摘要
目的评价个体化康复延伸护理对脑性瘫痪(脑瘫)患儿日常生活活动能力(ADL)的影响。方法选择2017年1-12月在四川省八一康复中心接受治疗的重度障碍的脑瘫非手术患儿156例,其中男101例,女55例,依时间先后顺序分为2组,2017年1-6月实施延伸护理前的患儿70例为对照组,同年7-12月实施延伸护理后的患儿86例为观察组。对照组采取常规护理方法,依据ADL评定量表对患儿进行评定后进行护理。观察组采取延伸护理方法,依据ADL评定量表评定和判断障碍等级后,根据个体化的原则,选择患儿有利于康复护理的措施实施。分别在延伸护理前(W0)及延伸护理后第2周(W2)、第4周(W4)、第6周(W6)、第8周(W8)、第10周(W10)、第12周(W12)进行康复评定。结果2组患儿性别、年龄、体质量等一般资料以及W0时ADL评分比较差异无统计学意义(P>0.05)。2组患儿ADL评分随治疗时间呈上升趋势,且观察组上升的幅度大于对照组,与对照组比较,观察组在W4~W12时ADL评分显著增加(P<0.01)。治疗12周后,观察组轻度障碍25例占29.0%,中度障碍46例占53.5%,重度障碍15例占17.5%;对照组轻度障碍3例占4.3%,中度障碍38例占54.3%,重度障碍29例占41.4%,2组患儿障碍等级比较,观察组明显优于对照组,差异有统计学意义(χ^2=21.083,P<0.01)。结论开展个体化康复延伸护理可提高脑瘫患儿日常生活活动的能力。
Objective To evaluate the effect of individualized rehabilitation extended nursing on activities of daily living (ADL) in children with cerebral palsy.Methods A total of 156 cases of non-operative children with severe disorder of cerebral palsy from January to December 2017 in Sichuan 81 Rehabilitation Center, of 101 males and 55 females, aged 2-7 years with weighting 9 to 21 kg, were divided into 2 groups according to the time sequence, of which 70 cases of January to June 2017 before extension nursing as control group and 86 cases of July to December 2017 after extension nursing as observation group. The control group was received routine nursing according to the ADL rating scale, and the observation group was adopted the extended nursing method, according to the ADL rating scale to evaluate and judge the barrier grade, and chosen the suitable measures for rehabilitation nursing according to the individualized principle.The rehabilitation assessment was carried out before extended nursing (W0), the second week after extended nursing (W2), fourth week (W4), sixth week (W6), eighth week (W8), tenth week (W10), and twelfth week (W12) respectively.Results There was no significant difference in gender, age, weight and ADL scores at the time point of W0 between the two groups (P> 0.05). The ADL scores of the two groups were increased with the treatment time, and the increase of the observation group was greater than that of the control group. Compared with the control group, the ADL scores of the observation group were increased significantly at the time of W4 to W12(P< 0.01).After 12 weeks of treatment, there were 25 cases of mild disorders (29%), 46 cases of moderate disorder (53.5%) and 15 cases of severe disorder (17.5%) in the observation group, and 3 cases of mild disorders (4.3%), 38 cases of moderate disorder (54.3%) and 29 cases of severe disorder (41.4%) in the control group, and the observation group was obviously better than that of the control group (χ^2=21.083, P<0.01).Conclusion Individualized rehabilitation extended nursing can improve ADL in children with cerebral palsy.
作者
张倩
梁琬佩
文丽
杨夏渝
康晓东
马礼丹
廖翌
赵泽宇
Zhang Qian;Liang Wanpei;Wen Li;Yang Xiayu;Kang Xiaodong;Ma Lidan;Liao Yi;Zhao Zeyu(Sichuan 81Rehabilitation Center,Chengdu 611135,China)
出处
《中国实用护理杂志》
2018年第36期2828-2832,共5页
Chinese Journal of Practical Nursing
基金
四川省卫生和计划生育委员会科研课题(16PJ380)
四川省卫生厅科研课题(130250).
关键词
脑性瘫痪
延伸护理
康复护理
日常生活活动
儿童
Cerebral palsy
Extended nursing
Rehabilitation nursing
Activities of daily living
Child
