Table of Contents

HK J Paediatr (New Series)
Vol 23. No. 1, 2018

HK J Paediatr (New Series) 2018;23:3-7

Original Article

Hospitalisation: A Good Opportunity to Detect Developmental Difficulty in Children
住院:檢測兒童發育遲緩的好時機

YE Kum, DG Dogan, SK Canaloglu, M Kivilcim


Abstract

This study aimed to determine children at risk of developmental difficulty by using a developmental monitoring tool during their hospital stay. The development of 113 hospitalised children aged 2-42 months was evaluated by using expressive and receptive language, fine and gross motor, social-emotional and relational functions, play, and self-help skills areas of the Guide for Monitoring Child Development (GMCD). There were 49 (42.4%) children with developmental difficulties. Developmental difficulty was found in 72.9% of the children of mothers who expressed a concern (p<0.001). Developmental difficulties were significantly more common in children of mothers without regular prenatal follow-up (p<0.001), with low educational level (p<0.001), and who had previously suffered stillbirth (p<0.013); and in children with a birth weight below 2500 g (p<0.002), and with consanguineous parents (p<0.007). The hospitalisation period is a good opportunity to identify children at risk of developmental problems and refer them for further assessment and early intervention.

本研究在兒童住院期間應用發育監測工具,目的為測定其發育遲緩的風險。對年齡為2-42月的113名住院兒童的發育進行評估,包括兒童發育監測指南(GMCD)中的表達性語言、接受性語言、精細運動、大運動、社會情感和聯絡功能、遊戲、自我幫助好技能方面。發育遲緩兒童有49名(42.4%)。表達對發育遲緩有所關注的母親當中,孩子檢出發育遲緩達72.9% (p<0.001)。在沒有定期產前複檢(p<0.001)、低教育水準(p<0.001)、以往有流產史(p<0.013)的母親中,孩子出生體重低於2500克(p<0.002),和父母近親血緣(p<0.007),孩子的發育遲緩明顯多見。住院期間是一個良好機會來找出發育障礙高風險兒童,並轉介進一步評估和早期干預。

Keyword : Child; Development; Hospitalisation

關鍵詞:兒童、發育、住院

 
 

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