從家庭護理的哲理談早期療育服務

A Discussion of Early Intervention Services from the Perspective of the Philosophy of Family Nursing

政府在台灣推動為發展遲緩兒童提供早期療育服務，已有約十年的經驗；護理人員參與其中，貢獻最多的是在篩檢工作方面，以期早期發現個案，能把握孩童療育效果的黃金時段提供服務。早期療育特別強調的是以家庭為中心，這與家庭護理的理念相同。本文即以此為主軸，分別闡述家庭護理及早期療育所涵蓋的重要概念或實務要項（家庭評估及與個別化家庭服務計畫、到宅療育、家庭支援、家長參與、親職教育等）的意義及實際作法；期可加深護理人員的認知，而使其在往後的早期療育服務工作中更能發揮應有的角色功能。

About ten years ago in Taiwan, the government initiated early intervention for development-delayed children. For the purpose of early detection of latent cases and providing early intervention at the prime time for children, nurses are involved in the service, and their main contribution is in the screening procedure. Early intervention emphasizes the family-centered approach, the philosophy of which is the same as that of family nursing. With similar concerns as its axis, this article discusses the meaning and essential concepts or elements of early intervention practice, including the family assessment and individual family service plan (IFSP), home-based early intervention, family support, parent participation, parent education, etc. The hope is to improve nurses' understanding in order to enable them to bring into play a greater range of role functions when they participate in early intervention services in the future.