontic treatment were randomly divided into control and experimental groups (20 patients for each group). In the process of orthodontic treatment, the routine nursing care was taken in the control group and the systematic nursing care was implemented in the experimental group, including: the basis of preparation before treatment, matters needing attention in the process of treatment and rehabilitation scheme and adjuvant treatment after treatment.Results:The compliance of the children patients at different ages was significantly different between the two groups (P<0.05); the compliance of the children patients was significantly better in the experimental group than in the control group after systematic nursing care (P<0.01).Conclusion:Systematic nursing intervention can improve the degree of cooperation and compliance autistic children. It deserves promotion in oral outpatient treatment of children with autism.