关键词: 全面性发育迟缓, 加拿大作业表现量表, 作业治疗, 日常生活能力

Abstract: Objective To observe the effect of occupational therapy program based on the Canadian Occupational Performance Measure(COPM) on the performance of occupational activities, satisfaction and activities of daily living in children with global developmental delay(GDD), so as to provide reference for clinical practice in the formulation of occupational therapy for children with global developmental delay. Methods A total of 69 children with GDD who received rehabilitation treatment in the outpatient department of Child Rehabilitation of Tangshan Maternal and Child Health Hospital from March 2021 to March 2022 were selected and randomly divided into control group (n=35) and observation group (n=34) by random number table method. The control group received routine rehabilitation therapy. Additionally, the observation group replaced occupational therapy with a goal-oriented occupational therapy program based on COPM results, and the treatment lasted for 3 months. Before treatment and 3 months after treatment, COPM was used to evaluate Children′s performance and satisfaction with target tasks, and Child Functional Independence Measure for Children (WeeFIM) was used to evaluate the Children′s activities of daily living. Results After treatment, the COPM performance scores of the observation group and the control group were significantly improved compared with those before treatment (t=21.845, 7.533, P<0.05), and the improvement of observation group was better than that of the control group (t=2.551, P<0.05). The COPM satisfaction scores of the observation group and the control group were significantly improved compared with those before treatment (t=22.240, 8.329, P<0.05), and the improvement of observation group was better than that of the control group (t=2.300, P<0.05). The effectiveness rates of COPM performance score and satisfaction score in the observation group were significantly higher than those in the control group (χ²=4.183, 4.284, P<0.05). After treatment, scores of motor function, cognitive function and total score of WeeFIM in the observation group were significantly higher than those in the control group (t=2.132, 2.994, 2.364, P<0.05). Conclusion The occupational therapy program based on COPM can improve the occupational performance and satisfaction of the target tasks of children with GDD and can significantly improve the activities of daily living of these children.

Key words: global developmental delay, Canadian Occupational Performance Measure, occupational therapy, activities of daily living