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

Abstract

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

CLC Number:

R493

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.

Figures/Tables 5

References 26

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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

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

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

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