研究我们的特殊病人中心。与B-1、B-2组发育筛选表及第一次培训检查表的关系]。

M Takagi, M Takahashi, I Kurokawa, E Narita, S Shimooka
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引用次数: 0

摘要

我们在心身障碍儿童医疗保健系统中采用行为矫正法,运用发育筛查表和第一次训练检查表使方法有效。同样为了了解训练的效果,我们将患者分为4组(A, B-1, B-2, C)。我们最近对这4组中B-1组和B-2组的发育筛查表和第一次训练检查表进行了比较检查。[方法]选取在我院残疾儿童牙科中心接受过体检的B-1、B-2组患者32例作为调查对象。发育年龄和允许每种行为的比例分别从发育筛选表和第一次训练检查表中确定。在发育筛查表和第一次培训检查表的基础上,比较会诊室和家庭对问候和漱口两项的行为,并考察其使用情况。[结果]1)B-1组与B-2组的发育年龄相比,有5个项目匹配较好,认知能力较高,与操作者沟通更容易。2) B-2组在牙科治疗实践中,口语和社交能力较低,与操作者的沟通困难,从第一次培训检查表就可以明显看出。3)患者缺乏适应能力和与操作者的沟通能力,往往表现为患者在家中问候和漱口的能力,而不是在诊室。4)未填写发育筛查表,未填写第一次培训检查表部分项目,存在改进的地方。
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[Research for our special patients center. Relation to the developmental screening table and the first training check list of B-1, B-2 group].

We have adopted a behavior-modifying method in the medical care system for children with psychosomatic disorder, using the developmental screening table and the first training check list to make the method effective. Also in order to know the effect of training, patients were classified into 4 groups (A, B-1, B-2, C). We have recently made a comparative examination of both the developmental screening table and the first training check list between B-1 and B-2 groups out of these 4 groups. [Method] Subject for investigation are 32 patients belonging to B-1 and B-2 groups out of those patients who have received medical examination in the Dental Center for the Handicapped Children in our Hospital. Developmental ages and proportions permitting each behavior were determined from the table for the developmental screening table and the first training check list, respectively. On the basis of the about the developmental screening table and the first training check list, behaviors between at the consultation room and at home were compared for 2 items of greeting and gargling and the condition of applying these items was also examined. [Results] 1) The B-1 group had well-matched 5 items compared with the developmental age for the B-2 group and was easier in communication with the operator because of its high cognitive ability. 2) The B-2 group, whose speaking and sociality were low, was more difficult in communication with the operator in the practice of dental treatment, and was evident from the first training check list. 3) Lack of patient's adaptability and communication with the operator often represented patient's capability of greeting and gargling at home but not at the consultation room. 4) Some need for improvement occurred in non-answering the developmental screening table and non-entering some items of the first training check list.

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