An Exploratory Study on a Nursing-Centered Early Comprehensive Rehabilitation Model for Multidimensional Functional Improvement in Children with Autism

HE Huizhen; HUANG Li; ZHNG Xiaona; LIN Linghong

doi:10.14033/j.cnki.cfmr.2026.05.035

Abstract：Objective:Discuss the improvement effect of the early comprehensive rehabilitation model centered on nursing on the multi-dimensional functions of children with autism.Method:A total of 54 children with autism spectrum disorder treated at the outpatient clinics and inpatient wards of the Department of Rehabilitation Medicine,Pediatric Specialty Campus of Fuzhou First General Hospital between November 1,2022 and December 31,2024 were enrolled in this study.The participants were randomly assigned,using a random number table,to an observation group or a control group,with 27 children in each group.The control group received routine nursing care,whereas the observation group received early comprehensive rehabilitation nursing in addition to routine care.This integrated nursing model comprised early behavioral intervention nursing,early sensory integration stimulation nursing,nursing focused on language and communication skills,emotional regulation and sleep management nursing,early training in activities of daily living,and early family-centered nursing guidance.After a 3-month nursing intervention,the two groups were compared with respect to simple reaction time,attention,information processing speed,scores on the Autism Behavior Checklist(ABC),the Psychoeducational Profile-Third Edition(PEP-3),the Pittsburgh Sleep Quality Index(PSQI),and overall nursing satisfaction.Result:After the intervention,simple reaction time was significantly shortened and information processing speed was markedly improved in both groups compared with baseline,with the observation group demonstrating superior improvements relative to the control group;these differences were statistically significant(P＜0.05).The ABC and PEP-3 scores in both groups decreased significantly after the intervention,and all post-intervention scores in the observation group were significantly lower than those in the control group(P＜0.05).In addition,the mean scores across all six PSQI dimensions were significantly lower in the observation group than in the control group following the intervention(P＜0.05).Nursing satisfaction was also significantly higher in the observation group compared with the control group(P＜0.05).Conclusion:The early comprehensive rehabilitation model centered on nursing can effectively improve the reaction speed,attention,and information processing ability of children with autism,enhance behavioral and cognitive functions,and improve sleep quality.