Parents' Psychosocial Problems Influencing the Continuity of Early Intervention Treatment in Children with Developmental Delay

父母親的心理社會問題對發展遲緩兒童持續接受早期介入治療的影響

王慧儀(Wai-Yi Wang) ； 鐘育志(Yuh-Jyh Jong)

《The Kaohsiung Journal of Medical Sciences》 16卷12期 (2000/12) Pp. 620-625

https://doi.org/10.6452/KJMS.200012.0620

摘要

發展遲緩為一慢性的失能，其結果會影響兒童的長期成長發育。發展遲緩兒童是否有接受持續的介入治療為早其療育能否改善兒童成長情況的關鍵因素。早期療育專業人員應關心及了解家長在照顧發展遲緩兒童上的困難，並提供相關協助以促進家長有效地養育遲緩兒童。本篇的研究目的，其一為了解發展遲緩兒童家長的心理社會問題；其二為分析有那些家長心理社會因素呈現出有效地用於區辨是否影響發展遲緩兒童接受持續的介入治療。本篇研究者發展出一分調查家長心理社會問題的問卷。問卷中主要有20題描述性問題，家長以Likert 4 點評分方試表達對每描述性問題的同意度；家長同時回答其孩子是否有接受持續的早期介入治療。參予研究的個案為發展遲緩兒童的家長。本篇以因素分析及區辨分析進行資料的統計檢驗。分析的資料取自207份填寫完畢的問卷。因素分析的結果粹取出6個家長心理社會因素，占總解釋量的46.9%。粹取出的因素重新命名為家庭收入、家人互動關係、照顧技巧 、支持性資源、對遲緩兒童的心理接納及家長的心理適應。調查結果約有一半的個 案有持續接受早療介入治療。區辨分析的結果顯示出家庭收入為影響家長是否能配合其發展遲緩孩子持續接受治療的重要因素。

並列摘要

Developmental delay is a chronic disorder, which has a significant and continuing impact on the developmental progress of children. Whether the developmentally delayed children have continuous early intervention treatment is important for the success of early intervention. Professionals in early intervention services have been encouraged to understand parents' psychosocial problems and to further enhance their understanding of care for their delayed children. The purposes of this study were two-fold. The first was to identify the parents' psychosocial problems. The second purpose was to find parents' psychosocial variables that could he used to significantly discriminate-whether the retarded children have continuously received treatment programs. A questionnaire to investigate parents' psychosocial problems was implemented. It mainly consisted of twenty descriptive items concerning parents' psychosocial conditions. Parents used a four-point Likert scale to rate the likelihood of the items. Parents also responded as to whether their child had received treatments continuously. Subjects were the parents of children who were diagnosed to have developmental delay. Factor analysis and discriminant analysis was used for statistical data examination. Analyzed data were from 207 completely finished questionnaires. Six parents' psychosocial factors were extracted via factor analysis, and they accounted for 46.9% of the variance of the twenty items. The factors were identified as family income, family members' relationships, caring skills, supporting resources, acceptance of the retarded child, and self-psychological adaptation. About half of the children had received treatment continuously. Discriminant analysis revealed that family income was crucial to parents' capacity to meet the needs for treatment.

並列關鍵字

developmental delay；early intervention；parents' psychosocial problems