Therapeutic Science for Rehabilitation (재활치료과학)

Korean Society of Neurological Occupational Therapy (대한신경계작업치료학회)
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Development of Item on Feeding Assessment for Children With Cerebral Palsy : Delphi Survey

뇌성마비 아동의 섭식 평가 항목 개발 : 델파이 연구

  • Seo, Sang-Min (Dept. of Occupational Therapy, Semyung University) ;
  • Yoo, Eun Young (Dept. of Occupational Therapy, College of Software and Digital Healthcare Convergence, Yonsei University) ;
  • Park, Hae Yean (Dept. of Occupational Therapy, College of Software and Digital Healthcare Convergence, Yonsei University) ;
  • Hong, Ickpyo (Dept. of Occupational Therapy, College of Software and Digital Healthcare Convergence, Yonsei University) ;
  • Kim, Sung-Hoon (Dept. of Rehabilitation Medicine, Wonju College of Medicine, Yonsei University) ;
  • Kim, Jong-Bae (Dept. of Occupational Therapy, College of Software and Digital Healthcare Convergence, Yonsei University)
  • 서상민 (세명대학교 작업치료학과) ;
  • 유은영 (연세대학교 소프트웨어디지털헬스케어융합대학 작업치료학과) ;
  • 박혜연 (연세대학교 소프트웨어디지털헬스케어융합대학 작업치료학과) ;
  • 홍익표 (연세대학교 소프트웨어디지털헬스케어융합대학 작업치료학과) ;
  • 김성훈 (연세대학교 원주의과대학 재활의학과학교실) ;
  • 김종배 (연세대학교 소프트웨어디지털헬스케어융합대학 작업치료학과)
  • Received : 2022.03.30
  • Accepted : 2022.05.06
  • Published : 2022.08.31
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Abstract

Objective : The purpose of this study is to establish the domain for assessment of feeding disorder with cerebral palsy. In addition, it is to develop item on feeding assessment for feeding disorder on children with cerebral palsy Methods : Factors to be included in the assessment of feeding disorders in children with cerebral palsy based on the ICF classification criteria constituted the assessment domain through literature review. Results : Assessment items of feeding disorders in children with cerebral palsy were categorized into 6 domains. These were systematized through expert advice, and through the first and second Delphi surveys, nine middle categories, 32 sub-categories, and 76 items were confirmed. Conclusions : The results of this study are useful for occupational therapists who want to check the current feeding function and activity level during therapeutic interventions for children with cerebral palsy who have feeding disorders.

목적 : 본 연구의 목적은 뇌성마비 섭식장애 평가의 영역을 수립함과 동시에 뇌성마비 섭식장애 평가 시 범용적으로 사용할 수 있는 평가 항목을 개발하고자 한다. 연구방법 : ICF 분류기준에 근거하여 섭식장애 중재에 포함되어야 하는 평가 및 치료 영역 등을 문헌 고찰하여 평가영역을 종합하고, 전문가의 검증을 거쳐 델파이 조사지 초안을 제작하였다. 그 후 20명의 전문가를 대상으로 1차 및 2차 델파이 연구가 진행되었다. 결과 : 뇌성마비의 섭식 영역을 6개 영역으로 범주화하고, 항목을 구성하였다. 전문가 자문을 통하여 평가 영역 및 항목들을 체계화하였으며, 전문가 자문을 거친 평가 영역과 항목들은 1차, 2차 델파이 조사를 통하여 6개 영역, 9개의 중분류, 32개의 소분류, 76개의 항목으로 최종 확인되었다. 결론 : 본 연구에서는 특정 영역을 평가하는 항목 구성으로 된 기존의 평가도구에서 벗어나 평가 영역 확장 및 평가 항목을 체계적으로 구성하였다는데 의미가 있다고 할 수 있다. 따라서 본 연구결과를 바탕으로 섭식장애를 가진 뇌성마비 아동의 치료적 중재 활동 시에 아동의 현재 섭식 기능 및 활동 수준을 확인하고자 하는 작업치료사에게 유용하게 사용될 것으로 판단된다.

Keywords

References

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