Marshall Margaret Cole
University of Texas Health Science Center-San Antonio, San Antonio, Texas, USA.
Issues Ment Health Nurs. 2002 Sep;23(6):605-15. doi: 10.1080/01612840290052749.
The most common disorders within the category of Pervasive Developmental Disorders (PDD) are the Autistic Disorders. In the 1994 Diagnostic and Statistical Manual-IV, Asperger's Disorder became a distinct diagnosis within the Autistic category, as part of the disorders first diagnosed in childhood and adolescence. The terms Asperger's Disorder and Asperger's Syndrome are used interchangeably. Attention to and knowledge of Asperger's Syndrome (AS) are necessary to differentiate it from closely related disorders that have overlapping symptoms. There is much discussion about different definitions of Asperger's, different viewpoints of experts in the field, and the diagnostic dilemmas related thereto. Last, and most important, are the nursing implications. Nurses are in a position to identify children with Asperger's early. After identification, the necessary referrals, treatment options, support, and follow-up are essential for these children. Nurses need more knowledge about this disorder and need to be proactive in defining their role to help children with the disorder in the schools and the community.
广泛性发育障碍(PDD)类别中最常见的疾病是自闭症谱系障碍。在1994年的《精神疾病诊断与统计手册》第四版中,阿斯伯格综合征成为自闭症类别中的一种独特诊断,属于最早在儿童期和青少年期诊断出的疾病。阿斯伯格综合征和阿斯伯格症这两个术语可互换使用。关注并了解阿斯伯格综合征(AS)对于将其与具有重叠症状的密切相关疾病区分开来很有必要。关于阿斯伯格综合征的不同定义、该领域专家的不同观点以及与之相关的诊断困境,存在诸多讨论。最后且最重要的是护理方面的影响。护士有能力早期识别患有阿斯伯格综合征的儿童。识别之后,必要的转诊、治疗方案、支持和随访对这些儿童至关重要。护士需要更多关于这种疾病的知识,并且需要积极主动地明确自己的角色,以在学校和社区中帮助患有该疾病的儿童。