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探讨 2019 年冠状病毒病大流行对残疾儿童康复服务可及性的影响:一项横断面研究。

Exploring the Influence of the Coronavirus Disease 2019 Pandemic on the Accessibility of Rehabilitation Services Provided to Children with Disabilities: A Cross-Sectional Study.

机构信息

Department of Rehabilitation Sciences, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi Arabia.

Department of Health Communication Sciences, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi Arabia.

出版信息

Medicina (Kaunas). 2023 Apr 26;59(5):837. doi: 10.3390/medicina59050837.

Abstract

: Children with disabilities (such as cerebral palsy, autistic spectrum disorder, and Down syndrome) are the most vulnerable and marginalized subset of the population, representing 2.7% of the total population of Saudi Arabia. The COVID-19 outbreak might have disproportionately affected children with disabilities, augmented their isolation, and induced severe disruptions to the services on which these children rely. Limited research has been conducted in Saudi Arabia to understand the impact of the COVID-19 pandemic on the rehabilitation services provided to children with disabilities and barriers. This study aimed to investigate the effect of the lockdown implemented as a result of the coronavirus disease-2019 (COVID-19) pandemic on the accessibility of rehabilitation services, including communication, occupational therapy, and physical therapy, in Riyadh, Kingdom of Saudi Arabia. : In this cross-sectional study, a survey was conducted between June and September 2020 during the lockdown in Saudi Arabia. A total of 316 caregivers of children with disabilities from Riyadh participated in the study. The accessibility of rehabilitation services provided to children with disabilities was assessed by designing a valid questionnaire. : A total of 280 children with disabilities received rehabilitation services before the COVID-19 pandemic and showed improvement following therapeutic sessions. However, during the pandemic, most children stopped receiving therapeutic sessions because of lockdown, which deteriorated their condition. This shows a significant reduction in the accessibility of the rehabilitation services provided during the pandemic. : The findings of this study revealed a drastic decline in services provided to children with disabilities. This caused a notable deterioration in the abilities of these children.

摘要

: 残疾儿童(如脑瘫、自闭症谱系障碍和唐氏综合征)是人口中最脆弱和边缘化的群体,占沙特阿拉伯总人口的 2.7%。COVID-19 疫情可能对残疾儿童产生不成比例的影响,加剧他们的隔离,并严重扰乱他们所依赖的服务。沙特阿拉伯对 COVID-19 大流行对残疾儿童康复服务和障碍的影响进行的研究有限。本研究旨在调查由于 2019 年冠状病毒病(COVID-19)大流行而实施的封锁对沙特阿拉伯利雅得的康复服务(包括沟通、职业治疗和物理治疗)的可及性的影响。 : 在这项横断面研究中,在沙特阿拉伯封锁期间,于 2020 年 6 月至 9 月期间进行了一项调查。来自利雅得的 316 名残疾儿童的照顾者参与了这项研究。通过设计有效的问卷评估为残疾儿童提供的康复服务的可及性。 : 在 COVID-19 大流行之前,共有 280 名残疾儿童接受了康复服务,并在治疗后有所改善。然而,在大流行期间,由于封锁,大多数儿童停止接受治疗,导致他们的病情恶化。这表明大流行期间提供的康复服务的可及性显著降低。 : 这项研究的结果显示,为残疾儿童提供的服务急剧下降。这导致这些儿童的能力明显下降。

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Telerehabilitation Guidelines in Saudi Arabia.沙特阿拉伯的远程康复指南。
Telemed J E Health. 2021 Oct;27(10):1087-1098. doi: 10.1089/tmj.2020.0355. Epub 2021 Jan 27.

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