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国际功能、残疾和健康分类与言语/语言障碍儿童/青少年的功能感知。

ICF and perception of functioning according to children/adolescents in follow-up with speech/language disorders.

机构信息

Pós-graduação em Saúde da Criança e do Adolescente, Universidade Estadual de Campinas - UNICAMP - Campinas (SP), Brasil.

出版信息

Codas. 2023 Aug 11;35(5):e20210167. doi: 10.1590/2317-1782/20232021167. eCollection 2023.

Abstract

PURPOSE

To characterize changes in the functioning aspects, in the perception of children and adolescents with speech and language disorders under speech-language follow-up, using the ICF.

METHODS

Descriptive, analytical and longitudinal research, with a qualitative and quantitative approach, whose sample consisted of 60 children and adolescents: 30 with speech and language disorders and 30 with typical speech and language development. Data collection was carried out in two moments: beginning of the research and six months later. A semi-structured questionnaire was administered to the participants, and a medical records analysis was performed. From these data, functioning was classified using he ICF categories. The Wilcoxon test and thematic content analysis were used to compare the interviews.

RESULTS

The use of ICF allowed characterizing changes resulting from speech-language follow-up. Participants with speech and language disorders presented a decrease in the magnitude of the qualifiers in the categories: articulation and fluency, social relationships, daily activities, engagement in play, people's attitude barriers, and how to handle stress.

CONCLUSION

The findings show changes in components of Body Functions, Activities and Participation, and the influence of Environmental Factors after speech-language follow-up, in the perception of the studied group, which brings relevant subsidies for a greater understanding of functioning and therapeutic intervention. The use of the ICF enabled the longitudinal analysis in a biopsychosocial approach, contemplating, in addition to biological aspects, the social impact of speech and language disorders in the lives of these children and adolescents.

摘要

目的

使用国际功能、残疾和健康分类(ICF)描述和分析语言障碍儿童和青少年在语言随访过程中功能变化的特点。

方法

本研究为描述性、分析性和纵向研究,采用定性和定量方法,样本包括 60 名儿童和青少年:30 名患有言语和语言障碍,30 名言语和语言发育正常。数据收集在两个时间点进行:研究开始和六个月后。对参与者进行半结构式问卷调查和病历分析。根据这些数据,使用 ICF 类别对功能进行分类。采用 Wilcoxon 检验和主题内容分析对访谈进行比较。

结果

使用 ICF 可以描述语言随访后产生的变化。言语和语言障碍组参与者在以下类别的定性程度上降低:发音和流畅度、社会关系、日常活动、参与游戏、他人的态度障碍以及如何应对压力。

结论

研究结果表明,语言随访后,研究组在身体功能、活动和参与的组成部分以及环境因素的影响方面发生了变化,这为更好地理解功能和治疗干预提供了重要依据。ICF 的使用实现了纵向分析,从生物心理社会的角度出发,除了考虑到生物学方面,还考虑到言语和语言障碍对这些儿童和青少年生活的社会影响。

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Healthcare and the Biopsychosocial Model: understand to act.医疗保健与生物心理社会模型:理解以便行动。
Codas. 2019 Oct 14;31(5):e20180312. doi: 10.1590/2317-1782/20192018312. eCollection 2019.
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Social interactions of speech- and language-impaired children.有言语和语言障碍儿童的社交互动
J Speech Hear Res. 1991 Dec;34(6):1299-307. doi: 10.1044/jshr.3406.1299.

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