听力障碍合并发育迟缓儿童康复教育个案研究  

A Case Study on Rehabilitation Education of Children with Hearing Disorders and Global Developmental Delay

作　　者：韩硕 高袁 洪梦迪 王爱华[5] 代嬿 冀飞 刘晓明[6] HAN Shuo;GAO Yuan;HONG Meng-di;WANG Ai-hua;DAI Yan;JI Fei;LIU Xiao-ming

机构地区：[1]解放军总医院第六医学中心耳鼻咽喉头颈外科医学部,北京100048 [2]国家耳鼻咽喉疾病临床医学研究中心,北京100048 [3]北京市海淀区睿智全纳教育康复中心,北京100083 [4]解放军总医院第一医学中心耳鼻咽喉头颈外科,北京100853 [5]北京市东城区黑芝麻胡同小学,北京100009 [6]北京联合大学特殊教育学院,北京100075

出　　处：《中国听力语言康复科学杂志》2023年第5期550-553,共4页Chinese Scientific Journal of Hearing and Speech Rehabilitation

基　　金：2022年首都卫生发展科研专项重点攻关课题(首发2022-1-2023);国家重点研发计划主动健康和老龄化科技应对重点专项(2020YFC2005200);北京市教育学会“十四五”教育科研课题“普小融合教育‘资源带’模式实践研究”(DCYB2021-154)。

摘　　要：目的探讨听力障碍合并发育迟缓儿童康复干预效果,为该类儿童的非药物干预手段提供借鉴。方法选择1例听力障碍合并发育迟缓儿童作为研究对象,采用游戏活动、行为治疗、正强化、惩罚、消退、听觉口语法等康复训练,帮助儿童缓解问题行为。结果①儿童畏缩、恐惧行为明显缓解;②听力辨别力明显提升,对自然环境辨别力明显提高;③个案康复后言语识别率为31%,可以与他人交流。结论听力障碍合并发育迟缓儿童康复训练需要不同康复领域教师合作制订科学有效的个别化教育计划,进而改善儿童问题行为,帮助其更好地融入社会。Objective To investigate the effectiveness of rehabilitation interventions for children with hearing disorders and global developmental delay,and to provide reference for developing non-pharmacological interventions for children with hearing disorders and global developmental delay.Method One girl with hearing disorders and global developmental delay was selected as the study subject,and rehabilitation training such as play activities,behavioral therapy,positive reinforcement,punishment,extinction,and auditory speaking were used to help the child to alleviate her problem behaviors.Results Children's flinching and fearful behaviors were significantly relieved;Auditory discrimination was significantly improved,and discrimination of natural environment was significantly improved;After rehabilitation,the child's speech recognition is 31%and she can communicate naturally with others.Conclusion Rehabilitation training for children with hearing disorders and global developmental delay requires cooperation among teachers in different rehabilitation fields to develop individualized education plans that are scientifically and effectively developed and implemented,thereby enhancing the problem behaviors of children with hearing disorders and global developmental delay and gradually integrating them into society.

关 键 词：听力障碍 发育迟缓 多重性障碍 

分 类 号：R764[医药卫生—耳鼻咽喉科] R493[医药卫生—临床医学]