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題 名 | 早期療育:臺北市學齡前身心障礙兒童之需求評估=Early Intervention: Needs Assessment for Preschool Children with Disailities in Taipei City |
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作 者 | 林雅雯; 嚴嘉楓; 羅慶徽; 吳佳玲; 卓妙如; 林金定; | 書刊名 | 臺灣家庭醫學雜誌 |
卷 期 | 13:2 2003.06[民92.06] |
頁 次 | 頁71-83 |
分類號 | 417.5893 |
關鍵詞 | 學齡前兒童; 身心障礙兒童; Disability; Needs assessment; Early intervention; Preschool children; |
語 文 | 中文(Chinese) |
中文摘要 | 目標:本研究主要目的乃針對學齡前身心障礙兒童的早期療育服務利用及影響因素分析,以及對於早期療育服務之滿意度分析,來探討身心障礙兒童對療育服務的表達性需求。方法:以內政部民國89年底領有身心障礙手冊,戶籍設於臺北市的學齡前身心障礙兒童為研究對象,經電腦選取資料庫後計有1006名身心障礙兒童,本研究決定以普查的方式,進行郵寄問卷調查,有效問卷共回收340份。結果:身心障礙兒童的平均年齡為3.32歲,男性的比例略高於女性,其障礙程度以中(31.8%)、重度(32%)居多;有76.9%身心障礙兒童曾接受過發展遲緩兒童鑑定,80.9%曾接受過療育服務,主要利用的服務為物理治療與職能治療,大多於醫院中進行;研究結果發現主要照顧者性別(p<0.05)與身心障礙家庭的婚姻狀態(p<0.01)會影響到孩子接受早期療育服務,主要照顧者為女性或是雙親家庭的身心障礙兒童,其接受療育服務的比例明顯較高;而在滿意度方面,對「後續追蹤服務」及「學前教育資源的提供」等二項,所表達的不滿意程度較高。結論:我國的早期療育服務已逐漸受到重視與落實,但仍有部分實施的落差存在,因此建議建立跨部會的身心障礙人口登記資料之運用機制,掌握已知對早期療育有需求的對象,主動提供服務與協助,並商議療育補助之申請標準,以提升身心障礙兒童早期療育服務品質,切合身心障礙兒童及其家庭之所需,為提供更全面的療育服務,不僅僅協助有需要的身心障礙兒童,其家庭也是相當重要的服務對象,而許多家長對學前教育與後續追蹤服務的滿意度較低,也許目前的療育多著重於治療,或是各專業領域間的整合較少,因此服務體系的整合是當前應努力的方向。 |
英文摘要 | The purpose of this study was to assess the early intervention needs of preschool children with disabilities by measuring the express needs, including utilization and satisfaction of services, and risk factors. A structured questionnaire given to 340 main caregivers of preschool children with disabilities in Taipei City was used to gather data. The mean age of children with disabilities was 3.32 years old 32% of these children had a severe degree of disability and 31.8% were moderately disabled. 76.9% children accepted the evaluation of early childhood development, and 80.9% children utilized the early intervention services, mostly in a hospital setting. Responses differed slightly in early intervention utilization with regard to the gender of the caregiver(p<0.05), and the marital status of the main caregivers(p<0.01). The research findings showed that those main caregivers were female, the disabled children were more likely to receive early intervention services. In terms of the satisfaction of services, most of the main caregivers were not satisfied with the provision of continuity services and preschool education resources. The study suggests that the government should use the database of disabilities more efficiently to identify children who need early intervention and to provide the necessary services for them, as well as extending services to their families. An integrated early intervention program should include children, families, and multidisciplinary professionals. Therefore, the service system should be reoriented to provide interdisciplinary and appropriate services to children and families through legislative changes in the government. |
本系統中英文摘要資訊取自各篇刊載內容。