与自闭症成年人医疗独立相关的特征
Anne Longo1, Dan Gilmore1, Jennifer Garvin1
1The Ohio State University.
Research in autism spectrum disorders
|August 16, 2023
概括
自闭症成年人的医疗独立性与执行功能和重复性行为有关. 干预措施应支持这些地区,以提高管理卫生需求的自主性.
科学领域:
- 神经发育障碍 神经发育障碍
- 自闭症谱系障碍 (ASD) 是一种
- 医疗保健管理的管理
背景情况:
- 与其他慢性疾病患者相比,自闭症成年人通常需要更多的支持来完成医疗保健任务.
- 医疗保健独立性包括对健康责任的自我管理,包括药物遵守和预约安排.
- 识别影响医疗独立性的因素对于有针对性的支持至关重要.
研究的目的:
- 确定与自闭症成年人医疗独立相关的可修改和不可修改因素.
- 探索执行功能,限制性/重复性行为和医疗保健独立性之间的关系.
- 为了比较影响医疗独立性的自我报告和代理报告的因素.
主要方法:
- 横截面调查设计. 横截面调查设计.
- 包括自闭症成年人 (n=19) 提供自我报告.
- 包括家庭成员 (n=11) 提供代理报告的自闭症成年人与法定监护人.
主要成果:
- 自我报告表明,执行职能困难与医疗保健独立性降低之间存在强烈联系.
- 代理报告强调了限制性和重复性行为增加和医疗保健独立性减少之间的强烈关联.
- 代理报告还将较低的教育程度,医疗保健过渡年龄较大以及男性性别与医疗保健独立性降低联系起来.
结论:
- 执行职能支持和限制性/重复性行为干预措施是提高医疗保健独立性的潜在策略.
- 这些发现为识别需要加强护理协调和支持服务的自闭症成年人提供了基础.
- 未来的研究可以利用这些见解来优化自闭症患者的医疗保健自主权.
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