cc市基层医院孤独症谱系障碍早期筛查技能培训效果的多中心研究
Effect of training primary care hospitals with autism spectrum disorder early screening skills based on multiple center union in Chengdu
投稿时间:2022-07-06  修订日期:2022-08-25
DOI:
中文关键词:  孤独症谱系障碍,早期筛查,多中心研究,基层医院,培训
英文关键词:autism spectrum disorder, early screening, multiple center, primary care hospital, training
基金项目:四川省科技计划资助(2020YFS0484)
作者单位地址
杨文旭 电子科技大学医学院附属妇女儿童医院•成都市妇女儿童中心医院 四川省成都市青羊区日月大道1617号
乐郊 电子科技大学医学院附属妇女儿童医院•成都市妇女儿童中心医院 
章岚 电子科技大学医学院附属妇女儿童医院•成都市妇女儿童中心医院 四川省成都市青羊区日月大道1617号儿童保健指导中心
张颖 成都市金牛区妇幼保健院 
杨萍 成都市新都区妇幼保健院 
赵春霞 天府新区华阳社区卫生服务中心 
杜春华 成都市龙泉驿区妇幼保健院 
何君妮 成都市武侯区妇幼保健院 
曹艳梅 大邑县妇幼保健院 
尚佳 成都市成华区妇幼保健院 
李莉 成都市温江区妇幼保健院 
刘燕 金堂县妇幼保健院 
吴胜兰 成都市锦江区妇幼保健院 
李霞 成都市双流区妇幼保健院 
陈秀锦 简阳市妇幼保健院 
兰海 彭州市妇幼保健院 
李华 成都市青白江区妇幼保健院 
孔翔 邛崃市妇幼保健计划生育服务中心 
李恒莉 蒲江县妇幼保健院 
米德芳 都江堰市妇幼保健院 
赵杰 成都市郫都区妇幼保健院 
聂扬 崇州市妇幼保健院 
高金秀 成都市新津区妇幼保健计划生育服务中心 
李灵 广安区妇幼保健计划生育服务中心 
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中文摘要:
      目的 调查通过对成都市基层医院进行孤独症谱系障碍(ASD)筛查技能培训后是否能提升其人员对ASD的早期筛查能力。方法 对成都市20家区基层医院进行ASD早期筛查技能培训,以培训前后各医院向上级医院转诊人数及确诊ASD人数、所转诊ASD儿童平均诊断年龄作为培训效果评价指标。结果 基层医院转诊至上级医院的疑似ASD患儿和确诊ASD患儿数量在培训后均有显著增加(分别是t=5.431,P<0.01;t=4.171,P=0.001)。培训后,基层医院人员也能更早的进行孤独症的诊断,ASD平均诊断年龄由培训前的42.2±14.64月龄缩短到34.95±11.67月龄(t=-2.553,P=0.019)结论 对基层医院进行ASD早期筛查技能培训,可能有助于提升相关人员ASD早期筛查能力。
英文摘要:
      Objective To investigate whether training staffs of primary care hospital in Chengdu with screening skills of autism spectrum disorder (ASD) can improve their ability of ASD early screening. Methods The training was carried out in 20 primary care hospitals in Chengdu. The numbers of ASD have been transfered and diagnosed as well as the average age of diagnosed cases before and after the training were used as the evaluation indicators of the training effect. Results The numbers of suspected and diagnosed ASD children referred by primary care hospitals were increased significantly after training (t=5.431,P<0.01 and t=4.171,P=0.001). After training, the staff of primary care hospitals can make diagnose of autism earlier. The average age of diagnosed ASD was significantly decreased from 42.2 ± 14.64 months before training to 34.95 ± 11.67 months(t=-2.553,P=0.019)after training . Conclusion Conducting ASD skill training in primary care hospitals can help improve their ability of early ASD screening.
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