中国康复理论与实践2024，Vol.30Issue(7)：745-751,7.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
Speech and language rehabilitation services for children with hearing impairment based on ICF:theoretical framework and service system
摘要
Abstract
Objective Based on the bio-psycho-social model of functioning and health of International Classification of Function-ing,Disability and Health(ICF)framework,this paper systematically analyzes rehabilitation-related policy docu-ments 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 lan-guage 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 con-tinuous development,evidence-based practice,multidisciplinary collaboration,building family participation sup-port networks,promoting integrated education and social participation,focusing on cultural sensitivity,and tech-nology-empowered rehabilitation innovation.Five service systems were elaborated,including comprehensive ear-ly screening,diagnosis,and intervention system;family and social support system;multidisciplinary team servic-es system;comprehensive,multi-level speech and language rehabilitation service system;and digitally empow-ered 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 dis-cussed. Conclusion Based on the bio-psycho-social model of functioning and health of ICF,comprehensive,personalized,con-tinuous,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 multidisci-plinary 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.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Key words
children/hearing impairment/speech and language rehabilitation/services/International Classification of Functioning,Disability and Health分类
医药卫生引用本文复制引用
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):745-751,7.基金项目
1.浙江省教育科学规划课题(No.2024SCG131) （No.2024SCG131）
2.宁波市教育科学规划重点课题(No.2024YZD038) （No.2024YZD038）
3.金华市教育科学规划课题(No.JB2024020) Zhejiang Education Science Plan(No.2024SCG131),Ningbo Education Science Plan(Key)(No.2024YZD038)and Jinhua Education Science Plan(No.JB2024020) （No.JB2024020）
