障礙兒日間托育與復健治療結合之成效報告

TheResult of Day Care for Combination of Special Education and Rehabilitation to the Retarded Children

賴慧貞(Huey-Jen Lai) ； 徐弘正(Horng-Jeng Shyn) ； 潘文弘(Wen-Hong Pan) ； 吳坤霖(Kuen-Lin Wu) ； 許國敏(Kuo-Ming Hsu)

《中華民國復健醫學會雜誌》 21期 (1993/12) Pp. 117-124

摘要

台中縣啟智協會與省立豐原醫院合作，於民國81年4月4曰開辦兒童發展中心，收容腦性麻痺及心智運動發展遲緩的學齡前兒童作日間托育，一則予以學齡前特殊教育，一則施以連續性的復健治療。一年之後加以評估，發現孩子在粗動作，精細動作，人際互動及日常生活自理上都有明顯的進步。對於家庭的影響則包括家長從事其它工作的時間增加，心理壓力減少，有約半數家庭氣氛改善，對於家庭經濟多數沒有影響，甚至有些家庭因家長有多餘的時間投入生產事業，收入反而增加。家長都認為日間托育與復健治療結合有其必要性：但孩子太小，太容易感染疾病則會降低送托意願。改進意見包括收托空間與復健場地不夠大，交通車接送的便利性不夠。特殊教育與復健治療品質尚能滿意，但家長會憂慮沒有繼續教育的接收單位，和父母去世後孩子的安養問題。

關鍵字

腦性麻痺 ； 心智運動發展遲緩 ； 特殊教育 ； 復健治療 ； 日間托育

並列摘要

The cooperation of Taichung Hsien Assiciation for Retarded Children and Provincial Feng-Yuan Hospital to set up the Day Center of Children Development began since Apr. 4, 1992. This center accept children before school age with psychomotor retardation or cerebral palsy. The main duty was to educate and rehabilitate these children during the day time.
The evaluation one year later showed marked improvement in several aspects, including gross motor, fine motor, psychosocial development and self daily care. It influnced the family by making more free time for parents, lowering psychological pressure and improving family interaction/relationship. It had no obvious economic burden to the family, with the balance of output to fee of day care and input from more free time to be used to make money.
Families thought it neccessary of combination of rehabilitation and day care for special education, except for those children too small or too easy to catch diseases. The suggestions from parents included insufficient space of day center and rehabilitation area, the timing of day care duration being not facilitated to parents. The parents were worry about further education source of school age and the care problems of the retarded children after parents die.