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发育迟缓儿童的发育评估与早期干预:南澳大利亚的一个案例研究

Developmental assessment and early intervention for children with developmental delays: A case study in South Australia.

作者信息

Case Amanda

机构信息

Department of Pediatric Nursing, School of Nursing, Faculty of Health Science, Islamic State University UIN Syarif Hidayatullah Jakarta, Indonesia.

College of Nursing and Health Sciences, Flinders University, Adelaide, Australia.

出版信息

Belitung Nurs J. 2021 Jun 28;7(3):251-259. doi: 10.33546/bnj.1480. eCollection 2021.

Abstract

BACKGROUND

Child development monitoring and screening have been mandated as a national health service worldwide, including Indonesia; however, a recent study found that Indonesian community health nurses experienced difficulties detecting and stimulating a child suspected of a developmental delay.

OBJECTIVE

To explore and provide an example of how Australian community health nurses, along with other professionals, contribute to a Universal child and family health service (UCFHS), a similar programme name in Indonesia is child developmental stimulating, detecting monitoring and early intervention programme or SDIDTK.

CASE STUDY

This is a case study of a young Australian boy (4 years old) whom the mother reported that her son has unclear speech and he was not speaking as much as other children at his age. The researcher, as a nurse, delivered the child developmental assessment and play skills assessment and found that the child has subtle developmental gaps and was at risk for developmental delay. Several goal setting and programming ideas have been developed to meet the child developmental milestones. These include goals in fine motor skills, communication, problem-solving and personal-social skills which have been regarded as early intervention for the child. Together with the therapy from a Speech Pathologist, these goal settings and programming ideas have been collaborated with the kindergarten teachers and the family as well as the UCFHS nurses as part of the child developmental monitoring programme.

CONCLUSION

Developmental delays can be detected through developmental and play assessments and can be followed by developmental stimulation and early intervention programme by developing goal settings and programming ideas around the delays or gaps in play or development.

摘要

背景

儿童发育监测与筛查已被全球范围内包括印度尼西亚在内的各国指定为一项国家卫生服务;然而,最近一项研究发现,印度尼西亚社区卫生护士在检测和刺激疑似发育迟缓儿童方面存在困难。

目的

探讨并举例说明澳大利亚社区卫生护士如何与其他专业人员一起,为儿童及家庭综合健康服务(UCFHS)做出贡献,印度尼西亚的一个类似项目名称是儿童发育刺激、检测监测及早期干预项目(SDIDTK)。

案例研究

这是一个关于一名澳大利亚小男孩(4岁)的案例研究,母亲报告称她儿子说话不清楚,而且不像同龄的其他孩子那样爱说话。作为护士的研究者对该儿童进行了发育评估和游戏技能评估,发现该儿童存在细微的发育差距,有发育迟缓的风险。已制定了若干目标设定和规划思路,以实现儿童发育里程碑。这些目标包括精细运动技能、沟通、解决问题和个人社交技能方面的目标,这些都被视为对该儿童的早期干预。作为儿童发育监测项目的一部分,这些目标设定和规划思路与言语病理学家的治疗一起,与幼儿园教师、家庭以及儿童及家庭综合健康服务护士进行了协作。

结论

发育迟缓可通过发育和游戏评估检测出来,随后可围绕游戏或发育中的延迟或差距制定目标设定和规划思路,进行发育刺激和早期干预项目。

相似文献

本文引用的文献

1
Effectiveness of developmental screening in an urban setting.发育筛查在城市环境中的效果。
Pediatrics. 2013 Jan;131(1):30-7. doi: 10.1542/peds.2012-0765. Epub 2012 Dec 17.
3
Screening for developmental delay.发育迟缓筛查。
Am Fam Physician. 2011 Sep 1;84(5):544-9.

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