Ostroschi Daniele Theodoro, Zanolli Maria de Lurdes, Chun Regina Yu Shon
Universidade Estadual de Campinas - UNICAMP - Campinas (SP), Brasil.
Codas. 2017 May 22;29(3):e20160096. doi: 10.1590/2317-1782/20172016096.
To investigate the perception of family members regarding linguistic conditions and social participation of children and adolescents with speech and language impairments using the International Classification of Functioning, Disability and Health - Children and Youth Version (ICF-CY).
Quali-quantitative approach research, in which a survey of medical records of 24 children/adolescents undergoing speech-language therapy and interviews with their family members was conducted. A descriptive analysis of the participants' profiles was performed, followed by a categorization of responses using the ICF-CY.
All family members mentioned various aspects of speech/language categorized by the ICF-CY. Initially, they approached it as an organic issue, categorized under the component of Body Functions and Structures. Most reported different repercussions of the speech-language impairments on the domains, such as dealing with stress and speaking, qualified from mild to severe. Participants reported Environmental Factors categorized as facilitators in the immediate family's attitudes and as barriers in the social attitudes.
These findings, according to the use of the ICF-CY, demonstrate that the children/adolescents' speech-language impairments, from the families' perception, are primarily understood in the body dimension. However, guided by a broader approach to health, the findings in the Activities and Participation and Environmental Factors demonstrate a broader understanding of the participants of the speech-language impairments. The results corroborate the importance of using the ICF-CY as a health care analysis tool, by incorporating functionality and participation aspects and providing subsidies for the construction of unique therapeutic projects in a broader approach to the health of the group studied.
运用《国际功能、残疾和健康分类——儿童与青少年版》(ICF-CY),调查家庭成员对有言语和语言障碍的儿童及青少年的语言状况和社会参与的认知。
采用定性-定量研究方法,对24名接受言语治疗的儿童/青少年的病历进行调查,并对其家庭成员进行访谈。对参与者的资料进行描述性分析,然后使用ICF-CY对回答进行分类。
所有家庭成员都提到了ICF-CY分类的言语/语言的各个方面。最初,他们将其视为一个器质性问题,归类于身体功能和结构部分。大多数人报告了言语和语言障碍在各个领域的不同影响,如应对压力和说话,程度从轻度到重度。参与者报告了环境因素,在直系家庭态度方面被归类为促进因素,在社会态度方面被归类为障碍因素。
根据ICF-CY的使用情况,这些研究结果表明,从家庭认知来看,儿童/青少年的言语和语言障碍主要在身体维度上被理解。然而,在更广泛的健康方法指导下,活动与参与以及环境因素方面的研究结果表明对言语和语言障碍参与者有更广泛的理解。这些结果证实了使用ICF-CY作为医疗保健分析工具的重要性,通过纳入功能和参与方面,并为构建独特的治疗项目提供支持,以更广泛的方法关注所研究群体的健康。