Problem Rates and Service Requirements of Extremely Low Birth Weight Preschoolers in Areas Designated in the World Health Organization International Classification of Functioning in Children and Adolescents (ICF-CY) System Aşırı Düşük Doğum Ağırlıklı Prematüre Çocukların Okul Öncesi Dönemde Dünya Sağlık Örgütü Çocuk ve Ergenlerde Uluslararası İşlevsellik Sınıflamasında Belirlenen Alanlarda Sorun Yaşama Oranları ve Hizmet Gereksinimleri
Experimed, cilt.11, sa.2, ss.102-112, 2021 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 11 Sayı: 2
- Basım Tarihi: 2021
- Doi Numarası: 10.26650/experimed.2021.927825
- Dergi Adı: Experimed
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.102-112
- Anahtar Kelimeler: extremely low birth weight, Premature, special education, Vineland, World Health Orga-nization
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Our aim was to determine the problem rates and service requirements according to the World Health Organization International Classification of Functioning in Children and Adolescents (ICF-CY) system defining specified areas such as body struc-tures, functionality, activity, participation in life and environmental factors in premature children born weighing <1000 g and aged 3 to 5 years during the research process. Material and Method: The physical and neurological examina-tion results and perinatal and sociodemographic characteristics were examined for 58 preschoolers who had been born prema-turely and they were evaluated in terms of communication, so-cialization, movement, and daily living skills using the Vineland Adaptation and Behavior Scale. The results were adapted to the ICF-CY model. Results: The proportions of functionality problems of our cases were found to be 20.6% for communication, 12.1% for participation in daily life skills, 19% for socialization and 29.3% for move-ment. Severe behavioral problems incompatible with age were identified in only 3 cases. Movement functionality was determined to significantly affect self-care functionality, participation in home life activities, socialization functionality, participation in games and leisure activities, and learning and problem solving function-ality. It was determined that 22.4% of our cases (13 cases) needed a high level of special education support. Conclusion: Long-term follow-up is very important in determining the functionality, efficiency, participation in life, and service needs of extremely low birth weight premature babies whose survival rates are gradually increasing and should be continued with a multidisciplinary approach until adolescence.