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題名 | 應用ICF-CY於臺大醫院小兒物理治療組之經驗與成果=Application of ICF-CY: Experiences of Pediatric Physical Therapy, National Taiwan University Hospital |
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作者 | 潘懿玲; 廖華芳; 劉香吟; 劉苑玟; 陳佩珊; 林盈蕙; | 書刊名 | 物理治療 |
卷期 | 38:1 2013.03[民102.03] |
頁次 | 頁50-61 |
分類號 | 418.996 |
關鍵詞 | 國際健康功能與身心障礙分類系統--兒童與青少年版; 評估報告; 實習教學; ICF-CY; Evaluation reports; Clinical teaching; |
語文 | 中文(Chinese) |
中文摘要 | 背景與前言:「國際健康功能與身心障礙分類系統-兒童與青少年版」(JCF-CY)改變了兒童物理治療師的概念與服務,朝向著重功能與生活參與,並考量環境與個人因素之影響,符合以家庭為中心之早期介入趨勢。本文介紹臺大醫院小兒物理治療組如何應用ICF-CY於服務及教學,以為相關人員參考。臨床服務與教學之應用:(1)修訂兒童物理治療評估表,涵蓋ICF-CY各成份,並將改善環境因素,增加活動與參與列為優先介入目標;(2)以ICF-CY功能剖面圖呈現個案功能全貌,進而擬訂目標與介入策略於個別化治療計畫中;(3)將前述知能納入實習課程或新進物理治療師訓練計畫課程目標之一;並要求大四實習同學整合使用ICF-CY模式、個案處理模式與實證執業於全科之個案報告。未來展望:除目前理論架構之應用外,未來希望能進一步運用ICF-CY編碼系統與功能剖面圖以促進團隊間溝通與療育目標整合;另外配合新版評估表之設計,於評估項目中再加入重要代碼與使用限定值作為記錄方式。 |
英文摘要 | Background and Purpose: The International Classification of Functioning, Disability and Health-Children and Youth Version (ICF-CY) has changed the clinical reasoning and service delivery in pediatric physical therapy. Nowadays pediatric physical therapists focus on improvement of function and participation in real life situation; take the environmental and personal factors into consideration, and emphasize family-centered intervention. This article, based on an example of pediatric physical therapy, National Taiwan University Hospital, introduced the implementation of ICF-CY in teaching and clinical services. Implementation of ICF-CY included: 1). revision of the pediatric physical therapy evaluation reports to include all the components of JCF-CY, and aimed at improving environment factors and increasing function and participation as priority in intervention; 2). using the ICF-CY functional profile to present individual function in a holistic viewpoint, and guide goal setting and designing of intervention plans; 3). including understanding and applying ICF-CY as one of the goals in internship and Post Graduate Year training. All the forth-year students are required to present a case during their internship by using the JCF/ICF-CY model, client management model and evidence based practice. Future Prospect: In addition to implementation of theoretic framework of ICF-CY, the application of the ICF-CY classification system and functional profile may be used to facilitate team communication and integration of goals in intervention, and more codes and qualifiers will be used in documentation. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。