对医疗协调护理计划在自闭症管理中的评估
Elodie Schembri1, Elisabeth Jouve2, François Poinso3
1Faculty of Medicine, Aix-Marseille University, Marseille, France; Department of Child Psychiatry, AP-HM, Marseille, France.
心理健康咨询中心 (MHCC) 的医疗协调护理计划对患有自闭症谱系障碍 (ASD) 的儿童有希望,尽管在本研究中不符合非劣等标准,但提供了与日托医院 (DCH) 相当的进展.
科学领域:
- 神经发育障碍 神经发育障碍
- 儿童精神病学 儿童精神病学
- 医疗保健管理的管理
背景情况:
- 自闭症谱系障碍 (ASD) 是一种神经发育状况,严重程度各不相同.
- 日托医院 (DCH) 是法国自闭症幼儿的标准.
- 由于DCH容量不足,需要替代性护理模式,例如心理健康咨询中心 (MHCC).
研究的目的:
- 评估MHCC医疗协调护理计划的有效性,与ASD儿童的DCH相比.
- 评估MHCC计划是否提供与传统DCH护理相比的结果.
主要方法:
- 一项回顾性,非劣势性研究比较了20名患有ASD的儿童在DCH和MHCC组中超过一年.
- 结果使用CARS-2和VABS-II尺度的复合标准进行测量.
- 非劣等性测试是基于分数变化在不同组之间的差异.
主要成果:
- DCH和MHCC护理都导致自闭症严重程度降低 (CARS-2) 和改善社会适应性行为 (VABS-II).
- 在MHCC群体中,CARS-2分数在统计学上显著下降.
- 综合标准没有满足非劣势,排除了关于MHCC优势的最终结论.
结论:
- 虽然在统计学上不是不劣,但MHCC护理计划对自闭症儿童具有相关性,特别是考虑到DCH限制.
- 这两种护理模式都显示了ASD儿童的积极进展.
- 建议对更大的队列进行进一步的多中心研究,以确认非劣势性和确定最佳治疗子组.
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