Divya K Y, Begum Farzana, John Sheeba Elizabeth, Francis Frincy
Department of Community and Mental Health, College of Nursing, Sultan Qaboos University, Oman, and PhD Scholar @Sri Ramachandra Institute of Higher Education and Research, Chennai, India.
College of Applied Medical Sciences, Taif University, Saudi Arabia.
Iran J Nurs Midwifery Res. 2023 Apr 14;28(2):132-138. doi: 10.4103/ijnmr.ijnmr_272_21. eCollection 2023 Mar-Apr.
Autism Spectrum Disorder (ASD) is a pervasive developmental disorder, which affects various multiple areas of a child's development. The objective of this study was to systematically review the available literature and appraise the effect of floortime in engaging autism disorder among children.
A systematic review was performed using PubMed, PsycINFO, Science Direct, Scopus, Google Scholar, and Medline. The search terms used were DIR/floor time, ASD, floortime and autism, relationship therapy and autism, floortime, and ASDs. The studies, which described floortime in engaging children with ASD, full-text available in English, the sample had no comorbid psychiatric diagnosis, and the articles published in English from 2010 to 2020 were included in the review. Twelve studies meeting the inclusion criteria were included in the review.
The results showed substantial progress in different levels of functioning of autistic children with floortime. Home-based floortime improved emotive functioning, communication, and daily living skills, the parent-child interactions were improved as expressed by mothers, and also certain demographic factors of the parents have significantly influenced the floortime outcome. There were no adverse events to children or parents during floortime.
In general, we concluded that floortime is a cost-effective, completely child-led approach, which could be initiated as early as possible. If started early by healthcare professionals, it can be vital in improving social and emotional development among children.
自闭症谱系障碍（ASD）是一种广泛性发育障碍，会影响儿童发育的多个不同领域。本研究的目的是系统回顾现有文献，并评估地板时光疗法对自闭症儿童的作用。
使用PubMed、PsycINFO、科学Direct、Scopus、谷歌学术和Medline进行系统回顾。使用的检索词为DIR/地板时光疗法、ASD、地板时光疗法与自闭症、关系疗法与自闭症、地板时光疗法以及ASD。纳入回顾的研究需描述地板时光疗法对自闭症儿童的作用、英文全文可用、样本无合并精神疾病诊断且为2010年至2020年发表的英文文章。12项符合纳入标准的研究被纳入回顾。
结果显示，地板时光疗法使自闭症儿童在不同功能水平上取得了显著进展。家庭式地板时光疗法改善了情感功能、沟通能力和日常生活技能，母亲表示亲子互动得到改善，而且父母的某些人口统计学因素对地板时光疗法的效果有显著影响。在地板时光疗法期间，儿童和父母均未出现不良事件。
总体而言，我们得出结论，地板时光疗法是一种经济有效的、完全由儿童主导的方法，可以尽早开始实施。如果由医疗保健专业人员尽早启动，它对改善儿童的社交和情感发展至关重要。
