台灣高雄台南地區醫院治療中腦性麻痺兒與唐氏兒早期發現及早期復健治療的因素探討

Children with Cerebral Palsy or Down Syndrome in the Hospitals Located in Kaoshiung and Tainan, Taiwan: Factors Influencing Early Detection and Early Rehabilitation Treatment

王慧儀(Wai-Yi Wang) ； 張志仲(Jyh-Jong Chang) ； 周映君(Ying-Chun Chou)

《中華民國物理治療學會雜誌》 21卷3期 (1996/07) Pp. 145-151

https://doi.org/10.29616/JPTAROC.199607.0002

摘要

The purposes of this study were: (1) to evaluate the ”early detection age” (EDA) in physical disability for the developmental disabled children, and the ”early rehabilitation treatment age” (ERTA) of these children in South Taiwan. (2) to analyze whether significant difference exits in EDA for groups such as different diagnoses, types of disability, and first-finders of child abnormality. (3) to analyze the difference in ERTA for groups with different management situations. A questionnaire was designed to collect the data. Sixty-six caregivers of developmentally delayed children completed the questionnaire. The average age of these children was 5.1 (±3.4) years and their diagnosis of disorders were either cerebral palsy (n=59) or Down syndrome (n=7). The results of this study revealed that the children, at a mean age of 8.9 months, were detected to be abnormal. Sixteen children were early detected by clinical doctors, while the remaining 50 children were detected by their caregivers. The involvement of rehabilitation treatment after detection. could be classified into four different kinds of ”managing situations”. These situations included: (1). Patients knew the rehabilitation and arranged it immediately, (2). Patients knew the rehabilitation but didn't think of its necessity at that time, (3). Patients didn't know the rehabilitation, (4). Patients knew the rehabilitation but considered that the child was too young to receive it. The mean of ERTA was 18.6 months old. The ”interval” between the EDA and the ERTA was 9.6 months. The results of statistical analysis indicated that the EDA of the children whom were recognized to be abnormal by the doctors was earlier significantly than those whom were recognized by the caregivers (p＜0.05). Both of the ERTA and the ”interval” were significant difference in different managing situations. On the other hand, neither the EDA nor the ERTA was statistically different in various diagnosis and types of disability. The results of this study and its implications were also discussed.

關鍵字

發展障礙 ； 早期發現 ； 早期治療

並列摘要

The purposes of this study were: (1) to evaluate the ”early detection age” (EDA) in physical disability for the developmental disabled children, and the ”early rehabilitation treatment age” (ERTA) of these children in South Taiwan. (2) to analyze whether significant difference exits in EDA for groups such as different diagnoses, types of disability, and first-finders of child abnormality. (3) to analyze the difference in ERTA for groups with different management situations. A questionnaire was designed to collect the data. Sixty-six caregivers of developmentally delayed children completed the questionnaire. The average age of these children was 5.1 (±3.4) years and their diagnosis of disorders were either cerebral palsy (n=59) or Down syndrome (n=7). The results of this study revealed that the children, at a mean age of 8.9 months, were detected to be abnormal. Sixteen children were early detected by clinical doctors, while the remaining 50 children were detected by their caregivers. The involvement of rehabilitation treatment after detection. could be classified into four different kinds of ”managing situations”. These situations included: (1). Patients knew the rehabilitation and arranged it immediately, (2). Patients knew the rehabilitation but didn't think of its necessity at that time, (3). Patients didn't know the rehabilitation, (4). Patients knew the rehabilitation but considered that the child was too young to receive it. The mean of ERTA was 18.6 months old. The ”interval” between the EDA and the ERTA was 9.6 months. The results of statistical analysis indicated that the EDA of the children whom were recognized to be abnormal by the doctors was earlier significantly than those whom were recognized by the caregivers (p＜0.05). Both of the ERTA and the ”interval” were significant difference in different managing situations. On the other hand, neither the EDA nor the ERTA was statistically different in various diagnosis and types of disability. The results of this study and its implications were also discussed.

並列關鍵字

Developmental disability ； Early detection ； Early treatment