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语言障碍儿童在门诊护理中的活动和参与情况,依据《国际功能、残疾和健康分类》。

Activities and participation of children with language disorders in outpatient care according to the ICF.

机构信息

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

出版信息

Codas. 2023 Aug 4;35(4):e20220007. doi: 10.1590/2317-1782/20232022007pt. eCollection 2023.

Abstract

PURPOSE

To identify the main categories of the Activities and Participation component of the International Classification of Functioning, Disability, and Health and to verify the association with age, gender, education, and speech therapy diagnosis in children who are assisted by an oral language clinic.

METHODS

This is an analytical and cross-sectional observational study, carried out with secondary data from 32 medical records of children with the majority male, mean age of 41.03 months, in early childhood education and language disorder associated with other conditions. The main speech-language pathology manifestations were coded according to the pre-selected categories of the Activities and Participation component, and descriptive and bivariate statistical analyzes were performed, and the Fisher's Exact test was used with a significance level of 5%.

RESULTS

The descriptive analysis of the pre-selected categories allowed us to verify a high number of "Not informed" answers, with a higher percentage in vocal expression without speech (d331) performance (93.8%), making decisions (d177) ability (90.6%), problem solving (d175) performance (65.6%) and capacity (87.5%), reception of oral messages (d310) performance (65.6%) and eating (d550) capacity (65.6%). Among the 24 categories selected, 12 jointly contemplated the Qualifiers of Performance and Capacity. There was a statistically significant association between the three categories with sociodemographic data and speech therapy diagnoses.

CONCLUSION

Difficulties were identified in several categories of the Activities and Participation component and statistically significant associations between them and sociodemographic data and speech therapy diagnoses, showing the impacts of oral language disorders on the activities and participation of children assisted in an outpatient speech therapy service.

摘要

目的

确定《国际功能、残疾和健康分类》活动和参与部分的主要类别,并验证其与年龄、性别、教育程度和言语治疗诊断在接受口腔语言诊所治疗的儿童中的关联。

方法

这是一项分析性和横断面观察性研究,使用 32 名儿童的次要数据进行,这些儿童主要为男性,平均年龄为 41.03 个月,处于幼儿教育和与其他情况相关的语言障碍期。主要言语语言病理学表现根据活动和参与部分的预选类别进行编码,并进行描述性和双变量统计分析,Fisher 精确检验的显著性水平为 5%。

结果

预选类别的描述性分析使我们能够验证大量“未报告”的答案,其中语音表达(d331)表现(93.8%)、决策(d177)能力(90.6%)、解决问题(d175)表现(65.6%)和能力(87.5%)、口头信息接收(d310)表现(65.6%)和饮食(d550)能力(65.6%)的“未报告”答案比例更高。在所选择的 24 个类别中,有 12 个共同考虑了表现和能力的限定词。在这三个类别中,有与社会人口统计学数据和言语治疗诊断相关的统计学显著关联。

结论

在活动和参与部分的几个类别中发现了困难,并且这些类别与社会人口统计学数据和言语治疗诊断之间存在统计学显著关联,这表明口腔语言障碍对接受门诊言语治疗服务的儿童的活动和参与有影响。

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Developmental language impairment through the lens of the ICF: an integrated account of children's functioning.
J Commun Disord. 2010 Sep-Oct;43(5):424-37. doi: 10.1016/j.jcomdis.2010.05.004. Epub 2010 Jun 9.

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