中国学术期刊网络出版总库入编期刊
CNKI中文期刊全文数据库全文收录期刊
中国核心期刊(遴选)数据库全文收录期刊
万方数据——数字化期刊群收录期刊
中文科技期刊数据库全文收录期刊

主管:陕西省卫生健康委员会
主办:西安心身医学研究所
   西安交通大学第一附属医院
国际标准刊号:ISSN2096—1413
国内统一刊号:CN61—1503/R

康复护理在小儿脑瘫护理方面的应用效果分析

陈素梅,肖建华

(陕西省康复医院,陕西 西安,710065)

浏览次数:101次 下载次数:391次

摘要:

目的 研究康复护理在小儿脑瘫护理中的应用价值。方法 纳入我院60 例小儿脑瘫患儿作为研究对象,随机分为观察组和对照组,各30例。观察组行医院—社区—家庭立体化康复护理,对照组行常规护理。比较两组患儿的康复护理效果。 结果 观察组护理优良率显著高于对照组(P<0.05);观察组护理半年和护理1年后GMFM-88总百分比均显著高于护理前和对照组护理后(P<0.05),对照组护理1年后GMFM-88总百分比显著高于护理前(P<0.05)。观察组主要照顾者护理半年和1年后依从性显著优于对照组(P<0.05)。结论 医院—社区—家庭立体化康复护理模式用于脑瘫患儿,能显著改善其肢体运动 功能,促进患儿智力水平的恢复,有助于改善远期预后。

关键词:小儿脑瘫;医院—社区—家庭立体化康复护理;运动能力

中图分类号:R473.74文献标志码:A文章编号:2096-1413(2017)20-0148-02

    Application effect analysis of rehabilitation nursing in children with cerebral palsy
    CHEN Su-mei, XIAO Jian-hua
    (Shaanxi Kangfu Hospital, Xi``an 710065, China)

    ABSTRACT: Objective To study the application effect of rehabilitation nursing in children with cerebral palsy. Methods Sixty children with cerebral palsy were enrolled in our hospital as the research objects, and they were randomly divided into observation group and control group, with 30 cases in each group. The observation group received hospital -community-family dimensional rehabilitation nursing, while the control group received routine nursing. The rehabilitation nursing effects in the two groups were compared. Results The excellent and good rate of nursing in the observation group was significantly higher than that of the control group (P<0.05). The total percentage of GMFM-88 after nursing for 6 months and 1 year in the observation group were significantly higher than those before nursing and the control group (P<0.05); and the total percentage of GMFM-88 after nursing for 1 year in the control group was significantly higher than that before nursing (P<0.05). After nursing for 6 months and 1 year, the compliance rates of caregivers in the observation group were higher than those in the control group (P<0.05). Conclusion Hospital -community -family dimensional rehabilitation nursing for children with cerebral palsy, can significantly improve the limb motor function, promote the recovery of children``s intelligence level and contribute to improve the long-term prognosis.
    KEYWORDS: infantile cerebral palsy; hospital-community-family dimensional rehabilitation nursing; motor function

    参考文献:
    [1] 张备,孙莉敏,朱俞岚,等.小儿脑瘫康复治疗技术研究与应用进展 [J].中国康复医学杂志,2015,30(1):65-68.
    [2] 贡浩凌,戴莉敏,刘媛,等.医院—社区—家庭护理干预模式对2型糖尿病患者饮食控制的效果[J].中华护理杂志,2014,49(4):399-403.
    [3] 中国康复医学会儿童康复专业委员会,中国残疾人康复协会小儿脑瘫康复专业委员会.小儿脑性瘫痪的定义、分型和诊断条件[J].中 华物理医学与康复杂志,2007,29(5):309.
    [4] 唐久来,李海华,史惟,等.小儿脑性瘫痪诊疗指南探讨[J].实用儿科临床杂志,2009,24(24):1914-1917.
    [5] 魏丽巍,夏艳萍,杨威,等.脑瘫患者术后早期功能训练依从性相关研究[C]//北京:第六届北京国际康复论坛论文集,2011:362-365.
    [6] 张晓侠,王英,王江华.康复护理措施对小儿脑瘫患儿运动功能及康复效果的影响[J].实用临床医药杂志,2016,20(22):129-131.
    [7] 田苹.医院—社区—家庭护理干预模式在脑卒中患者康复中的应用[J].中国护理管理,2015,15(10):1157-1159.
    [8] 杨海苓,王萍,侯文秀,等.医院—社区—家庭三元联动延续护理平台的设计及应用[J].中华护理杂志,2016,51(9):1133-1137.
    [9] 孙贺,宋宇,王越.早期中西医结合心理与康复护理对轻中度脑卒中患者的影响[J].中华现代护理杂志,2014,20(4):378-380.

上一篇TDP 灯联合湿润烧伤膏治疗急性白血病化疗后肛周感染的护理效果

下一篇开展优质护理服务对普外科护理质量的影响