使用ICF-CY-检查清单对具有沟通和认知障碍的儿童进行量化残疾:对回顾组装的队列进行横截面研究的结果
Mary Iype1, T S Anish2, Sanjeev V Thomas3
1Institute for Communicative and Cognitive Neurosciences, Shoranur and Trivandrum, Kerala, India; Government Medical College, Trivandrum, Kerala, India.
Pediatric neurology
|March 4, 2026
概括
世界卫生组织残疾评估计划-儿童和青少年 (WHODAS-Child) 有效量化了儿童的残疾,与ICF-CY检查清单和VSMS相对应. 该工具有助于评估儿童残疾的全球负担和干预的有效性.
科学领域:
- 儿科 儿科 儿科
- 康复医学 康复医学 康复医学
- 公共卫生 公共卫生
背景情况:
- 功能,残疾和健康国际分类-儿童和青少年版本 (ICF-CY) 检查清单是量化残疾的免费工具.
- 世界卫生组织残疾评估时间表-儿童和青少年 (WHODAS-Child) 是一个基于ICF框架的时间效率高的残疾量化工具.
研究的目的:
- 用ICF-CY检查表,WHODAS-Child和Vineland社会成熟度表 (VSMS) 来量化认知障碍儿童的残疾.
- 以ICF-CY和WHODAS-Child获得的残疾分数与VSMS作为参考进行比较.
- 为了确定与增加残疾相关的因素,在这个人群中.
主要方法:
- 采用了基于医院的横截面研究设计.
- 进行了诊断测试评估.
- 从100名认知障碍儿童 (平均年龄6岁,73%是男性) 收集数据.
主要成果:
- ICF-CY得分的中位数为"b"的8.8,"d"的23.7和总得分的16.8.
- 多变量回归确定了首次关注的年龄 (<1年),自闭症谱系障碍,发展性认知障碍的家族史,早产,低出生体重,运动缺陷和更高的母亲年龄与更差的认知能力有关.
- 在ICF-CY和VSMS之间 (rho = -0.50) 和WHODAS-Child和VSMS之间 (rho = -0.42) 发现了显著的负相关性. 在ICF-CY 'd'得分和WHODAS-Child得分之间存在强烈的正相关性 (rho = 0.79).
结论:
- ICF-CY检查清单有效地捕捉了儿童的损伤和残疾.
- 由于WHODAS-Child更容易管理,与ICF-CY 'd'分数和VSMS保持一致,使其适用于残疾量化.
- 这种量化可以在全球范围内对残疾儿童的疾病负担和干预效应的评估进行标准化.
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