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台北市北投区三所幼儿园3至5岁学龄前儿童的发育状况。

Developmental status among 3 to 5-year-old preschool children in three kindergartens in the Peitou District of Taipei City.

作者信息

Chen Chwen-Jen, Li I-Chuan, Chien Li-Yin

机构信息

School of Nursing, National Yang-Ming University.

出版信息

J Nurs Res. 2003 Jun;11(2):73-81. doi: 10.1097/01.jnr.0000347622.59907.fc.

Abstract

A descriptive correlational study that used the Denver Developmental Screening Test (DDST)-Chinese version (the testing items and norms were translated from DDST) was conducted to evaluate the child developmental status in three kindergartens in Peitou District of Taipei City. Seventy-one children between 3 and 5 years of age were included. The DDST has four developmental dimensions: gross motor, fine motor-adaptive, language, and personal-social. The tests yielded 7 (9.9 %) subjects with questionable and 1 (1.4 %) subject with abnormal developmental results. The subjects' gender, parental educational level, parental occupation, sibling number, and day-care provider before age 3 did not relate to the test results. The percentage of children passing each item decreased as the task became harder in terms of the developmental order in the gross motor, fine motor-adaptive, language and personal-social dimensions of the DDST. These indicated that the DDST-Chinese version is valid in capturing the maturing status of the children in this study. Of items intersecting the subject's age-line, the gross motor dimension had the lowest mean percentage of pass and all-pass rate, which indicated a lag in gross motor development compared to the other three dimensions. Conversely, the fine-motor adaptive dimension had the highest mean percentage of pass and all-pass rate, and more than 60 % of the study subjects could pass items that were ahead of their age-line. This suggested that development in the fine-motor adaptive dimension was more advanced than the norms of the DDST. There were no distinct differences between the study subjects and the norms in the language and person-social dimensions. The differences between the study subjects and the norms in the fine motor-adaptive dimension suggest that the DDST-Chinese version norms need to be standardized in order to account for cultural differences. To be a valid tool, the norms of the DDST-Chinese version should be standardized to be concordant with current development among Taiwanese children.

摘要

一项描述性相关性研究采用了丹佛发育筛查测试(DDST)中文版(测试项目和常模从DDST翻译而来),以评估台北市北投区三所幼儿园儿童的发育状况。研究纳入了71名3至5岁的儿童。DDST有四个发育维度:大运动、精细动作-适应性、语言和个人-社会能力。测试结果显示,7名(9.9%)受试者发育结果存疑,1名(1.4%)受试者发育结果异常。受试者的性别、父母教育水平、父母职业、兄弟姐妹数量以及3岁前的日托提供者与测试结果无关。在DDST的大运动、精细动作-适应性、语言和个人-社会能力维度中,随着任务按照发育顺序变得更难,每个项目通过的儿童百分比下降。这些结果表明,DDST中文版在反映本研究中儿童的发育成熟状况方面是有效的。在与受试者年龄线相交的项目中,大运动维度的平均通过率和全通过率最低,这表明与其他三个维度相比,大运动发育存在滞后。相反,精细动作-适应性维度的平均通过率和全通过率最高,超过60%的研究受试者能够通过超出其年龄线的项目。这表明精细动作-适应性维度的发育比DDST的常模更超前。研究受试者与常模在语言和个人-社会能力维度上没有明显差异。研究受试者与常模在精细动作-适应性维度上的差异表明,为了考虑文化差异,DDST中文版的常模需要标准化。作为一个有效的工具,DDST中文版的常模应该标准化,以与台湾儿童目前的发育情况相一致。

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