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1237例兒童家庭康復指導工作狀況分析

發(fā)布時間:2018-06-24 來源: 幽默笑話 點擊:

http://img1.qikan.com.cn/qkimages/shyx/shyx201804/shyx20180420-1-l.jpghttp://img1.qikan.com.cn/qkimages/shyx/shyx201804/shyx20180420-2-l.jpg
  摘 要 目的:通過回顧性分析兒童家庭康復指導開展狀況,了解兒童家庭康復的現(xiàn)狀。方法:收集2011年5月至2016年8月在復旦大學附屬兒科醫(yī)院康復科進行家庭康復指導的1 237例患兒的疾病情況、家庭狀況、指導次數(shù)、康復反饋等信息。其中男性773例、女性464例,年齡1月齡至14歲,平均年齡20個月。結(jié)果:2011年至2015年納入的患兒數(shù)量分別為3例、55例、166例、250例、和413例;2016年1至8月350例。46.5%患兒的年齡段分布在6~12月,其中以發(fā)育遲緩、胎兒期或分娩期有高危因素的高危兒數(shù)量最多,分別占54.2%和24.8%。兒童的照顧者以母親照顧為主,祖輩輔助居多。外省市相對本市需求較高。結(jié)論:兒童家庭康復指導工作逐年增多,對于不同患兒家庭的情況和需求制定個性化的家庭康復指導方案,促進家庭開展家庭康復,提高隨訪率。
  關鍵詞 殘障; 家庭康復指導;高危兒
  中圖分類號:R49 文獻標志碼:A 文章編號:1006-1533(2018)04-0055-04
  Analysis of the work status of 1 237 cases of children’s family rehabilitation guidance
  SU Yi, YANG Hong, LI Hui, SHEN Xiushu, ZHANG Qi
  (Department of Rehabilitation, Children’s Hospital affiliated to Fudan University, Shanghai 201102, China)
  ABSTRACT Objective: Through the retrospective analysis of the situation of children’s family rehabilitation guidance to understand the status of children’s family rehabilitation. Methods: Clinical data, family status, frequency of guidance and feed-back information of the children who had accepted the family rehabilitation guidance from May 2011 to August 2016 in the Rehabilitation Department of Children’s Hospital affiliated to Fudan University were collected, and among them, there were 773 male and 464 female, aged from 1 month to 14 years old(mean age = 20 m). Results: The numbers of children eolled from 2011 to 2015 were 3, 55, 166, 250 and 413 cases, respectively and that from January to August 2016, 350 cases. The age of 46.5% children was distributed at 6~12 months. Among them, the number of high-risk infants with high risk factors for developmental delay, fetal or childbirth was the most, accounting for 54.2% and 24.8%, respectively. Children’s caregivers were mostly mothers, and grandparents aided in the majority. The demand of the other provinces was relatively higher than that of Shanghai. Conclusion: The guidance of children’s family rehabilitation has increased year by year. In order to promote family rehabilitation and improve the follow-up rate, the family rehabilitation guidance plan is formulated for the situation and needs of different families.
  KEY WORDS disability; family rehabilitation guidance; high-risk infant
  根據(jù)國家統(tǒng)計局數(shù)據(jù)顯示,近10年來我國每年大約有1 600萬左右的新生兒降生[1]。隨之而來的是殘疾兒童的數(shù)量也在逐年上升。第二次全國殘疾人抽樣調(diào)查結(jié)果表明,我國現(xiàn)有0~17歲殘疾兒童504.3萬人,占全部殘疾人口的6.08%[2]。對殘疾兒童需要盡早介入康復干預,更需要在家庭進行良好的照料和康復。發(fā)育障礙和腦癱等患兒的康復通常是一個漫長的治療過程。但國內(nèi)現(xiàn)階段康復條件有限,對家庭康復重要性認識不夠;同時,以家庭為中心的康復模式對專業(yè)治療師的要求較高[3],運行現(xiàn)況令人堪憂。然而因經(jīng)濟能力、財力及精力限制,每個家庭成員對患兒病情的理解和康復經(jīng)驗不盡相同,需求也不同[4-5]。本文旨在分析和了解近5年本院兒童家庭康復指導工作現(xiàn)狀。

相關熱詞搜索:康復 狀況 指導 兒童 家庭

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