基于ICF的听力障碍儿童言语与语言康复服务：理论架构与服务体系

doi:10.3969/j.issn.1006-9771.2024.07.001

《中国康复理论与实践》 ›› 2024, Vol. 30 ›› Issue (7): 745-751.doi: 10.3969/j.issn.1006-9771.2024.07.001

基于ICF的听力障碍儿童言语与语言康复服务：理论架构与服务体系

周静¹(), 易玲¹, 陈建超², 陈雪芬³, 魏星星¹, 陈晶晶²

1.宁波卫生职业技术学院，浙江宁波市 315100
2.金华市特殊教育学校，浙江金华市 321000
3.宁波市鄞州区小小虎特殊儿童康复训练中心，浙江宁波市 315100

收稿日期:2024-06-20 出版日期:2024-07-25 发布日期:2024-08-07
通讯作者: 周静，E-mail： 15205746327@163.com
作者简介:周静(1985-)，女，汉族，浙江宁波市人，硕士，教授，主要研究方向：儿童言语语言康复、教育康复、ICF。
基金资助:
浙江省教育科学规划课题(2024SCG131);宁波市教育科学规划重点课题(2024YZD038);金华市教育科学规划课题(JB2024020)

Speech and language rehabilitation services for children with hearing impairment based on ICF: theoretical framework and service system

ZHOU Jing¹(), YI Ling¹, CHEN Jianchao², CHEN Xuefen³, WEI Xingxing¹, CHEN Jingjing²

1. Ningbo College of Health Sciences, Ningbo, Zhejiang 315100, China
2. Jinhua Special Education School, Jinhua, Zhejiang 321000, China
3. Ningbo Yinzhou District Little Tiger Special Children Rehabilitation Training Center, Ningbo, Zhejiang 315100, China

Received:2024-06-20 Published:2024-07-25 Online:2024-08-07
Contact: ZHOU Jing, E-mail: 15205746327@163.com
Supported by:
Zhejiang Education Science Plan(2024SCG131);Ningbo Education Science Plan (Key)(2024YZD038);Jinhua Education Science Plan(JB2024020)

摘要/Abstract

摘要：

目的基于《国际功能、残疾和健康分类》(ICF)的生物-心理-社会功能和健康模式，系统分析世界卫生组织(WHO)康复相关的政策文件，探讨听力障碍儿童言语与语言康复的理论与政策原则、服务体系以及优先发展领域、主要政策和技术措施。
方法采用文献研究和政策研究法，系统梳理ICF的功能和健康架构、WHO康复相关政策报告和美国语言听力协会技术文件，结合我国听障儿童康复服务的现状和需求，提出构建基于ICF的听障儿童言语与语言康复服务体系的理论框架、优先领域和主要政策与技术措施。
结果发展听障儿童言语与语言康复需要遵循八大原则：以儿童为中心、尊重个体差异；全生命周期支持和促进持续发展；开展循证实践，确保干预的科学性和有效性；多学科团队合作并提供全面支持；构建家庭参与的支持网络；促进儿童的融合教育与社会参与；关注文化敏感性；技术赋能康复创新。听障儿童言语与语言康复要构建五大服务体系：早期筛查、诊断与干预综合体系；家庭和社会支持体系；多学科团队服务体系；全方位、多层次的听障儿童言语与语言康复服务体系；数字赋能服务构建新的康复服务模式。并讨论了优先发展领域以及主要政策和技术措施。
结论基于ICF的生物-心理-社会的功能和健康架构，通过加强政策支持、完善服务体系、构建多学科团队服务、推广数字赋能技术、加强社会支持等措施，可以为听障儿童提供全方位、个性化、持续性的高质量、全覆盖康复服务，促进儿童的全面发展和社会参与，提高儿童的生活质量。

关键词: 儿童, 听力障碍, 言语与语言康复, 服务, 国际功能、残疾和健康分类

Abstract:

Objective Based on the bio-psycho-social model of functioning and health of International Classification of Functioning, Disability and Health (ICF) framework, this paper systematically analyzes rehabilitation-related policy documents of the World Health Organization (WHO) to explore the theoretical and policy principles, service systems, priority development areas, and main policy and technical measures for speech and language rehabilitation for children with hearing impairment.
Methods Under literature research and policy analysis methods, this paper systematically reviewed the functioning and health framework of ICF, relevant WHO policy reports and American Speech and Hearing Association technical documents, analyzed the current status and needs of rehabilitation services in China, and proposed a theoretical framework, priority areas, and main policy and technical measures for constructing an ICF-based speech and language rehabilitation service system for children with hearing impairment.
Results There were eight major principles for the development of speech and language rehabilitation for children with hearing impairment: child-centered and respect for individual differences, life-cycle support and promoting continuous development, evidence-based practice, multidisciplinary collaboration, building family participation support networks, promoting integrated education and social participation, focusing on cultural sensitivity, and technology-empowered rehabilitation innovation. Five service systems were elaborated, including comprehensive early screening, diagnosis, and intervention system; family and social support system; multidisciplinary team services system; comprehensive, multi-level speech and language rehabilitation service system; and digitally empowered services to build new rehabilitation service models. The priority development areas, and main policy and technical measures for speech and language rehabilitation for children with hearing impairment were also discussed.
Conclusion Based on the bio-psycho-social model of functioning and health of ICF, comprehensive, personalized, continuous, high-quality and universally accessible speech and language rehabilitation services can be developed by implementing measures, such as strengthening policy support, improving service systems, cultivating multidisciplinary professionals, promoting digital empowerment technologies and enhancing support system, to promote the overall development, social participation and quality of life for children with hearing impairment.

Key words: children, hearing impairment, speech and language rehabilitation, services, International Classification of Functioning, Disability and Health

中图分类号:

R764

周静, 易玲, 陈建超, 陈雪芬, 魏星星, 陈晶晶. 基于ICF的听力障碍儿童言语与语言康复服务：理论架构与服务体系[J]. 《中国康复理论与实践》, 2024, 30(7): 745-751.

ZHOU Jing, YI Ling, CHEN Jianchao, CHEN Xuefen, WEI Xingxing, CHEN Jingjing. Speech and language rehabilitation services for children with hearing impairment based on ICF: theoretical framework and service system[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(7): 745-751.

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基于ICF的听力障碍儿童言语与语言康复服务：理论架构与服务体系

Speech and language rehabilitation services for children with hearing impairment based on ICF: theoretical framework and service system

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