烧伤后有反对行为的孩子:住院患者发展儿科的作用 咨询
Alexandra Seabury1, Kathleen Campbell1, Casey J Clay2,3
1Division of Developmental and Behavioral Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA.
Journal of developmental and behavioral pediatrics : JDBP
|September 26, 2025
概括
一个患有自闭症谱系障碍 (ASD) 的孩子在住院康复期间经历了广泛的烧伤后的行为挑战. 行为策略不足,促使咨询反对行为影响她的康复.
科学领域:
- 儿科康复儿童康复中心
- 发育和行为儿科 儿科
- 自闭症谱系障碍 (ASD) 是一种
背景情况:
- 一个有ASD病史的5岁女孩因严重烧伤而入院康复.
- 她表现出越来越多的侵略性,过度活跃,冲动性和对治疗的抵抗力,这阻碍了她的身体恢复.
- 尽管进行了行为干预,但她的行为升级,需要医疗咨询.
研究的目的:
- 确定在接受康复的ASD儿科患者中对反对行为采取适当的干预措施.
- 解决阻碍治疗进展和增加治愈并发症风险的行为挑战.
主要方法:
- 一个发育和行为儿科小组进行了全面的评估,包括患者观察和病史收集.
- 该团队审查了患者的发育史,家庭日常生活和感官敏感性.
- 在医院环境中观察到患者的行为,包括对过渡和治疗的抵抗力.
主要成果:
- 患者表现出诸如逃跑,拒绝参与,对过渡的抵抗等行为,由医院环境加剧.
- 她经历了新发的白天尿失禁,并抱怨烧伤部位的.
- 她既定的家庭习惯和感官适应被认为是关键因素.
结论:
- 只有行为策略不足以管理患者在康复环境中的反对行为.
- 采取多学科的方法至关重要,以应对接受医疗治疗的自闭症儿童的复杂需求.
- 需要进一步的建议,以将行为支持与身体康复相结合,以获得最佳的结果.
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