查詢結果分析
相關文獻
頁籤選單縮合
題 名 | 臺灣高雄臺南地區醫院治療中腦性麻痺兒與唐氏兒早期發現及早期復健治療的因素探討=Children with Cerebral Palsy or Down Syndrome in the Hospitals Located in Kaoshiung and Tainan, Taiwan: Factors Influencing Early Detection and Early Rehabilitation Treatment |
---|---|
作 者 | 王慧儀; 張志仲; 周映君; | 書刊名 | 中華民國物理治療學會雜誌 |
卷 期 | 21:3 1996.07[民85.07] |
頁 次 | 頁7-13 |
分類號 | 418.996 |
關鍵詞 | 發展障礙; 早期發現; 早期治療; Developmental disability; Early detection; Early treatment; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究的目的為調查目前國內發展障礙兒在何時被識別出有異常的身 體發育(發現年齡),以及在何時開始接受復健治療(早期治療年齡);並分析何者辨 識出患童的異常發育、不同診斷類別與殘障分類的患童,其發現年齡是否有顯著 不同;以及分析在不同求醫情境下的患童,其早期治療年齡是否有顯著差別。研 究對象為腦性麻痺兒(59人)與唐氏兒(7人),研究資料是以問卷調查的方式來收 集,而問卷填寫人必須是患童的主要照顧者。結果回收的有效問卷共66份,(回 收率為100),患童的平均年齡為5.1(±3.4)歲。資料分析結果顯示,孩子被發現有 發育異常的年齡平均為8.9個月大,由醫師首先發現有異常發育情況的患童有16 人,由孩子照顧者發現的有50人。當發現異常後,針對當時家長所採取的處理情 形,可分為四種不同的「處理情況」:(1)知道復健並馬上安排接受治療,(2)知道 復健但當時不認為有需要,(3)不知道有復健治療,(4)知道復健但認為當時孩子 太小,不宜接受治療。而早期接受復健治療的年齡平均為18.6個月;從發現到開始 接受復健治療,其間平均相距9.6個月(±9.4月)(相距時間)。結果顯示,由醫師發 現異常的年齡比照顧者研發現異常的年齡明顯來得早(p<0.05);在照顧者不同的處 理情況下,患童的早期治療年齡與相距時間均有顯著的不同(p<0.05)。此外,不 同診斷及殘障分類的患童,其發現年齡與早期治療年齡均沒有顯著的差異。本研 究針對以上的結果,有進一步的分析探討,以期對促進發展障礙兒的「早期發現, 早期治療」,提供一點參考的資料。(中華物療誌1996;21(3):145-151) |
英文摘要 | The purposes of this study were: (1) to evaluatethe "early detection age" (EDA) in physical disabili-ty for the developmental disabled children , ;and the"early rehabilitation treatment age" (ERTA) of thesechildren in South Taiwan. (2) to analyze whether sig-nificant difference exits in EDA for groups such asdifferent diagnoses, types of disability, and first-find-ers of child abnormality. (3) to analyze the differ-ence in ERTA for groups with different managementsituations. A questionnaire was designed to collect thedata. Sixty-six caregivers of developmentally delayedchildren completed the questionnaire. The average ageof these children was 5.1 (3.4) years and their diag-nosis of disorders were either cerebral palsy (n=59)or Down syndrome (n=7). The results of this studyrevealed that the children , at a mean age of 8.9 months,were detected to be abnormal. Sixteen children wereearly detected by clinical doctors, while the remain-ing 50 children were detected by their caregivers. Theinvolvement of rehabilitation treatment after detection could be classified into four different kinds of "managing situations". These situations included: (1). Patients knew the rehabilitation and arranged it immediately, (2). Patients knew the rehabilitation but didn'tthink of its necessity at that time, (3). Patients didn'tknow the rehabilitation, (4). Patients knew the rehabilitation but considered that the child was too youngto receive it. The mean of ERTA was 18.6 monthsold. The "interval" between the EDA and the ERTAwas 9.6 months. The results of statistical analysis indicated that the EDA of the children whom were recognized to be abnormal by the doctors was earliersignificantly than those whom were recognized by thecaregivers(p<0.05). Both of the ERTA and the "interval" were significant difference in different managing situations. On the other hand, neither the EDAnor the ERTA was statistically different in variousdiagnosis and types of disability. The results of thisstudy and its implications were also discussed.(JPTAROC 1996;21(3):145-151) |
本系統中英文摘要資訊取自各篇刊載內容。