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@#Objective To investigate the effect of vocational rehabilitation and related factors in adult mental retarded persons in Beijing.Methods 152 mental retarded adult persons were investigated with Scale of Vocational Rehabilitation Effective for Adult with Mental Retarda⁃ tion. Results 59 (38.82%) persons improved their vocational ability after rehabilitation. The related factors of vocational rehabilitation included the causes of mental retardation and maladaptive behavior. Conclusion It is important for the vacational rehabilitation that the consultants deal with the maladaptive behavior appropriately.
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@#Objective To establish a scale of vocational rehabilitation for adult with intellectual disability.MethodsDelphi method was applied to comply the scale which was divided into four dimensions including life satisfaction, life skills, social interaction ability and personality to evaluate vocational rehabilitation for adult with intellectual disability.ResultsFor the test-retest reliability, the coefficient was 0.735 for the total scale, 0.869 for life satisfaction, 0.621 for life skills, 0.611 for social skills, and 0.505 for ability to work. The coefficien of the scale (all versions) in all dimensions and total scores were between 0.635～0.938.ConclusionThe scale has good reliability and validity to evaluate the effect of vocational rehabilitation of adult with intellectual disability.
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@#Objective To explore the outcome of children with mental retardation after 3 years follow-up. Methods The subjects were 237 children with mental retardation, selected from Beijing Municipal Investigation for Children with Disability in 2004. Gesell Developmental Schedule and Wechsler Intelligence Scale for Children were used to estimate the children's intelligence. Results After 3 years, the outcome showed non-mental retarded, 124 subjects (52.32%); mild mental retarded, 46; moderate mental retarded, 32; severe mental retarded, 16; profound mental retardation, 19. The related factors include urban/suburban (B=-0.622), parental knowledge about rehabilitation training (B=-0.470) and score of personal social interaction in Gesell Test(B=-0.040). Conclusion The outcomes of children with mental retardation are different. But some problems still exist even in non-mental retarded children.
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@#Objective To analyze the social and family factors influencing rehabilitation of mental retarded children.Methods 237 children diagnosed as mental retardation in 2004 in Beijing were researched with Self-designed Questionnaires and data were analyzed by Cross-tabs and Logistic Regression statistical method.Results The analysis showed that the degree of disabilities (P<0.001), education received (P<0.05), and the attitude from community to these children (P<0.05), were factors influencing rehabilitation of mental retarded children.Conclusion The degree of disabilities is the most important influencing factor to rehabilitation of mental retarded children; the mild or moderate mental cases can get good rehabilitation in a better community and family environment. The attitude to these children from community can make a great help to the rehabilitation.
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@# Objective To investigate the rehabilitation conditions of the developmental disabled children.Methods 269 developmental disabled children were involved.Among them,237 children were with mental retarded disability,57 with physical disability and 26 with psychological disability.Questionnaire was used to estimate their condition and affecting factors.Results The prevalence of non-rehabilitation in mental retarded children was 71.31%,in physical developmental disabled children was 33.93%,and in psychological developmental disabled children was 42.31%.The rehabilitation measures focused on training and medical service,rarely on psychological service.The rehabilitation's affecting factors included singleton(P<0.01),maternal age(P<0.01),parental educational degree(P<0.05) and parental understanding of the rehabilitation(P<0.001).Conclusion The factors affecting rehabilitation are complicated,and what we should do now is to subside the poor family,propagandize the rehabilitation knowledge to the children's parents.
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@#Objective To investigate the needs of rehabilitations in persons with mental retardation in Beijing.Methods 738 persons with mental retardation surveyed in the Second China National Sample Survey on Disability were involved,their rehabilitation condition and requisition were evaluated.Results 63.69% of them needed rehabilitation in community and family,73.31% needed rehabilitation training,their needs on medical service were met,needs on rehabilitation training were above provided service,needs on assistance articles and utensils were low,and needs on employment were high.Conclusion The case management system for persons with mental retardation should be built to meet their rehabilitation requisitions on different age and grade with various approaches.
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@#Objective To investigate the needs of rehabilitation in people with physical disability in Beijing.Methods 2390 Beijing physical disabled persons surveyed in the Second China National Sample Survey on Disability were involved,their rehabilitation condition and requisition were evaluated.Results 54.85% of them needed rehabilitation in institute,38.20% need rehabilitation in community and family,6.95% need extend service.41.06% need medicine service,30.70% need rehabilitation training,28.24% need assistance articles and utensils.Conclusion There are huge rehabilitation requisitions of physical disability in Beijing,which must be met with various approaches.
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@#Objective To investigate the status of rehabilitation demands of persons with speech disability in Beijing.Methods 355 persons with speech disability in Beijing in the Second National Sample Survey were involved in the study;their rehabilitation status and demands were evaluated.Results Persons with speech disability mainly needed rehabilitation in institute and in community and family,rehabilitation training and medicine service were needed mainly;persons with speech disability at different age and handicapped grade had different rehabilitation demands.Conclusion Rehabilitation awareness of persons with speech disability should be improved,a group of staffs on speech rehabilitation are base to satisfy rehabilitation training demands.