Borges Marina Garcia de Souza, Medeiros Adriane Mesquita de, Lemos Stela Maris Aguiar
Hospital das Clínicas, Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG), Brasil.
Departamento de Fonoaudiologia, Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG), Brasil.
Codas. 2018 Aug 13;30(4):e20170184. doi: 10.1590/2317-1782/20182017184.
Characterize the performance of outpatients regarding aspects of communication disorders according to the categories of the International Classification of Functioning, Disability and Health - Children and Youth Version (ICF-CY).
This is a descriptive, observational study based on a retrospective analysis of secondary data collected at a Speech-language Pathology outpatient clinic of the public health network, from records of patients aged 5-16 years, evaluated between 2010 and 2014. Elements of anamnesis and assessment reports were analyzed with identification of ICF-CY categories related to the following components: Body Functions, Activities and Participation, and Environmental Factors. These categories were defined as the study variables, stored as categorical variables, and had their frequency distribution investigated by descriptive statistical analysis.
One hundred eighty medical records were included in the study, and 65 of the 168 pre-selected categories were identified. As for the component Body Functions, 13 items were verified, with the category related to impairment in Mental functions of language as the most frequently mentioned. Of the 34 categories identified in the component Activities and Participation, Learning to read - Performance and Doing housework - Performance were the ones that most frequently presented difficulties. Of the 18 categories of the component Environmental Factors, the one described in most reports as Barrier was Individual attitudes of acquaintances, peers, colleagues, neighbors, and community members.
Changes were found in categories of the three components of the ICF-CY analyzed, indicating the existence of issues that affected the functional performance regarding aspects of communication disorders of children and adolescents assisted at an outpatient environment.
根据《国际功能、残疾和健康分类——儿童和青少年版》(ICF-CY)的类别,描述门诊患者在沟通障碍方面的表现。
这是一项描述性观察研究,基于对公共卫生网络言语病理学门诊收集的二次数据进行回顾性分析,数据来自2010年至2014年期间评估的5至16岁患者的记录。对病史和评估报告的要素进行分析,识别与以下组成部分相关的ICF-CY类别:身体功能、活动与参与以及环境因素。这些类别被定义为研究变量,存储为分类变量,并通过描述性统计分析研究其频率分布。
该研究纳入了180份病历,在预先选定的168个类别中识别出65个。在身体功能组成部分方面,核实了13项,其中与语言心理功能受损相关的类别被提及的频率最高。在活动与参与组成部分中识别出的34个类别中,学习阅读——表现和做家务——表现是最常出现困难的类别。在环境因素组成部分的18个类别中,大多数报告中描述为障碍的是熟人、同龄人、同事、邻居和社区成员的个人态度。
在所分析的ICF-CY三个组成部分的类别中发现了变化,表明存在影响在门诊环境中接受治疗的儿童和青少年沟通障碍方面功能表现的问题。