语音语言病理学评估中的功能性和生活质量背景:从结构方程建模角度进行分析
Marina Garcia de Souza Borges1, Adriane Mesquita de Medeiros1, Stela Maris Aguiar Lemos1
1Speech-Language Pathology and Audiology Department, Federal University of Minas Gerais, Belo Horizonte, Brazil.
概括
男性的性别和临床投诉对儿童的功能有负面影响. 然而,参与活动对接受语音语言评估的儿童的生活质量产生了积极的影响,这突显了生物心理社会模型的重要性.
科学领域:
- 语音语言病理学 语言病理学
- 儿科健康 儿科健康
- 生物心理社会健康模型
背景情况:
- 在生物心理社会模型中,生活质量和功能是关键.
- 了解影响儿童这些方面的因素对于有效的语音语言病理学 (SLP) 干预至关重要.
研究的目的:
- 评估临床,社会人口统计学和功能因素对接受语音语言评估的儿童和青少年生活质量的影响.
- 探索国际功能,残疾和健康分类 (ICF) 组成部分与生活质量之间的关系.
主要方法:
- 与84名巴西儿童和青少年进行的横截面分析观察研究.
- 使用了巴西经济分类标准和儿科生活质量库存4.0TM.
- 收集了关于性别,投诉,诊断假设和ICF组件 (身体功能,活动和参与,环境因素) 的数据.
- 使用因子分析和结构方程建模用于数据分析.
主要成果:
- 男性性别和临床护理变量对功能有负面影响 (p < 0.05).
- 活动和参与对自我报告 (p = 0.031) 和家长报告的生活质量 (p = 0.003) 有积极影响.
- 面部或面部运动能力的投诉对父母报告的生活质量产生了负面影响,而言语障碍诊断对自我报告的生活质量产生了积极影响.
结论:
- 临床投诉和性对功能有负面影响,而参与活动对生活质量有积极影响.
- 结构方程建模是分析ICF和SLP实践中的生活质量的宝贵工具.
- 研究结果支持在儿科语音语言病理学中采用全面的生物心理社会方法.
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