犬辅助干预对孤独症家庭功能的影响

doi:10.3969/j.issn.1006-9771.2021.10.010

《中国康复理论与实践》 ›› 2021, Vol. 27 ›› Issue (10): 1199-1204.doi: 10.3969/j.issn.1006-9771.2021.10.010

犬辅助干预对孤独症家庭功能的影响

胡津晶^1a,白子荣^1a,缪世瑶^1a,王艳^1a,王萌^1a(),高海霞^1b

1a.南京中医药大学, 针灸推拿学院·养生康复学院, 江苏南京市 210046
1b.南京中医药大学, 护理学院, 江苏南京市 210046

收稿日期:2021-05-06 修回日期:2021-06-12 出版日期:2021-10-25 发布日期:2021-10-29
通讯作者: 王萌 E-mail:270711@njucm.edu.cn
作者简介:胡津晶(2003-),女,汉族,湖南隆回县人,本科生,主要研究方向：儿童康复。
基金资助:
南京中医药大学自然科学基金青年项目(NZY81704138);南京中医药大学护理学优势学科三期项目开放课题(2019YSHL052)

Effect of Canine-assisted Therapy on Family Function of Autism Spectrum Disorder

HU Jin-jing^1a,BAI Zi-rong^1a,MIAO Shi-yao^1a,WANG Yan^1a,WANG Meng^1a(),GAO Hai-xia^1b

1a. School of Acupuncture-Moxibustion and Tuina, School of Heath Care and Rehabilitation, Nanjing University of Chinese Medicine, Nanjing, Jiangsu 210046, China
1b. Nursing College, Nanjing University of Chinese Medicine, Nanjing, Jiangsu 210046, China

Received:2021-05-06 Revised:2021-06-12 Published:2021-10-25 Online:2021-10-29
Contact: WANG Meng E-mail:270711@njucm.edu.cn
Supported by:
Youth Program of National Natural Science Foundation of Nanjing University of Chinese Medicine(NZY81704138);Open Project of the Third Phase Project of Nanjing University of Chinese Medicine Nursing Superior Discipline(2019YSHL052)

摘要/Abstract

摘要：

目的系统评价犬辅助干预对孤独症家庭功能的影响。方法检索建库至2021年2月Cochrane Library、PubMed、Web of Science、CNKI、中国生物医学文献数据库(CBM)、维普(VIP)、万方数据库关于犬辅助干预治疗孤独症的随机对照试验(RCT)研究。采用家庭评估量表(FAM-III-GS)评估家庭功能;采用儿童抑郁量表第二版(CDI-2)和Spence儿童焦虑量表(Spence Children's Anxiety Scale, SCAS)评估心理行为。根据Cochrane系统评价标准和澳大利亚循证护理中心(JBI)标准对纳入文献进行质量评估。应用RevMan 5.4软件进行Meta分析。结果纳入4项RCT研究,共190例受试者。各项指标文献不足,不能进行Meta分析。两项研究显示,犬辅助干预有助于改善FAM-III-GS评分。结论犬辅助干预可以改善孤独症家庭功能。

关键词: 孤独症谱系障碍, 犬辅助干预, 家庭功能, Meta分析

Abstract:

Objective To evaluate the effect of canine-assisted therapy on family function of autism spectrum disorder.Methods The randomized controlled trials (RCT) about the effect of canine-assisted therapy on family function of autism spectrum disorder were retrieved from the Cochrane Library, PubMed, Web of Science, CNKI, CBM, VIP, and Wanfang Data from establishment to February, 2021. Brief Family Assessment Measure-III-General Scale (FAM-III-GS) was used to access the family function, and Children's Depression Inventory-Second Edition (CDI-2) and Spence Children's Anxiety Scale (SCAS) were used to access the psychological behavior. The quality of included studies was evaluated according to the method recommended by the Cochrane Collaboration and Joanna Briggs Institute Reviewers' manual. RevMan 5.4 software was used for meta-analysis.Results Finally, four RCTs involving 190 patients were included. There were too less RCTs to do a meta-analysis. Two RCTs showed that the score of FAM-III-GS improved in the experimental group than in the control group. Conclusion Canine-assisted therapy might improve the family function of patients with autism spectrum disorder.

Key words: autism spectrum disorder, canine-assisted therapy, family function, meta-analysis

中图分类号:

R749.9

胡津晶,白子荣,缪世瑶,王艳,王萌,高海霞. 犬辅助干预对孤独症家庭功能的影响[J]. 《中国康复理论与实践》, 2021, 27(10): 1199-1204.

HU Jin-jing,BAI Zi-rong,MIAO Shi-yao,WANG Yan,WANG Meng,GAO Hai-xia. Effect of Canine-assisted Therapy on Family Function of Autism Spectrum Disorder[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(10): 1199-1204.

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参考文献 22

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纳入研究	国家	n(试验组/对照组)	平均年龄(岁)	干预措施	疗程	具体方法	评估时间点	结局指标
Wright等^[10](2015)	英国	42/28	8.67±3.34	试验组：养犬对照组：空白	3~10周	养犬	干预前17周、干预3~10周后、干预25~40周后随访	FAM-III-GS评分改善;SCAS评分下降
Hall等^[11](2016)	英国	22/14	(11.63±0.06)/(11.21±1.19)	试验组：养犬对照组：空白	3~10周	养犬	干预前17周、干预2年后随访	FAM-III-GS评分改善;PSI-SF评分下降
Joanna等^[12](2017)	美国	17/14	(10±1.7)/ (12±1.6)	试验组：犬辅助社交训练对照组：传统社交训练	每周1 h,共12周	与犬互动：包括抚摸犬、与犬打招呼、牵犬、为犬梳毛等	干预前、干预12周后	CDI-2、RMET、SLDT、SRS-2均于治疗后改善,但两组间无显著性差异
Wijker等^[13](2020)	荷兰	27/26	18~60	试验组：犬辅助治疗对照组：空白	每周1 h一对一治疗,共10周	1对1结构化治疗	干预前、干预10周后、随访10周	PSS、SCL90-R、RSES、SRS-A均无显著性改善

纳入研究	条目1	条目2	条目3	条目4	条目5	条目6	条目7	条目8	条目9	条目10	条目11	条目12	条目13	证据等级
Wright等^[10](2015)	是	不清楚	是	否	否	是	是	否	是	是	是	是	否	A
Hall等^[11](2016)	是	不清楚	是	否	否	是	是	是	是	是	是	是	否	A
Joanna等^[12](2017)	是	否	是	否	否	是	否	否	是	是	是	是	否	B
Wijker等^[13](2020)	是	不清楚	是	否	否	是	是	是	是	是	是	是	否	A

犬辅助干预对孤独症家庭功能的影响

Effect of Canine-assisted Therapy on Family Function of Autism Spectrum Disorder

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