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篇名
特殊幼童家長參與醫療評估之經驗探究
並列篇名
Parents’Experiences of the Diagnostic Process of Young Children with Disabilities in Medical Institutions
中文摘要
特殊幼兒早期療育的第一步通常從醫療評估開始。在兒童發展評估過程中,家長參與逐漸成為重要的議題。本研究旨在探討特殊幼童家長參與醫療評估的經驗感受,採質性研究取向訪談六位家長。訪談資料與相關文件經編碼、分析、歸納後得出以下結果:家長參與孩子接受醫療評估過程中,「評估前」缺少評估管道相關資訊;「評估中」不了解評估流程且節奏緊湊、多次往返疲於奔命、評估人員專業冷淡社工則溫暖支持;「評估後」聽取報告時間過短、醫師直白宣判正向接受若能共感同理更添支持、多數家長同意評估診斷結果少數持保留態度。本研究家長雖有較多負向感受,但仍有正向回饋,包括:肯定醫院社工溫暖態度;少數醫生在宣判診斷結果時能提供心理支持鼓勵家長;以及家長多能認同醫療診斷結果。最後,根據本研究結果提出實務及研究建議。
英文摘要
Early intervention for children with special needs often begins with medical evaluation, and parental involvement has become a critical issue in this process. This study explored parents’experiences and perceptions of their child’s developmental assessment in medical institutions. Using a qualitative research approach, six parents of children with autism spectrum disorder, developmental delay, hearing loss, or ADHD were interviewed. Data sources included interviews, medical reports, and video records provided by parents, which were coded, analyzed, and triangulated for accuracy.
Findings revealed three main stages of parental experience. Before assessment, parents reported insufficient information about appropriate referral channels. During assessment, they were unfamiliar with procedures, experienced fatigue due to multiple visits, and perceived professionals as indifferent, while social workers were regarded as supportive. After assessment, parents expressed that report explanations were too brief; while many accepted the diagnostic results, some questioned their accuracy, believing that professionals had limited time to understand their child. Despite these challenges, positive feedback included appreciation for the empathy of social workers and, in some cases, supportive communication from physicians. Overall, the study highlights gaps in communication, limited parental participation, and a lack of professional awareness of parents’rights to be involved in the assessment process. Practical recommendations include simplifying assessment procedures, providing parents with preparatory information, encouraging professionals to adopt empathetic communication, and promoting parental preparation through daily observations and records. Future research should expand to diverse cultural and socioeconomic contexts to enrich understanding of parental involvement in medical evaluations.
起訖頁 27-53
關鍵詞 早期療育、醫療診斷評估、家長參與、parental experiences、medical diagnostic process、early intervention
刊名 溝通障礙教育  
期數 202509 (11期)
出版單位 中華溝通障礙教育學會
該期刊-上一篇 同伴介入策略促進輕度自閉症兒童社會互動的介入研究
該期刊-下一篇 幼兒園基礎評鑑託藥措施的落實與挑戰:教保人員觀點之探討
 

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