Itinéraire thérapeutique des enfants atteints de paralysie cérébrale admis en médecine physique et de réadaptation (MPR) à Abidjan en 2018

Q4 Medicine

Motricite Cerebrale Pub Date : 2023-06-01 DOI:10.1016/j.motcer.2023.04.002

A.D. Alloh, K.M. Djossou, A. Tia, G.R. Koffi, N.M. Sie, D.J. Bombo

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引用次数: 0

Abstract

Objective

To analyze the different stages of the medical and rehabilitation follow-up of children with cerebral palsy (CP) before their admission to the PMR department.

Methods

Cross-sectional study analyzing the care pathway of 58 children with PC before their admission to the MPR department of the Yopougon University Hospital over the period from June to September 2018.

Results

The majority of children with male CP (58.6%) were the first or second child in the siblings. The parents lived as a couple (84%) and resided in the city of Abidjan (87%) but the children lived with both parents in 77.6%. Diagnosis made in a university hospital (46.5%) or in a clinic private (29.3%) by specialists in pediatrics (53.4%) and neurology (34.5%). The time to diagnosis was more than 6 months in 55.2 %. These parents used several therapies: medical (62.07%), traditional (31.03%) and spiritual (6.90%). The most used therapeutic route was medical-traditional-medical (29.3%). The factors influencing the choice of route were the parents’ culture and beliefs (75.9%) and family and economic factors.

Conclusion

Need to develop a precise therapeutic circuit for children with CP.

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2018年阿比让物理和康复医学（MPR）录取的脑瘫儿童治疗行程

目的分析脑瘫患儿入院前不同阶段的医疗和康复随访情况。方法横断面研究分析了2018年6月至9月期间58名PC儿童入住Yopougon大学医院MPR科前的护理途径。结果大多数男性CP儿童（58.6%）是兄弟姐妹中的第一个或第二个孩子。父母是一对夫妻（84%），居住在阿比让市（87%），但77.6%的孩子与父母共同生活。儿科专家（53.4%）和神经病学专家在大学医院（46.5%）或私人诊所（29.3%）进行诊断（34.5%）。55.2%的孩子诊断时间超过6个月。这些父母使用了几种疗法：医学（62.07%），传统（31.03%）和精神（6.90%）。最常用的治疗途径是医学-传统医学（29.3%）。影响途径选择的因素是父母的文化和信仰（75.9%）以及家庭和经济因素。结论需要开发一种精确的儿童CP治疗电路。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Motricite Cerebrale Medicine-Rehabilitation

CiteScore

0.10

自引率

0.00%

发文量

审稿时长

58 days

期刊介绍： La recherche et les traitements des atteintes cérébrales Motricité cérébrale sa adresse aux ?praticiens de la motricité concernés par le examen et la rééducation des handicapés souffrant de troubles neurologiques et associés, allant du polyhandicap a le IMC. Motricité cérébrale publie des études et des évaluations sur les conséquences motrices, psychomotrices, pédagogiques et sociales résultant des atteintes cérébrales. La revue propose également des articles de clinique et de réadaptation.