自闭症谱系障碍儿童的职业治疗目标是否反映了参与? 对ICF进行映射 - - CY和ICF核心集研究
Sana M N Abu-Dahab1, Dua'a A Alwawi2, Hatem A Alkhamra3
1Department of Occupational Therapy, School of Rehabilitation Sciences, The University of Jordan, Amman, Jordan. s.abudahab@ju.edu.jo.
Journal of autism and developmental disorders
|September 26, 2024
概括
国际功能,残疾和健康分类 (ICF) - 儿童和青少年和ICF核心套件对于自闭症谱系障碍 (ASD) 护理是有用的,但可能无法完全捕捉职业治疗的目标,特别是在参与方面.
科学领域:
- 康复医学 康复医学 康复医学
- 发育儿科 发育儿科
- 职业疗法 职业疗法 职业疗法
背景情况:
- 自闭症谱系障碍 (ASD) 的患病率正在全球范围内增加.
- 多学科护理对于提高ASD患者参与度至关重要.
- 卫生专业人员越来越多地使用国际功能,残疾和健康分类 (ICF) 和其衍生品 (ICF-CY,ICF核心套).
研究的目的:
- 评估ICF-CY和ICF ASD核心集对于ASD儿童职业治疗目标的全面性.
- 评估参与在这些职业治疗目标中的代表性.
主要方法:
- 40名职业治疗师为患有自闭症儿童确定了共同的长期目标.
- 目标被映射到ICF-CY两级分类.
- 计算了反映"参与"的目标百分比,并评估了与ICF ASD核心集的重叠.
主要成果:
- 提取了155个目标;4.5% (7个目标) 与感官处理有关,与ICF-CY无关.
- 35.1%的关联目标反映了"参与".
- 84.5%的ICF-CY类别与ICF ASD核心套件重叠,但手部功能和身体护理类别缺乏.
结论:
- ICF-CY和ICF ASD核心集显示了在小儿ASD护理中临床使用的可行性.
- 这些工具可能不足以涵盖所有职业治疗目标.
- 职业治疗目标需要修改,以更好地反映ASD儿童的参与.
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