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題名 | 臺北市兩醫學機構腦性麻痺兒童復健相關資料之調查:Rehabilitation Services for Children with Cerebral Palsy in Two Medical Institutions in Taipei City |
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作者 | 廖華芳; 黃惠聲; 李素菁; 鄭素芳; 周文博; Liao, Hua-fang; Huang, Huei-hsin; Lee, Su-ching; Jeng, Suh-fang; Chow, Wen-po; |
期刊 | 臺灣醫學 |
出版日期 | 19970500 |
卷期 | 1:3 1997.05[民86.05] |
頁次 | 頁274-288 |
分類號 | 418.996 |
語文 | chi |
關鍵詞 | 腦性麻痺; 復健; 物理治療; 職能治療; Cerebral palsy; Rehabilitation; Physical therapy; Occupational therapy; |
中文摘要 | 為了解臺北地區腦性麻痺兒童障礙情形、復健相關狀況及其影響因素,本研究以 臺北市兩個醫學機構病歷調閱之方式, 得過去 12 年來不同類別腦性麻痺兒童共 948 名之 資料。 結果顯示,腦性麻痺兒童中男性佔 63%,女性佔 37%; 類型則以痙攣型兒童 (80%) 佔最多,其次是混合型 (12%)。 發展方面,有 90% 患童有粗動作發展遲緩,65% 精細動作 發展遲緩,62% 智能發展遲緩。 開始接受復健醫療之平均月齡是 19 ± 20 月 (中位數 12 月 ),在兩機構開始復健醫療之平均月齡是 33 ± 31 月 (中位數 24 月 ),結束之平均月 齡則是 45 ± 34 月 (中位數 35 月 ), 平均接受復健治療 (包括物理治療與職能治療 ) 37 ± 43 次 (中位數 26 次 ),平均 3 次 / 月。 影響復健醫療之因素包括年代、社會階 層與智能。過去 12 年來隨著年代之增加,患童接受復健治療之次數有增加之趨勢;患童為 低社會階層者,開始復健之年齡較晚,接受復健之次數也較少;智能發展輕度遲緩或正常者 較智能中重度遲緩者接受復健之次數高;愈早接受復健治療者其粗動作發展較好。腦性麻痺 之類型、性別則與復健情形則無顯著相關。對於處於不利發展環境之低社會階層腦性麻痺兒 童,應優先主動提供早期復健介入服務。 |
英文摘要 | The rehabilitation of children with cerebral palsy (CP) in Taiwan has not been studied. The purposes of this study were to understand rehabilitation programs and the influencing factors in rehabilition services. We reviewed 948 medical records covering the past 12 years from two medical institutions that are well known for their CP treatment. The results showed that 63% of children with CP were boys, and most children were the spastic type (80%). Ninety percent of children with CP showed delayed development in gross motor skills, 65% showed delays in fiine motor skills and 62% had delayed cognitive function. The influencing factors in rehabilitation services included time period, father's socioeconomic status and development of cognitive function. The number of rehabilitation services has increased in the past 12 years. The average age at rehabilitation with 19 ± 20 months. The number of treatment sessions in an average period of 12 months was 37 ± 43 times. The children associated with higher father's socioeconomic status were found to receive more treatment sessions and to start their treatment earlier than those with lower father's socioeconomic status. Children with less mental impairment received more treatment and earlier treatment. The children who received rehabilitation eralier had better gross motor development. The type of CP and sex did not relate to rehabilitation services. We should pay more attention to children with CP in the lower socioeconomic classes and actively provide rehabilitation services to them.. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。