摘要
目的基于《国际疾病分类》第11次修订本(ICD-11)、《国际功能、残疾和健康分类(儿童和青少年版)》(ICFCY)和《国际健康干预分类》(ICHI),探讨儿童交流障碍相关核心术语、疾病诊断标准、功能诊断标准和整体康复方案。方法运用ICD-11、美国言语治疗师协会(ASHA)和《精神疾病诊断与统计手册》第5版(DSM-Ⅴ)的相关标准,分析儿童交流障碍的核心术语。运用ICD-11分析儿童交流障碍的疾病诊断标准。运用ICF-CY分析儿童交流障碍功能诊断标准。依据ICF-CY和ICHI构建儿童交流障碍整体化与结构化康复方案。结果和结论儿童交流障碍相关的核心术语有“发育性语言障碍主要伴语用语言损伤”“交流”“交流-生成”“交流-接收”等。儿童交流障碍是以社会交流受限为典型特征的障碍,是儿童发育迟缓的典型障碍表现,疾病诊断命名为“发育性语言障碍主要伴语用语言损伤”(6A01.22),属发育性语言障碍(6A01)的一个亚型。儿童交流障碍相关功能涉及与言语-听觉相关的身体结构、身体功能以及交流活动,交流活动涉及交流-接收(d310-d329)、交流-生成(d330-d349)、交流和使用交流设备与技术(d350-d369),个人因素涉及儿童健康相关行为。结构化的儿童交流障碍综合康复解决方案涉及身体功能和结构、活动和参与、环境因素和个人因素4个层面,干预方法可分为评估类、训练类、教育与咨询类以及社会心理支持类。
Objective To explore the definition and core terminology of communication disorders for children,establish the diagnostic criteria and functional assessment criteria of communication disorder,and develop a holistic rehabilitation solution for it based on International Classification of Diseases 11th Revision(ICD-11),International Classification of Functioning,Disability and Health(Children and Youth version)(ICF-CY)and International Classification of Health Interventions(ICHI).Methods Core definition and terminology of communication disorder were analysed with ICD-11,American Speech-Language-Hearing Association(ASHA)and Diagnostic and Statistical Manual of Mental Disorders-V(DSM-V).The diagnostical criteria of communication disorders for children were analyzed using the ICD-11.The functioning diagnostical criteria of communication disorders for children were explored using ICF-CY.A holistic rehabilitation solution was developed based on ICF-CY and ICHI.Results and Conclusion The core diagnostical terms of communication disorder for children include Primary Pragmatic Language Impairment of Developmental Language Disorder,Communication,Communicating-Receiving,and Communicating-Production,etc.Communication disorder is a typical disorder of limited social interaction and a typical manifestation of developmental retardation for children,named Developmental Language Disorder Main Companion Pragmatic Language Impairment(6A01.22),subclass of Developmental Language Disorder(6A01).Communication disorders involve in speech-related body structures and functions,activity and participation,environmental factors and personal factors;such as communication(d3),including communicating-receiving(d310-d329),communicating-production(d330-d349),conversation and use of communication devices and techniques(d350-d369),and health-related behaviors.The structured framework of rehabilitation intervention involves in body function and structure,activity and participation,environmental factors and personal factors;includes assessment,training and treatment,educational counseling,and psychological and social support.
作者
庾晓萌
邱卓英
李孝洁
刘巧云
Lancy HUANG
黄昭鸣
张青
YU Xiao-meng;QIU Zhuo-ying;LI Xiao-jie;LIU Qiao-yun;Lancy HUANG;HUANG Zhao-ming;ZHANG Qing(Department of Education and Rehabilitation,East China Normal University,Shanghai 200333,China;Chinese Academy of Speech and Hearing Rehabilitation Science and ICF Application,East China Normal University,Shanghai 200333,China;Department of Special and Preschool Education,Kunming University,Kunming,Yunnan 650214,China;WHO-FIC Collaborating Center in China,Beijing 100068,China;Research Institute of Rehabilitation Information,China Rehabilitation Research Center,Beijing 100068,China;Research Institute of Rehabilitation Information,China Rehabilitation Sciences Institute,Beijing 100068,China;Bright Speech International,Inc.,Seattle,WA 90876,USA;Department of Special Education and Rehabilitation,Handan University,Handan,Hebei 056005,China)
出处
《中国康复理论与实践》
CSCD
北大核心
2020年第1期21-27,共7页
Chinese Journal of Rehabilitation Theory and Practice
基金
国家语委"十三五"科研规划项目(No.YB135-81)
中央级公益性科研院所基本科研业务费专项资金项目(重大科学研究引导基金项目)(No.2017CZ-7
No.2018CZ-4)
河北省社会科学基金项目(No.HB17SH003)~~
关键词
交流障碍
儿童
术语
诊断
干预
国际功能、残疾和健康分类(儿童和青少年版)
communication disorder
children
terminology
diagnosis
intervention
International Classification of Functioning
Disability and Health(Children and Youth version)
