在巴西东北部的初级医疗保健中对发育迟缓进行查
Francilena Ribeiro Bessa1, Katia Virgínia Viana-Cardoso2, José Davi Nunes Martins2
1Centro Universitário FAMETRO-UNIFAMETRO, Fortaleza, Brazil.
Journal of developmental and behavioral pediatrics : JDBP
|October 13, 2025
概括
巴西的一项研究发现,幼儿中疑似神经发育迟缓 (NDD) 的频率很高. 幼儿福利调查 - 巴西版 (SWYC-BR) 是确定这些发展问题的可靠工具.
科学领域:
- 儿科 儿科 儿科
- 发展心理学 发展心理学
- 公共卫生 公共卫生
背景情况:
- 早期发现神经发育迟缓 (NDD) 对于及时干预至关重要.
- 幼儿福利调查 - 巴西版 (SWYC-BR) 是评估儿童发展的工具.
- 关于巴西NDD频率和SWYC-BR心理特征的数据有限.
研究的目的:
- 估计巴西年幼儿童怀疑NDD的频率.
- 评估SWYC-BR的测量特性和可用性.
- 评估SWYC-BR在初级保健中早期检测的可行性.
主要方法:
- 在巴西东北部进行的横截面研究,对645名母亲/照顾者-儿童二位数 (265个月) 进行了研究.
- 管理的SWYC-BR和社会经济调查问卷.
- 评估了SWYC-BR测试复试可靠性,内部一致性和开发里程碑问卷 (DM-SWYC) 的构造有效性.
主要成果:
- 怀疑NDD的发生频率为37.9%.
- SWYC-BR显示了高的测试复试可靠性 (>0.75) 和良好的内部一致性 (0.560.97).
- 85.7%的护理人员发现SWYC-BR易于使用;95.8%的人喜欢回应.
结论:
- 怀疑NDD的高患病率强调了需要有针对性的早期儿童发展计划.
- SWYC-BR是一个公认的,有效和可靠的工具,用于识别需要加强初级保健监测的儿童.
- 这些发现支持SWYC-BR在巴西初级医疗保健机构的实施.
相关概念视频
Primary Healthcare Services
1.9K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.9K
Preventive Healthcare Services
1.8K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.8K
Secondary Healthcare System
2.0K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
2.0K
Methods Of Healthcare Delivery System
4.0K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
4.0K
Specialized Care Centers and Settings-II
1.2K
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
1.2K
Community Based Intervention
273
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
273


