{"id":27500,"date":"2023-05-14T17:54:14","date_gmt":"2023-05-14T10:54:14","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27500"},"modified":"2023-05-14T17:54:14","modified_gmt":"2023-05-14T10:54:14","slug":"phuc-hoi-chuc-nang-suot-doi-o-tre-bai-nao","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/14\/phuc-hoi-chuc-nang-suot-doi-o-tre-bai-nao\/","title":{"rendered":"Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng su\u1ed1t \u0111\u1eddi \u01a1\u0309 tre\u0309 ba\u0323i na\u0303o"},"content":{"rendered":"

Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng su\u1ed1t \u0111\u1eddi l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 gi\u00fap tr\u1ebb b\u1ecb b\u1ea1i n\u00e3o ph\u00e1t tri\u1ec3n t\u1ed1i \u0111a c\u00e1c k\u1ef9 n\u0103ng c\u1ea7n thi\u1ebft \u0111\u1ec3 tham gia v\u00e0o c\u00e1c ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a tr\u1ebb. B\u01a1\u0309i vi\u0300 b\u1ea1i n\u00e3o<\/a> l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng v\u0129nh vi\u1ec5n nh\u01b0ng kh\u00f4ng ph\u1ea3i l\u00e0 kh\u00f4ng thay \u0111\u1ed5i. T\u00ecnh tr\u1ea1ng c\u01a1 x\u01b0\u01a1ng kh\u1edbp, c\u00e1c kh\u1ea3 n\u0103ng ch\u1ee9c n\u0103ng v\u00e0 ch\u1ee9c n\u0103ng nh\u1eadn th\u1ee9c c\u00f3 th\u1ec3 v\u00e0 tr\u00ean th\u1ef1c t\u1ebf thay \u0111\u1ed5i theo th\u1eddi gian. C\u00e1c k\u1ef9 n\u0103ng \u0111\u1ea1t \u0111\u01b0\u1ee3c trong th\u1eddi th\u01a1 \u1ea5u c\u00f3 th\u1ec3 suy gi\u1ea3m do c\u00e1c thay \u0111\u1ed5i c\u01a1 x\u01b0\u01a1ng, \u1ea3nh h\u01b0\u1edfng c\u1ee7a d\u1eady th\u00ec v\u00e0 l\u00e3o h\u00f3a s\u1edbm. Nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh b\u1ea1i n\u00e3o c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u1ee3i t\u1eeb c\u00e1c \u0111\u1ee3t ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng l\u1eb7p l\u1ea1i \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf nh\u1eefng th\u1eddi \u0111i\u1ec3m t\u0103ng tr\u01b0\u1edfng quan tr\u1ecdng. Vi\u1ec7c theo d\u00f5i \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng t\u1ea1i c\u00e1c th\u1eddi \u0111i\u1ec3m chuy\u1ec3n ti\u1ebfp t\u1ef1 nhi\u00ean nh\u01b0 b\u1eaft \u0111\u1ea7u d\u1eady th\u00ec, thanh thi\u1ebfu ni\u00ean v\u00e0 su\u1ed1t tu\u1ed5i tr\u01b0\u1edfng th\u00e0nh.<\/p>\n

Ba\u0300i vi\u00ea\u0301t d\u01b0\u0323a tr\u00ean Quy\u1ebft \u0111\u1ecbnh s\u1ed1 5623 \/Q\u0110-BYT ng\u00e0y 21\/9\/2018 c\u1ee7a B\u1ed9 tr\u01b0\u1edfng B\u1ed9 Y t\u1ebf.<\/em><\/p>\n

\"Nhu
Nhu c\u00e2\u0300u h\u00f4\u0300i phu\u0323c ch\u01b0\u0301c n\u0103ng su\u00f4\u0301t \u0111\u01a1\u0300i \u01a1\u0309 tre\u0309 ba\u0323i na\u0303o<\/figcaption><\/figure>\n

1. S\u1ef1 suy gi\u1ea3m c\u1ee7a ch\u1ee9c n\u0103ng v\u00e0 \u0111i l\u1ea1i \u0111o\u0301ng go\u0301p va\u0300o nhu c\u00e2\u0300u ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng su\u1ed1t \u0111\u1eddi<\/strong><\/h2>\n

1.1. Thanh thi\u1ebfu ni\u00ean<\/strong><\/h3>\n
\"\"
C\u00e1c \u0111\u01b0\u1eddng cong V\u1eadn \u0111\u1ed9ng Th\u00f4 cho B\u1ea1i n\u00e3o<\/figcaption><\/figure>\n

C\u00e1c d\u1ef1 b\u00e1o ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng cho tr\u1ebb em v\u00e0 thanh thi\u1ebfu ni\u00ean b\u1ea1i n\u00e3o \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn \u0111\u1ea7y \u0111\u1ee7. C\u00e1c \u0111\u01b0\u1eddng cong v\u1eadn \u0111\u1ed9ng th\u00f4 cho tr\u1ebb b\u1ea1i n\u00e3o bi\u1ec3u di\u1ec5n t\u1ef7 l\u1ec7 \u0111\u1ea1t \u0111\u01b0\u1ee3c k\u1ef9 n\u0103ng v\u1eadn \u0111\u1ed9ng th\u00f4 trung b\u00ecnh cho tr\u1ebb \u1edf c\u00e1c m\u1ee9c GMFCS kh\u00e1c nhau. \u0110\u1ed3 th\u1ecb cho th\u1ea5y s\u1ef1 \u1ed5n \u0111\u1ecbnh \u0111\u01b0\u1ee3c d\u1ef1 ki\u1ebfn cho m\u1ee9c GMFCS I-II v\u00e0 s\u1ef1 suy gi\u1ea3m trung b\u00ecnh cho m\u1ee9c GMFCS III-V, trong \u0111\u00f3 suy gi\u1ea3m x\u1ea3y ra s\u1edbm nh\u1ea5t l\u00e0 v\u00e0o l\u00fac 7 ho\u1eb7c 8 tu\u1ed5i. Xu h\u01b0\u1edbng n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 “l\u1ecbch s\u1eed t\u1ef1 nhi\u00ean c\u1ee7a b\u1ea1i n\u00e3o” (Hanna v\u00e0 c\u1ed9ng s\u1ef1, 2009).<\/p>\n

M\u1ed9t s\u1ed1 \u00edt nghi\u00ean c\u1ee9u \u0111\u00e3 xem x\u00e9t t\u00ednh \u1ed5n \u0111\u1ecbnh c\u1ee7a GMFCS \u1edf nh\u1eefng ng\u01b0\u1eddi l\u1edbn tr\u00ean 21 tu\u1ed5i (Jahnsen, 2006, McCormick, 2007). C\u00e1c nghi\u00ean c\u1ee9u n\u00e0y b\u00e1o c\u00e1o s\u1ef1 gi\u1ea3m ch\u1ee9c n\u0103ng ngay c\u1ea3 trong m\u1ee9c GMFCS I v\u00e0 II, v\u00e0 nh\u1eefng l\u00fd do c\u1ee7a c\u00e1c thay \u0111\u1ed5i trong m\u1ee9c GMFCS l\u00e0 m\u1ec7t m\u1ecfi, c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 th\u0103ng b\u1eb1ng, s\u1ee3 b\u1ecb ng\u00e3 v\u00e0 \u0111au c\u01a1 x\u01b0\u01a1ng kh\u1edbp m\u1ea1n t\u00ednh.<\/p>\n

Ti\u00ean l\u01b0\u1ee3ng ch\u1ee9c n\u0103ng \u0111i l\u1ea1i<\/p>\n

    \n
  • Kh\u1ea3 n\u0103ng \u0111i l\u1ea1i c\u1ee7a \u0111\u1ee9a tr\u1ebb \u1edf tu\u1ed5i 12 d\u1ef1 \u0111o\u00e1n kh\u1ea3 n\u0103ng \u0111i l\u1ea1i khi tr\u01b0\u1edfng th\u00e0nh<\/li>\n
  • Tr\u1ebb \u0111i v\u1edbi d\u1ee5ng c\u1ee5 tr\u1ee3 gi\u00fap ho\u1eb7c kh\u00f4ng th\u1ec3 \u0111i l\u1ea1i s\u1ebd m\u1ea5t ch\u1ee9c n\u0103ng \u0111i l\u1ea1i trong th\u1eddi thanh thi\u1ebfu ni\u00ean<\/li>\n
  • Kh\u1ea3 n\u0103ng \u0111i l\u1ea1i gi\u1ea3m th\u00eam trong \u1edf giai \u0111o\u1ea1n sau c\u1ee7a tu\u1ed5i tr\u01b0\u1edfng th\u00e0nh<\/li>\n<\/ul>\n

    C\u00e1c Khuy\u1ebfn c\u00e1o:<\/strong><\/p>\n

    Nh\u1eefng tr\u1ebb \u0111i v\u1edbi d\u1ee5ng c\u1ee5 tr\u1ee3 gi\u00fap v\u00e0 gia \u0111\u00ecnh n\u00ean chu\u1ea9n b\u1ecb tinh th\u1ea7n v\u1ec1 vi\u1ec7c c\u00f3 th\u1ec3 m\u1ea5t ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng \u1edf tu\u1ed5i thanh thi\u1ebfu ni\u00ean.<\/em><\/p>\n

    Nh\u1eefng tr\u1ebb \u0111i v\u1edbi d\u1ee5ng c\u1ee5 tr\u1ee3 gi\u00fap c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c l\u01b0\u1ee3ng gi\u00e1 kh\u1ea3 n\u0103ng di chuy\u1ec3n v\u00e0o l\u00fac b\u1eaft \u0111\u1ea7u tu\u1ed5i v\u1ecb th\u00e0nh ni\u00ean \u0111\u1ec3 ch\u1ec9 \u0111\u1ecbnh c\u00e1c d\u1ee5ng c\u1ee5 di chuy\u1ec3n ph\u00f9 h\u1ee3p v\u1edbi m\u1ee9c suy gi\u1ea3m ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng.<\/em><\/p>\n

    1.2. Tu\u1ed5i tr\u01b0\u1edfng th\u00e0nh<\/strong><\/h3>\n

    Tr\u00ean 25% ng\u01b0\u1eddi l\u1edbn b\u1ea1i n\u00e3o b\u1ecb suy gi\u1ea3m v\u1ec1 d\u00e1ng \u0111i v\u00e0 ch\u1ee9c n\u0103ng \u0111i l\u1ea1i. Nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao nh\u1ea5t l\u00e0 ng\u01b0\u1eddi l\u1edbn \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i m\u1ee9c GMFCS III v\u00e0 ng\u01b0\u1eddi l\u1edbn b\u1ea1i n\u00e3o hai b\u00ean.<\/p>\n

    S\u1ef1 suy gi\u1ea3m gi\u1ea3m d\u00e1ng \u0111i v\u1edbi ng\u01b0\u1eddi l\u1edbn b\u1ea1i n\u00e3o x\u1ea3y ra \u1edf tu\u1ed5i s\u1edbm h\u01a1n so v\u1edbi ng\u01b0\u1eddi l\u1edbn kh\u00f4ng c\u00f3 khuy\u1ebft t\u1eadt. S\u1ef1 suy gi\u1ea3m c\u00f3 li\u00ean quan ch\u1eb7t ch\u1ebd v\u1edbi t\u00ecnh tr\u1ea1ng kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng v\u00e0 nguy c\u01a1 th\u1ea5p h\u01a1n \u1edf nh\u1eefng ng\u01b0\u1eddi l\u1edbn ho\u1ea1t \u0111\u1ed9ng th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean. Tu\u1ed5i t\u00e1c, \u0111au nhi\u1ec1u h\u01a1n, m\u1ec7t m\u1ecfi nhi\u1ec1u h\u01a1n, gi\u1ea3m kh\u1ea3 n\u0103ng th\u0103ng b\u1eb1ng v\u00e0 kh\u00f4ng c\u00f3 c\u01a1 h\u1ed9i tham gia v\u00e0o ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t ph\u00f9 h\u1ee3p c\u0169ng li\u00ean quan \u0111\u1ebfn s\u1ef1 suy gi\u1ea3m \u0111i l\u1ea1i (Morgan & McGinley, 2013).<\/p>\n

    Ngo\u00e0i gi\u1ea3m kh\u1ea3 n\u0103ng \u0111i l\u1ea1i, suy gi\u1ea3m trong th\u1ef1c hi\u1ec7n c\u00e1c ho\u1ea1t \u0111\u1ed9ng c\u1ee7a cu\u1ed9c s\u1ed1ng h\u00e0ng ng\u00e0y, \u0103n u\u1ed1ng v\u00e0 ch\u1ee9c n\u0103ng nh\u1eadn th\u1ee9c c\u0169ng th\u01b0\u1eddng g\u1eb7p \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ea1i n\u00e3o.<\/p>\n

    1.3. S\u1ef1 chuy\u1ec3n ti\u1ebfp<\/strong><\/h3>\n

    S\u1ef1 chuy\u1ec3n ti\u1ebfp gi\u1eefa c\u00e1c d\u1ecbch v\u1ee5 PHCN tr\u1ebb em v\u00e0 ng\u01b0\u1eddi l\u1edbn l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 quan tr\u1ecdng trong ch\u0103m s\u00f3c nh\u1eefng ng\u01b0\u1eddi b\u1ea1i n\u00e3o.<\/p>\n

    C\u00e1c nguy\u00ean t\u1eafc chung sau \u0111\u00e2y c\u1ea7n h\u01b0\u1edbng d\u1eabn qu\u00e1 tr\u00ecnh l\u1eadp k\u1ebf ho\u1ea1ch chuy\u1ec3n ti\u1ebfp (NICE, 2017):<\/p>\n

      \n
    • C\u1ea7n nh\u1eadn ra r\u1eb1ng nh\u1eefng kh\u00f3 kh\u0103n th\u00e1ch th\u1ee9c \u0111\u1ed1i v\u1edbi nh\u1eefng thanh thi\u1ebfu ni\u00ean b\u1ea1i n\u00e3o ti\u1ebfp t\u1ee5c x\u1ea3y ra \u1edf tu\u1ed5i tr\u01b0\u1edfng th\u00e0nh v\u00e0 c\u1ea7n \u0111\u1ea3m b\u1ea3o ch\u00fa \u00fd \u0111\u1ebfn c\u00e1c nhu c\u1ea7u v\u1ec1 s\u1ee9c kho\u1ebb, x\u00e3 h\u1ed9i v\u00e0 ph\u00e1t tri\u1ec3n c\u00e1 nh\u00e2n, \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn h\u1ecdc t\u1eadp v\u00e0 giao ti\u1ebfp khi l\u1eadp k\u1ebf ho\u1ea1ch v\u00e0 th\u1ef1c hi\u1ec7n s\u1ef1 chuy\u1ec3n ti\u1ebfp.<\/li>\n
    • C\u1ea7n nh\u1eadn ra r\u1eb1ng \u0111\u1ed1i v\u1edbi thanh thi\u1ebfu ni\u00ean b\u1ea1i n\u00e3o, c\u00f3 th\u1ec3 c\u00f3 nhi\u1ec1u h\u01a1n m\u1ed9t giai \u0111o\u1ea1n chuy\u1ec3n ti\u1ebfp trong c\u00e1c ho\u00e0n c\u1ea3nh ch\u0103m s\u00f3c s\u1ee9c kho\u1ebb v\u00e0 x\u00e3 h\u1ed9i; v\u00ed d\u1ee5 nh\u01b0 tr\u01b0\u1eddng \u0111\u1ea1i h\u1ecdc, c\u01a1 s\u1edf gi\u00e1o d\u1ee5c th\u01b0\u1eddng tr\u00fa v\u00e0 \u1edf nh\u00e0.<\/li>\n<\/ul>\n

      C\u00e1c Khuy\u1ebfn c\u00e1o cho l\u1eadp k\u1ebf ho\u1ea1ch chuy\u1ec3n ti\u1ebfp:<\/strong><\/p>\n

      Ph\u00e1t tri\u1ec3n l\u1ed9 tr\u00ecnh chuy\u1ec3n ti\u1ebfp r\u00f5 r\u00e0ng li\u00ean quan \u0111\u1ebfn: c\u00e1c b\u00e1c s\u0129 c\u1ee7a tr\u1ebb v\u00e0 c\u00e1c nh\u00e2n vi\u00ean y t\u1ebf trong d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kho\u1ebb ng\u01b0\u1eddi l\u1edbn, c\u1ea3 \u1edf \u0111\u1ecba ph\u01b0\u01a1ng v\u00e0 khu v\u1ef1c, c\u00f3 quan t\u00e2m \u0111\u1ebfn x\u1eed l\u00fd b\u1ea1i n\u00e3o.<\/em><\/p>\n

      \u0110\u1ea3m b\u1ea3o r\u1eb1ng c\u00e1c chuy\u00ean gia ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe s\u1ebd tham gia v\u00e0o vi\u1ec7c ch\u0103m s\u00f3c cho nh\u1eefng ng\u01b0\u1eddi tr\u1ebb tu\u1ed5i b\u1ea1i n\u00e3o \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o \u0111\u1ea7y \u0111\u1ee7 \u0111\u1ec3 gi\u1ea3i quy\u1ebft t\u1ea5t c\u1ea3 c\u00e1c nhu c\u1ea7u ch\u0103m s\u00f3c s\u1ee9c kho\u1ebb v\u00e0 x\u00e3 h\u1ed9i c\u1ee7a c\u00e1c tr\u1ebb.<\/em><\/p>\n

      M\u1ed9t chu\u1ea9n m\u1ef1c t\u1ed1i thi\u1ec3u v\u1ec1 ch\u0103m s\u00f3c l\u00e0 \u0111\u1ea3m b\u1ea3o r\u1eb1ng ng\u01b0\u1eddi tr\u1ebb tu\u1ed5i \u0111\u01b0\u1ee3c ti\u1ebfp c\u1eadn v\u1edbi c\u00e1c d\u1ecbch v\u1ee5 c\u1ee7a ng\u01b0\u1eddi l\u1edbn c\u1ea3 \u1edf \u0111\u1ecba ph\u01b0\u01a1ng v\u00e0 khu v\u1ef1c bao g\u1ed3m c\u00e1c chuy\u00ean gia ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u00f3 hi\u1ec3u bi\u1ebft v\u1ec1 x\u1eed l\u00fd b\u1ea1i n\u00e3o<\/em><\/p>\n

      \u0110\u1ea3m b\u1ea3o r\u1eb1ng t\u1ea5t c\u1ea3 c\u00e1c th\u00f4ng tin li\u00ean quan \u0111\u01b0\u1ee3c truy\u1ec1n \u0111\u1ea1t \u1edf m\u1ed7i th\u1eddi \u0111i\u1ec3m chuy\u1ec3n ti\u1ebfp.<\/em><\/p>\n

      Nh\u1eadn th\u1ee9c \u0111\u01b0\u1ee3c nh\u1eefng th\u00e1ch th\u1ee9c v\u1ec1 ch\u1ee9c n\u0103ng (bao g\u1ed3m nh\u1eefng v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn \u0103n, u\u1ed1ng, nu\u1ed1t, giao ti\u1ebfp v\u00e0 di chuy\u1ec3n) v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 th\u1ec3 ch\u1ea5t (bao g\u1ed3m c\u1ea3 \u0111au \u0111\u1edbn v\u00e0 kh\u00f3 ch\u1ecbu) c\u00f3 th\u1ec3 thay \u0111\u1ed5i theo th\u1eddi gian \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh b\u1ea1i n\u00e3o v\u00e0 xem x\u00e9t \u0111i\u1ec1u n\u00e0y trong l\u1eadp k\u1ebf ho\u1ea1ch chuy\u1ec3n ti\u1ebfp.<\/em><\/p>\n

      Cung c\u1ea5p t\u00ean c\u1ee7a c\u1ed9ng t\u00e1c vi\u00ean nh\u1eb1m t\u1ea1o \u0111i\u1ec1u ki\u1ec7n trao \u0111\u1ed5i th\u00f4ng tin k\u1ecbp th\u1eddi v\u00e0 hi\u1ec7u qu\u1ea3, v\u00e0\u00fd th\u1ee9c v\u1ec1 t\u1ea7m quan tr\u1ecdng c\u1ee7a s\u1ef1 ch\u0103m s\u00f3c li\u00ean t\u1ee5c.<\/em><\/p>\n

      2. H\u1ed7 tr\u1ee3 B\u1ed1 m\u1eb9, Gia \u0111\u00ecnh v\u00e0 Ng\u01b0\u1eddi ch\u0103m s\u00f3c trong nhu c\u00e2\u0300u ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng su\u1ed1t \u0111\u1eddi<\/h2>\n

      \u00a0<\/strong>B\u1ea1i n\u00e3o \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn to\u00e0n b\u1ed9 gia \u0111\u00ecnh m\u1ed9t c\u00e1ch d\u00e0i h\u1ea1n, ph\u1ee9c t\u1ea1p v\u00e0 \u0111a d\u1ea1ng. Trong c\u00e1c nghi\u00ean c\u1ee9u v\u1ec1 c\u00e1c kinh nghi\u1ec7m v\u00e0 mong \u0111\u1ee3i c\u1ee7a ph\u1ee5 huynh, nhi\u1ec1u gia \u0111\u00ecnh \u0111\u00e3 b\u00e0y t\u1ecf mong mu\u1ed1n ng\u01b0\u1eddi con b\u1ea1i n\u00e3o c\u1ee7a m\u00ecnh c\u00f3 th\u1ec3 s\u1ed1ng m\u1ed9t c\u00e1ch \u0111\u1ed9c l\u1eadp trong t\u01b0\u01a1ng lai. B\u1ed1 m\u1eb9 th\u01b0\u1eddng y\u00eau c\u1ea7u th\u00f4ng tin v\u1ec1 nh\u1eefng \u0111i\u1ec1u th\u1ef1c ti\u1ec5n c\u00f3 th\u1ec3 mong \u0111\u1ee3i cho t\u01b0\u01a1ng lai c\u1ee7a con c\u00e1i h\u1ecd. C\u00e1c ph\u1ee5 huynh th\u01b0\u1eddng c\u1ea3m th\u1ea5y th\u1ea5t v\u1ecdng v\u1ec1 ti\u1ebfn b\u1ed9 c\u1ee7a con m\u00ecnh (Darrah, Wiart, Magill-Evans, Ray v\u00e0 Andersen, 2014; Kruijsen-Terpstra, v\u00e0 c\u1ed9ng s\u1ef1, 2016).<\/p>\n

        \n
      • C\u00e1c gia \u0111\u00ecnh c\u00f3 con b\u1ecb ch\u1ea9n \u0111o\u00e1n l\u00e0 b\u1ecb b\u1ea1i n\u00e3o tr\u1ea3i qua nh\u1eefng nhi\u1ec7m v\u1ee5 ch\u0103m s\u00f3c ph\u1ee9c t\u1ea1p, \u0111\u01b0\u01a1ng \u0111\u1ea7u v\u1edbi kh\u00f3 kh\u0103n v\u1ec1 t\u00e0i ch\u00ednh, h\u1ea1n ch\u1ebf th\u00e0nh c\u00f4ng trong ngh\u1ec1nghi\u1ec7p, c\u0103ng th\u1eb3ng trong c\u00e1c m\u1ed1i quan h\u1ec7, \u0111au bu\u1ed3n v\u00e0 c\u00f4 l\u1eadp x\u00e3 h\u1ed9i. H\u1ecd c\u00f3 th\u1ec3 b\u1ecb c\u0103ng th\u1eb3ng v\u00e0 lo l\u1eafng nhi\u1ec1u v\u1ec1 t\u01b0\u01a1ng lai v\u00e0 c\u1ea3m nh\u1eadn s\u1ef1 thi\u1ebfu hi\u1ec3u bi\u1ebft t\u1eeb c\u1ed9ng \u0111\u1ed3ng l\u1edbn h\u01a1n xung quanh.<\/li>\n
      • B\u1ed1 m\u1eb9 c\u1ee7a tr\u1ebb b\u1ea1i n\u00e3o c\u1ea7n ph\u1ea3i ch\u1ee7 \u0111\u1ed9ng, c\u00f3 k\u1ef9 n\u0103ng v\u00e0 \u00fd th\u1ee9c v\u1ec1 c\u00e1c l\u1ef1a ch\u1ecdn nu\u00f4i d\u1ea1y con c\u1ee7a m\u00ecnh \u0111\u1ec3 h\u1ed7 tr\u1ee3 tr\u1ebb ph\u00e1t tri\u1ec3n t\u1ed1t nh\u1ea5t.<\/li>\n
      • Nu\u00f4i d\u1ea1y m\u1ed9t tr\u1ebb b\u1ea1i n\u00e3o v\u00e0 gi\u00fap tr\u1ebb ph\u00e1t tri\u1ec3n t\u1ed1i \u01b0u nh\u1ea5t \u0111\u00f2i h\u1ecfi suy ngh\u0129 h\u01b0\u1edbng v\u1ec1 ph\u00eda tr\u01b0\u1edbc, cam k\u1ebft l\u00e2u d\u00e0i, t\u00ednh ki\u00ean nh\u1eabn, c\u00e1c k\u1ef9 n\u0103ng x\u1eed l\u00fd h\u00e0nh vi v\u00e0 n\u1ed7 l\u1ef1c v\u01b0\u1ee3t kh\u00f3 nhi\u1ec1u h\u01a1n h\u1eb3n vi\u1ec7c nu\u00f4i d\u1ea1y m\u1ed9t tr\u1ebb ph\u00e1t tri\u1ec3n b\u00ecnh th\u01b0\u1eddng. H\u01a1n n\u1eefa, t\u1ea5t c\u1ea3 nh\u1eefng \u0111i\u1ec1u n\u00e0y \u0111\u00f2i h\u1ecfi m\u1ed9t m\u1ed1i d\u00e2y li\u00ean k\u1ebft t\u00ecnh c\u1ea3m v\u1eefng ch\u1eafc v\u00e0 kh\u1ea3 n\u0103ng h\u1ed3i ph\u1ee5c t\u00e2m l\u00fd c\u1ee7a b\u1ed1 m\u1eb9.<\/li>\n<\/ul>\n

        C\u00e1c khuy\u1ebfn c\u00e1o v\u1ec1 c\u00e1ch th\u1ee9c trao quy\u1ec1n v\u00e0 h\u1ed7 tr\u1ee3 c\u00e1c gia \u0111\u00ecnh:<\/strong><\/p>\n

        Kh\u00f4ng c\u00f3 m\u1ed9t ph\u01b0\u01a1ng c\u00e1ch trao quy\u1ec1n n\u00e0o c\u00f3 th\u1ec3 \u00e1p d\u1ee5ng \u0111\u01b0\u1ee3c cho t\u1ea5t c\u1ea3 c\u00e1c gia \u0111\u00ecnh tr\u1ebb b\u1ea1i n\u00e3o v\u00e0 c\u00e1c nh\u00e2n vi\u00ean y t\u1ebf ph\u1ea3i \u0111\u00e1nh gi\u00e1 nhu c\u1ea7u c\u00e1 nh\u00e2n c\u1ee7a m\u1ed7i gia \u0111\u00ecnh \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh c\u00e1ch ti\u1ebfp c\u1eadn c\u00f3 l\u1ee3i nh\u1ea5t:<\/p>\n

          \n
        • Khuy\u1ebfn kh\u00edch s\u1ef1 tham gia c\u1ee7a ph\u1ee5 huynh v\u00e0o c\u00e1c nh\u00f3m h\u1ed7 tr\u1ee3 c\u1ed9ng \u0111\u1ed3ng <\/strong>\u0111\u1ec3 k\u1ebft n\u1ed1i c\u00e1c gia \u0111\u00ecnh c\u00f3 con b\u1ea1i n\u00e3o v\u1edbi<\/li>\n
        • Ph\u00e1t tri\u1ec3n c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh hu\u1ea5n luy\u1ec7n cho gia \u0111\u00ecnh <\/strong>\u0111\u1ec3 gi\u00e1o d\u1ee5c v\u00e0 h\u1ed7 tr\u1ee3 b\u1ed1 m\u1eb9 v\u1ec1 nh\u1eefng nhu c\u1ea7u c\u1ee5 th\u1ec3 v\u1ec1 s\u1ee9c kho\u1ebb (v\u00ed d\u1ee5 nh\u01b0 hu\u1ea5n luy\u1ec7n ph\u1ee5 huynh v\u1ec1 v\u1ea5n \u0111\u1ec1 cho \u0103n v\u00e0 dinh d\u01b0\u1ee1ng).<\/li>\n
        • Gi\u1edbi thi\u1ec7u ph\u1ee5 huynh \u0111\u1ebfn c\u00e1c t\u1ed5 ch\u1ee9c h\u1ed7 tr\u1ee3 ph\u1ee5 huynh qu\u1ed1c t\u1ebf <\/strong>c\u00f3 th\u1ec3 k\u1ebft n\u1ed1i c\u00e1c gia \u0111\u00ecnh qua internet, m\u1ea1ng x\u00e3 h\u1ed9i v\u00e0 e-mail (v\u00ed d\u1ee5 Hi\u1ec7p h\u1ed9i \u0110\u1ed9t qu\u1ef5 v\u00e0 Li\u1ec7t n\u1eeda ng\u01b0\u1eddi Tr\u1ebb em (CHASA), H\u1ed9i li\u1ec7t n\u1eeda ng\u01b0\u1eddi tr\u1ebb em (Hemi-Kids))<\/li>\n
        • H\u1ee3p t\u00e1c v\u1edbi c\u00e1c gia \u0111\u00ecnh \u0111\u1ec3 ph\u00e1t tri\u1ec3n c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh t\u1ea1i nh\u00e0 v\u00e0 c\u00e1c m\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb.<\/li>\n<\/ul>\n

          Khuy\u1ebfn c\u00e1o:<\/strong><\/p>\n

          C\u1ea7n gi\u00e1o d\u1ee5c c\u00e1c nh\u00e2n vi\u00ean y t\u1ebf v\u1ec1 qu\u00e1 tr\u00ecnh trao quy\u1ec1n cho ph\u1ee5 huynh v\u00e0 t\u00ecm hi\u1ec3u c\u00e1c bi\u1ec7n ph\u00e1p \u0111\u1ec3 t\u0103ng c\u01b0\u1eddng h\u1ed7 tr\u1ee3 gia \u0111\u00ecnh v\u00e0 tham gia c\u1ee7a c\u1ed9ng \u0111\u1ed3ng.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

          Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng su\u1ed1t \u0111\u1eddi l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 gi\u00fap tr\u1ebb b\u1ecb b\u1ea1i n\u00e3o ph\u00e1t tri\u1ec3n t\u1ed1i \u0111a c\u00e1c k\u1ef9 n\u0103ng c\u1ea7n thi\u1ebft \u0111\u1ec3 tham gia v\u00e0o c\u00e1c ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a tr\u1ebb. B\u01a1\u0309i vi\u0300 b\u1ea1i n\u00e3o l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng v\u0129nh vi\u1ec5n nh\u01b0ng kh\u00f4ng […]<\/p>\n","protected":false},"author":42,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10,33],"tags":[],"yoast_head":"\nPh\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng su\u1ed1t \u0111\u1eddi \u01a1\u0309 tre\u0309 ba\u0323i na\u0303o - Vinmec<\/title>\n<meta name=\"description\" content=\"Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng su\u1ed1t \u0111\u1eddi quan tro\u0323ng trong vi\u00ea\u0323c gi\u00fap tr\u1ebb b\u1ecb b\u1ea1i n\u00e3o c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a tr\u1ebb.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng su\u1ed1t \u0111\u1eddi \u01a1\u0309 tre\u0309 ba\u0323i na\u0303o - 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