基于ICF-CY的残疾儿童综合性口语沟通功能调查

doi:10.3969/j.issn.1006-9771.2023.03.011

《中国康复理论与实践》 ›› 2023, Vol. 29 ›› Issue (3): 320-325.doi: 10.3969/j.issn.1006-9771.2023.03.011

基于ICF-CY的残疾儿童综合性口语沟通功能调查

张雪茹¹^,², 陈思齐¹^,², 胡伟斌²^,³, 刘巧云¹^,²()

1.华东师范大学附属长宁区妇幼保健院，上海市 200050
2.华东师范大学教育学部康复科学系/上海智能教育研究院，上海市 200062
3.兰州城市学院教育学院，甘肃兰州市 730070

收稿日期:2023-03-06 修回日期:2023-03-21 出版日期:2023-03-25 发布日期:2023-04-14
通讯作者: 刘巧云 E-mail:qyliu@spe.ecnu.edu.cn
作者简介:张雪茹(1997-)，女，汉族，安徽淮南市人，博士研究生，主要研究方向：儿童语言与行为发展。
基金资助:
1.国家语委科研规划项目(YB145-21);2.上海市浦江人才计划项目(2019PJC033);3.上海市长宁区卫生健康委员会项目(2019CNECNUPI05-1);4.甘肃省教育科学规划"十三五"课题(GS[2020]GHB4654)

Comprehensive spoken communication function of children with disabilities based on ICF-CY

ZHANG Xueru¹^,², CHEN Siqi¹^,², HU Weibin²^,³, LIU Qiaoyun¹^,²()

1. East China Normal University Maternity and Infant Health Hospital, Shanghai 200050, China
2. Department of Rehabilitation Science, Faculty of Education, East China Normal University, Shanghai 200062, China
3. College of Education, Lanzhou City University, Lanzhou, Gansu 730070, China

Received:2023-03-06 Revised:2023-03-21 Published:2023-03-25 Online:2023-04-14
Contact: LIU Qiaoyun E-mail:qyliu@spe.ecnu.edu.cn
Supported by:
National Language Commission Research Plan(YB145-21);Shanghai Pujiang Program(2019PJC033);Shanghai Changning District Health Committee Project(2019CNECNUPI05-1);Gansu Education Science "13th Five-Year Plan" Project(GS[2020]GHB4654)

摘要/Abstract

摘要：

目的调查残疾儿童的综合性口语沟通功能表现，探究个体特征和环境因素的影响。

方法 2022年8月至11月，向上海、南京等地区2岁至5岁11个月的健康儿童和残疾儿童家长线上发放基于《国际功能、残疾和健康分类(儿童青少年版)》(ICF-CY)的“儿童沟通功能量表”进行问卷调查。

结果共发出问卷500份，收回有效问卷407份。其中健康儿童84例；残疾儿童中，听力障碍85例，智力障碍119例，脑瘫35例，孤独症84例。不同残疾类型儿童综合性口语沟通功能表现存在非常高度显著性差异(F = 127.618, P < 0.001)。各类型残疾儿童综合性口语沟通功能均低于健康儿童(P < 0.05)，听力障碍儿童综合性口语沟通功能优于其他残疾类型儿童(P < 0.05)。母亲学历(r = -0.311, P < 0.001)、父亲学历(r = -0.280, P < 0.001)和家庭年收入(r = -0.228, P < 0.001)越高，儿童综合性口语沟通功能表现越好；当家庭沟通语言为普通话时，儿童的综合性口语沟通功能表现更好(r = 0.210, P < 0.001)。

结论儿童综合性口语沟通功能在不同残疾类型间存在异质性，并受父母学历、家庭年收入和家庭沟通语言影响。

关键词: 国际功能、残疾和健康分类(儿童青少年版), 儿童, 残疾, 综合口语, 沟通功能

Abstract:

Objective To investigate the comprehensive spoken communication performance of children with disabilities, and explore the related individual and environmental factors.

Methods From August to November, 2022, questionnaires of Communication Function Scale for Children based on ICF-CY were distributed online to parents of healthy children and children with disabilities aged two years to five years and eleven months in Shanghai, Nanjing and other areas.

Results A total of 500 copies were sent out, and 407 valid questionnaires were returned, including 84 healthy children, 85 with hearing impairment, 119 with mental retardation, 35 with cerebral palsy and 84 with autism. There were significant differences in the comprehensive spoken communication function performance among the children with different impairment types (F= 127.618, P < 0.001). The comprehensive spoken communication ability was significantly poorer in the children with disabilities than in the healthy children (P < 0.05), and the ability was better in hearing-impaired children than in the children with other disabilities (P < 0.05). The higher the education of mother (r= -0.311, P < 0.001) and father (r= -0.280, P < 0.001), and family annual income (r= -0.228, P < 0.001), the better the children's comprehensive spoken communication performance; the children's comprehensive spoken communication performance was better when the family used Putonghua as unified communication language (r= 0.210, P < 0.001).

Conclusion The comprehensive spoken communication performance for children with disabilities is heterogeneous among different impairment types, and is affected by parents' education, family annual income, and family communication language.

Key words: International Classification of Functioning, Disability and Health-Children and Youth Version, children, disability, comprehensive spoken language, communication function

中图分类号:

R493

张雪茹, 陈思齐, 胡伟斌, 刘巧云. 基于ICF-CY的残疾儿童综合性口语沟通功能调查[J]. 《中国康复理论与实践》, 2023, 29(3): 320-325.

ZHANG Xueru, CHEN Siqi, HU Weibin, LIU Qiaoyun. Comprehensive spoken communication function of children with disabilities based on ICF-CY[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(3): 320-325.

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残疾类型	ICD-11编码	ICF-CY编码
听力障碍	AB50先天性听力障碍 AB51获得性听力障碍 AB53耳毒性听力损失 AB56遗传性聋 LA22耳结构发育异常致听力障碍	d310交流-接收-口头讯息 d315交流-接收-非言语讯息 d320交流-接收-正式手语讯息 d325交流-接收-书面讯息 d329其他特指或未特指的交流-接收 d330说 d335生成非言语讯息 d340生成正式手语讯息 d345书面讯息 d349其他特指或未特指的交流-生成 d350交谈 d355讨论 d360使用交流设备与技术 d369其他特指或未特指的交谈和使用交流设备与技术
智力障碍	6A00智力发育障碍
脑瘫	8D2Z 未特指脑瘫 8D20 痉挛型脑瘫 8D21 运动障碍性脑瘫 8D22 共济失调性脑瘫
孤独症	6A02 孤独症谱系障碍

儿童类型	n	性别(男/女)/n	年龄/月
听力障碍	85	55/30	48±13.2
智力障碍	119	63/56	48±13.3
脑瘫	35	31/4	46±12.8
孤独症	84	72/12	48±10.1
健康	84	42/42	48±12.5

类型	范围	平均值
听力障碍	0~4	1.56±1.277
智力障碍	0~4	2.66±0.886
脑瘫	0~4	2.54±1.172
孤独症	0~4	2.82±0.794
健康	0~2	0.12±0.361
总计	0~4	1.93±1.377

儿童类型	听力障碍	智力障碍	脑瘫	孤独症
健康	-1.446^a	-2.545^a	-2.424^a	-2.702^a
孤独症	1.257^a	0.158	0.279
脑瘫	0.978^a	0.121
智力障碍	1.099^a

基于ICF-CY的残疾儿童综合性口语沟通功能调查

Comprehensive spoken communication function of children with disabilities based on ICF-CY

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因素	r值	P值
性别	-0.083	0.071
年龄	-0.028	0.616
母亲学历	-0.311	< 0.001
父亲学历	-0.280	< 0.001
家庭收入	-0.228	< 0.001
家庭沟通语言环境	0.210	< 0.001

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