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比较脑瘫患儿的自我概念与其父母的认知。

Comparing the self concept of children with cerebral palsy to the perceptions of their parents.

作者信息

Dunn Nicole, Shields Nora, Taylor Nicholas F, Dodd Karen J

机构信息

The Musculoskeletal Research Centre and the School of Physiotherapy, La Trobe University, Victoria, Australia.

出版信息

Disabil Rehabil. 2009;31(5):387-93. doi: 10.1080/13682820802052125.

DOI:10.1080/13682820802052125
PMID:18720127
Abstract

PURPOSE

Understanding self concept is important for therapists treating children with cerebral palsy because knowing what children and parents think about perceived competencies and adequacies can be taken into account in determining treatment goals. This study investigated: (i) If differences existed between the self concept ratings of children with cerebral palsy compared to their parent's perception of their child's abilities and attributes, and (ii) the strength of association between the child and parent ratings.

METHOD

Thirty children (14 females, 16 males; mean age 11 years 5 months, SD 2 years 6 months, range 8-16 years) with spastic hemiplegia or diplegia and gross motor skills classified as level I or II on the Gross Motor Function Classification System rated their self-concept using the Self-Perception Profile for Children questionnaire. Their parents completed the accompanying Parent Rating Scale.

RESULTS

Group differences between the parents and children were found for the domains of Athletic Competence and Physical Appearance. There was either no relationship or a low level of association between the child and parent ratings in all five domains of self concept assessed.

CONCLUSION

Parents were unable to evaluate their child's self concept accurately suggesting health professionals should gather such information from the child themselves.

摘要

目的

对于治疗脑瘫患儿的治疗师而言,了解自我概念很重要,因为在确定治疗目标时,可以考虑患儿及其父母对感知到的能力和充分性的看法。本研究调查了:(i)与父母对孩子能力和特质的看法相比,脑瘫患儿的自我概念评分是否存在差异;以及(ii)孩子与父母评分之间的关联强度。

方法

30名患有痉挛性偏瘫或双瘫且在粗大运动功能分类系统中粗大运动技能被归类为I级或II级的儿童(14名女性,16名男性;平均年龄11岁5个月,标准差2岁6个月,范围8 - 16岁)使用儿童自我认知量表问卷对他们的自我概念进行评分。他们的父母完成了随附的父母评定量表。

结果

在运动能力和外貌领域发现了父母与孩子之间的组间差异。在所评估的自我概念的所有五个领域中,孩子与父母的评分之间要么没有关系,要么关联程度较低。

结论

父母无法准确评估孩子的自我概念,这表明健康专业人员应该从孩子自身收集此类信息。

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