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泰国脑瘫儿童的参与受限及其影响因素:一项横断面研究。

Participation restriction of children with cerebral palsy living in Thailand and influential factors: A cross-sectional study.

机构信息

Department of Rehabilitation Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkoknoi, BKK, THAILAND.

出版信息

Dev Neurorehabil. 2022 Aug;25(6):392-399. doi: 10.1080/17518423.2022.2047121. Epub 2022 Feb 28.

DOI:10.1080/17518423.2022.2047121
PMID:35226592
Abstract

OBJECTIVE

To explore participation in daily activities of children with cerebral palsy(CP) in Thailand and influential factors.

METHODS

A convenience sample of family-caregivers of 80 children with CP, 6-18 year-old, completed self-administered questionnaires (i.e., frequency of participation, Gross Motor Function Classification System-Family Report) during clinic visits at a university hospital.

RESULTS

Family-caregivers reported that more than one-third of the children never participated in outdoor activities. The gap in the frequency of participation between groups with high versus low motor function was very high. Better gross motor and communication were strong predictors of participation. Caregiver's education and family income were associated with participation in art/cultural, leisure and tourist activities.

CONCLUSIONS

Family-caregiver-report suggests that Thai-children with CP, especially those with severe impairments, have limited participation in daily activities. Increasing mobility and communication may promote the participation. Comprehensive intervention is needed to narrow the participation gap found between high and low functioning children.

摘要

目的

探索泰国脑性瘫痪(CP)儿童参与日常活动的情况及其影响因素。

方法

在一所大学医院的诊所就诊期间,采用便利抽样法对 80 名 6-18 岁 CP 儿童的家长进行了问卷调查(即参与频率、粗大运动功能分类系统-家庭报告)。

结果

家长报告称,超过三分之一的儿童从未参加过户外活动。高功能与低功能儿童在参与频率方面存在很大差距。粗大运动功能和沟通功能较好是参与的有力预测因素。照料者的教育程度和家庭收入与艺术/文化、休闲和旅游活动的参与度有关。

结论

家长报告表明,泰国 CP 儿童,尤其是严重功能障碍的儿童,日常活动参与度有限。提高移动能力和沟通能力可能会促进参与。需要综合干预来缩小高功能和低功能儿童之间发现的参与差距。

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