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新冠疫情期间特殊需求儿童的远程康复与健康体验

Telerehabilitation and Wellbeing Experience in Children with Special Needs during the COVID-19 Pandemic.

作者信息

Sarti Daniela, De Salvatore Marinella, Pagliano Emanuela, Granocchio Elisa, Traficante Daniela, Lombardi Elisabetta

机构信息

Foundation IRCCS Neurological Institute 'C. Besta', 20133 Milan, Italy.

Department of Psychology, Catholic University of Sacred Heart, 20123 Milan, Italy.

出版信息

Children (Basel). 2021 Nov 1;8(11):988. doi: 10.3390/children8110988.

Abstract

Social distancing due to the COVID-19 pandemic represented a golden opportunity to implement telerehabilitation for clinical groups of children. The present study aims to show the impact that telerehabilitation had on the experience of well-being of children with special needs being treated at the Foundation IRCCS Neurological Institute 'C. Besta' in Milan (Specific Learning Disorders and Cerebral Palsy diagnosis); it aims to do so by comparing it with experiences of those who did not undertake telerehabilitation despite the diagnosis during the pandemic, and with typically developing children. Results show that the three groups differed in the Support, Respect and Learning dimensions of well-being experience. Post hoc comparisons revealed that children with Specific Learning Disorders and Cerebral Palsy scored higher than normotypical children in Support and in Respect scales. Furthermore, children who experienced telerehabilitation showed the highest scores on the Learning scale in comparison with the other two groups. These results support the importance of reorganizing care and assistance by integrating telemedicine, which seems to have fostered a positive experience of well-being in people with special needs, particularly in the perception of a supportive environment that respects psychological needs.

摘要

由于新冠疫情实施的社交距离措施为儿童临床群体开展远程康复提供了绝佳机会。本研究旨在展示远程康复对米兰圣拉斐尔科学研究所基金会“C. 贝斯塔”接受治疗的特殊需求儿童幸福感体验的影响(特定学习障碍和脑瘫诊断);旨在通过将其与疫情期间尽管被诊断但未接受远程康复的儿童以及发育正常儿童的体验进行比较来实现这一目的。结果表明,三组在幸福感体验的支持、尊重和学习维度上存在差异。事后比较显示,特定学习障碍和脑瘫儿童在支持和尊重量表上的得分高于正常儿童。此外,与其他两组相比,接受远程康复的儿童在学习量表上得分最高。这些结果支持了通过整合远程医疗来重新组织护理和援助的重要性,远程医疗似乎促进了特殊需求人群的积极幸福感体验,尤其是在对尊重心理需求的支持性环境的感知方面。

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