Zink Adriana Gledys, Diniz Michele Baffi, Rodrigues Dos Santos Maria Teresa Botti, Guaré Renata Oliveira
Institute of Dentistry, Patients with Special Needs, Cruzeiro do Sul University, São Paulo, Brazil.
Institute of Dentistry,Pediatric Dentistry, Cruzeiro do Sul University, São Paulo, Brazil.
Spec Care Dentist. 2016 Sep;36(5):254-9. doi: 10.1111/scd.12183. Epub 2016 Apr 5.
The aim of the present study was to evaluate the use of the Picture Exchange Communication System (PECS) in individuals with autism spectrum disorder (ASD) in order to facilitate patient-professional communication during preventive procedures. In this study, 26 patients with ASD, between 5 and 19 years of age (10±3.3 y), were divided into two groups: G1 (n = 13) with no previous experience of dental treatment, and G2 (n = 13), with such previous experience. The initial approach followed the principles of the Son-Rise Program®. The seven PECSs presented the routine of the dental office: "room," "ground," "chair," "dentist," "mouth," "low," and "triple." Each PEC was used up to three times in order to acquire the skill proposed. It was verified that G2 required a greater number of times to achieve the acceptance of PECS "ground," "dentist," "mouth," and "triple" (p < .05). We concluded that PECS facilitated patient-professional communication during preventive procedures, including for ASD patients with previous dental experience.
本研究的目的是评估图片交换沟通系统（PECS）在自闭症谱系障碍（ASD）患者中的应用，以便在预防程序期间促进医患沟通。在本研究中，26名年龄在5至19岁（10±3.3岁）的ASD患者被分为两组：G1组（n = 13），此前无牙科治疗经历；G2组（n = 13），有此前牙科治疗经历。初始方法遵循“阳光计划”®的原则。七个PECS展示了牙科诊所的常规流程：“房间”“地面”“椅子”“牙医”“嘴巴”“低”和“三倍”。每个PECS最多使用三次，以掌握所提出的技能。经证实，G2组需要更多次数才能接受PECS“地面”“牙医”“嘴巴”和“三倍”（p < 0.05）。我们得出结论，PECS在预防程序期间促进了医患沟通，包括对于有牙科治疗经历的ASD患者。
