摘要
目的探讨家庭康复指导对脑性瘫痪(简称脑瘫)患儿生活自理能力的影响。方法选择2015年1月至2016年1月沈阳市儿童医院康复科收治的脑瘫患儿46例为研究对象,随机分为观察组和对照组各23例。对照组患儿进行常规护理,给予饮食指导、安全指导及基础护理。观察组在对照组基础上,实施以家庭为中心的康复指导训练,在康复治疗室的训练结束后,由康复专科护士以及具有多年护理经验的资深护士针对患儿的个体情况制定康复护理计划,向家长进行知识宣教和患儿生活自理能力指导,时间为6个月。观察患儿康复前后ADL评分情况。结果对照组治疗前后ADL评分比较差异无统计学意义(P>0.05)。观察组治疗后ADL评分显著高于治疗前,差异有统计学意义(P<0.01)。治疗6个月后观察组ADL评分显著高于对照组,差异有统计学意义(P<0.01)。结论家庭康复指导能够改善患儿运动功能,提高脑瘫患儿生活自理能力,减少了对家人的依赖。
Objective To explore the influence of family rehabilitation guidance on the self care living ability of children with cerebral palsy.Methods Totally46children were included as the subjects,who were treated in Shenyang Children's Hospital from Jan.2015to Jan.2016,and they were randomly divided into two groups:observation group(23cases)and control group(23cases).Both groups were given conventional nursing as well as dieting guidance,safety guidance and basic nursing.In addition,family based rehabilitation training was carried out.After the training in the rehabilitation training room,individualized rehabilitation nursing plan was made by the special nurses and experienced nurses based on the children's condition,and the parents were educated about how to help the children develop the self care living ability,which lasted for6months.Observe the ADL scores before and after rehabilitation.Results There was no statistical difference in ADL scores in control group between before and after treatment(P>0.05).ADL scores were significantly higher after treatment than before treatment in observation group,the difference being statistical(P<0.05).After6months of treatment,the scores in observation group were significantly higher than those in control group,and the difference was of statistical significance(P<0.01).Conclusion Family rehabilitation guidance can improve the motor function and the self care living ability of children with cerebral palsy,which results in less dependence on their family members.
作者
刘永会
LIU Yonghui(Rehabilitation Department,Shenyang Children's Hospital,Shenyang 110032,China)
出处
《中国中西医结合儿科学》
2017年第6期536-538,共3页
Chinese Pediatrics of Integrated Traditional and Western Medicine
关键词
脑性瘫痪
生活自理能力
康复
家庭指导
儿童
Cerebral palsy
Self care living ability
Rehabilitation
Family guidance
Children
