小组体育游戏干预对孤独症谱系障碍儿童社交能力及生活质量的影响

刘丽; 胡孙裔; 汪天华; 刘贞贞; 郭鑫; 崔建梅

doi:10.16835/j.cnki.1000-9817.2024003

小组体育游戏干预对孤独症谱系障碍儿童社交能力及生活质量的影响

doi: 10.16835/j.cnki.1000-9817.2024003

1.
中北大学体育学院，山西太原 030000
2.
湖北省襄阳市中心医院儿童神经康复科

基金项目:

2021年山西省自然基金项目 20210302123060

中北大学体育学院第三届研究生科技立项项目 TY20220302

详细信息

作者简介:
刘丽(1997-)，女，湖北十堰人，在读硕士，主要研究方向为儿童心理行为发育

通讯作者:
崔建梅，E-mail: cuijm224@qq.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: G633.96 B844.1 R748
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- 被引次数: 0
出版历程
- 收稿日期: 2023-07-18
- 修回日期: 2023-10-05
- 网络出版日期: 2024-02-01
- 刊出日期: 2024-01-25

Effects of group sports game intervention on social skills and quality of life in children with austism spectrum disorders

1.
Institute of Physical Education, North University of China, Taiyuan(030000), Shanxi Province, China

摘要

摘要: 目的探讨小组体育游戏干预方法对孤独症谱系障碍(ASD)儿童社交能力及生活质量的影响，为ASD儿童社交及生活质量的改善提供参考。方法于2021年9月至2022年1月，筛选襄阳市中心医院儿童康复科72名4~6岁ASD儿童，随机分为试验组(36名)和对照组(36名)。对照组进行常规康复训练(其中包括体育游戏个训课训练)，试验组在常规康复训练的基础上将体育游戏个训课替换为小组体育游戏课，课程内容主要包括课前热身、小组体育游戏、课后放松3个部分。课程将社交技能与体育游戏相结合，以小组形式开展(共分12组，每组3人)，每周5次，60 min/次，为期12周。观察两组治疗前后儿童孤独症评定量表(CARS)、孤独症治疗评估量表(ATEC)、社交反应量表(SRS)、儿童生活质量普适性核心评定量表(PedsQL 4.0)得分情况。采用t检验与χ²检验进行统计学分析。结果干预前，试验组与对照组的SRS量表评分差异无统计学意义(t=-0.63，P＞0.05)。干预后，试验组总有效率为83.33%，高于对照组的41.67%(χ²=13.33，P<0.05)；试验组与对照组SRS量表得分均降低(t值分别为17.75，8.71，P值均<0.05)，且试验组社交知觉(17.67±4.12)、社交认知(30.33±4.99)、社交沟通(50.33±9.39)、社交动机(24.25±6.78)评分及总分(152.67±25.82)均低于对照组(22.17±5.34，36.00±4.13，62.58±11.07，34.42±7.13，186.33±29.03)(t值分别为-4.88，-2.03，-2.13，-3.58，-3.01，P值均<0.05)；干预后，试验组PedsQL 4.0量表中社会功能(53.33±18.01)及总分(283.83±51.83)两个维度得分高于对照组(23.33±15.13，218.00±39.01)(t值分别为4.42，3.52，P值均<0.05)；试验组ATEC量表得分(44.33±14.72)低于对照组(59.33±16.95)(t=-2.32，P<0.05)。结论小组体育游戏干预能够显著改善ASD儿童的社交能力及生活质量。
- 体育和训练 /
- 孤独性障碍 /
- 信息交流 /
- 干预性研究 /
- 生活质量 /
- 儿童, 学龄前
Abstract: Objective To explore the effects of group sports game intervention on social ability and quality of life of children with austism spectrum disorders (ASD), so as to provide reference for rehabilitation intervention of social and quality of life of children with ASD. Methods From September 2021 to January 2022, 72 children with ASD aged 4-6 in the children's rehabilitation department of Xiangyang Central Hospital were selected to participate in the study, and were randomly divided into experimental group (n=36) and control group (n=36). The control group received routine rehabilitation training (including individual sports game training), and the experimental group replaced individual sports game training with group sports game training on the basis of routine rehabilitation.The course content mainly included three parts: warm-up before class, group sports games and relaxation after class. The course combined social skills with sports games, and was carried out in a group form (divided into 12 groups with 3 people in each group), and was trained five times a week for 60 minutes, for a total of 12 weeks. The scores of Childhood Autism Rating Scale (CARS), Autism Treatment Evaluation Checklist (ATEC), Social Responsiveness Scale (SRS) and Pediatric Quality of Life Inventory Version 4.0 Generic Core Scales (PedsQL 4.0) were observed before and after treatment. t-test and χ² test were used for statistical analysis. Results There was no significant difference in SRS scores between the experimental group and the control group before intervention (t=-0.63, P>0.05). After the intervention, the total response rate in the experimental group was 83.33%, higher than 41.67% in the control group (χ²=13.33, P<0.05), and the SRS scores decreased in the experimental group and control group (t=17.75, 8.71, P<0.05). The SRS scale score of the experimental group Social perception (17.67±4.12), social cognition (30.33±4.99), social communication (50.33±9.39), social motivation (24.25±6.78) scores and total scores (152.67±25.82) were lower than those of the control group(22.17±5.34, 36.00±4.13, 62.58±11.07, 34.42±7.13, 186.33±29.03)(t=-4.88, -2.03, -2.13, -3.58, -3.01, P<0.05).After the intervention, the scores of social function (53.33±18.01) and total score (283.83±51.83) on PedsQL 4.0 scale in experimental group were higher than those in control group(23.33±15.13, 218.00±39.01) (t=4.42, 3.52, P<0.05). After the intervention, Autism Treatment Evaluation Scale (ATEC) scores of experimental groups(44.33±14.72) was lower than that in control group (59.33±16.95)(t=-2.32, P<0.05). Conclusion The intervention of group sports game has a significant effect on improving social ability and life quality of children with ASD.
- Physical education and training /
- Autistic diorder /
- Communication /
- Intervention studies /
- Quality of life /
- Child, preschool
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表 1 试验组与对照组干预前后SRS量表评分比较(x±s)

Table 1. Comparison of SRS scores between experimental group and control group before and after intervention(x±s)

组别	干预前后	人数	统计值	社交知觉	社交认知	社交沟通	社交动机	ASD行为	总分
试验组	干预前	36		24.92±4.10	35.50±5.25	67.00±8.26	34.58±5.38	35.17±4.36	197.67±21.45
	干预后	36		17.67±4.12	30.33±4.99	50.33±9.39	24.25±6.78	29.25±4.14	152.67±25.82
			t值	12.28	12.64	16.34	11.39	12.23	17.75
			P值	<0.01	<0.01	<0.01	<0.01	<0.01	<0.01
对照组	干预前	36		25.00±5.43	38.08±3.80	68.08±10.21	37.67±6.58	34.50±4.82	203.75±25.97
	干预后	36		22.17±5.34	36.00±4.13	62.58±11.07	34.42±7.13	30.00±6.14	186.33±29.03
			t值	6.17	5.00	11.35	8.74	4.70	8.71
			P值	<0.01	<0.01	<0.01	<0.01	<0.01	<0.01

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表 2 试验组与对照组干预前后PedsQL 4.0量表评分比较(x±s)

Table 2. Comparison of PedsQL 4.0 scores between experimental group and control group before and after intervention(x±s)

组别	干预前后	人数	统计值	生理	情感	社会	角色	总分
试验组	干预前	36		70.50±10.58	58.33±14.67	16.67±12.31	45.83±21.20	191.33±46.74
	干预后	36		82.17±11.22	77.50±14.54	53.33±18.01	70.83±18.67	283.83±51.83
			t值	-2.62	-11.13	-12.08	-10.49	-11.67
			P值	0.02	<0.01	<0.01	<0.01	<0.01
对照组	干预前	36		67.42±9.02	60.83±13.46	17.92±16.02	51.67±15.28	197.83±41.67
	干预后	36		73.83±12.33	64.17±15.20	23.33±15.13	56.17±15.13	218.00±39.01
			t值	-2.68	-2.15	-3.22	-3.63	-4.40
			P值	0.02	0.05	<0.01	<0.01	<0.01

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