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《儿童和青少年功能、残疾与健康国际分类》(ICF-CY)与言语语言病理学:与社会人口统计学和医疗保健变量的关联

The International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY) and Speech-language Pathology: associations with sociodemographic and health care variables.

作者信息

Borges Marina Garcia de Souza, Medeiros Adriane Mesquita de, Lemos Stela Maris Aguiar

机构信息

Pós-graduação em Ciências Fonoaudiológicas, Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG), Brasil.

Departamento de Fonoaudiologia, Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG), Brasil.

出版信息

Codas. 2020 Jun 26;32(3):e20190058. doi: 10.1590/2317-1782/20202019058. eCollection 2020.

Abstract

PURPOSE

Identify factors related to the International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY) representing more than one category and verify their association with sociodemographic and health care aspects in a speech-language pathology (SLP) outpatient clinic.

METHOD

This is an observational, analytical, cross-sectional study based on a retrospective analysis of secondary data. One hundred eighty medical records of patients aged 5-16 years evaluated between 2010 and 2014 were included in the study. Sociodemographic and health care aspects were identified in these records, as well as presence of the ICF-CY Body Functions and Activities and Participation component categories. Analyses of the frequency distribution and measures of central tendency and dispersion of the variables, as well as Factor Analysis were carried out to create representative indicators of the ICF-CY categories identified. The Mann-Whitney and Kruskal-Wallis tests and the Spearman's correlation were used to analyze the associations, adopting a statistical significance level of 5%.

RESULTS

Two factors that presented statistically relevant associations with the sociodemographic and health care variables were identified for the Body Functions component. As for the Activities and Participation component, three factors predominantly associated with the health care variables were identified.

CONCLUSION

Items representative of the ICF-CY Body Functions and Activities and Participation categories and their respective factorial loads were identified. Statistically significant associations were verified between them and the sociodemographic and health care variables analyzed.

摘要

目的

确定与《儿童和青少年国际功能、残疾和健康分类》(ICF-CY)中多个类别的相关因素,并在言语语言病理学(SLP)门诊中验证它们与社会人口统计学和医疗保健方面的关联。

方法

这是一项基于二次数据回顾性分析的观察性、分析性横断面研究。该研究纳入了2010年至2014年间评估的180份5至16岁患者的病历。在这些病历中确定了社会人口统计学和医疗保健方面的情况,以及ICF-CY身体功能、活动和参与组成部分类别。对变量进行了频率分布分析、集中趋势和离散度测量,并进行了因子分析,以创建已确定的ICF-CY类别的代表性指标。采用Mann-Whitney检验、Kruskal-Wallis检验和Spearman相关性分析关联,采用5%的统计显著性水平。

结果

在身体功能组成部分中,确定了两个与社会人口统计学和医疗保健变量具有统计学显著关联的因素。至于活动和参与组成部分,确定了三个主要与医疗保健变量相关的因素。

结论

确定了代表ICF-CY身体功能、活动和参与类别的项目及其各自的因子载荷。验证了它们与所分析的社会人口统计学和医疗保健变量之间具有统计学显著关联。

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