以家庭为中心的护理干预对痉挛型脑性瘫痪患儿踝足矫形器佩戴的影响  

Application of Family-centered Care in Children with Spastic Cerebral Palsy Wearing Ankle-foot Orthosis

作　　者：徐怡 赵晓科[1] 朱敏[1] 汤健[1] 

机构地区：[1]南京医科大学附属儿童医院康复科,江苏南京市210008

出　　处：《中国康复理论与实践》2018年第1期116-120,共5页Chinese Journal of Rehabilitation Theory and Practice

基　　金：国家自然科学基金项目(No.81401864)~~

摘　　要：目的探讨以家庭为中心的护理干预对提高痉挛型脑瘫患儿佩戴踝足矫形器(AFO)依从性的效果。方法 2016年7月至12月,65例痉挛型脑瘫患儿分为对照组(n=32)和观察组(n=33),对照组采用常规护理,观察组采用以家庭为中心的护理模式。治疗3周后采用改良Ashworth量表(MAS)评价患儿肌张力,记录皮肤及软组织并发症的发生率、患者佩戴AFO的依从性及对护理服务的满意度。结果观察组治疗后MAS评分明显低于对照组(t=3.298,P=0.002);观察组皮肤及软组织并发症的发生率低于对照组(χ~2=7.386,P=0.007),佩戴AFO配合率、家庭康复方法掌握率及护理服务满意率均高于对照组(χ~2>5.346,P<0.05)。结论以家庭为中心的护理干预能增加痉挛型脑瘫患儿佩戴AFO的依从性,提高康复效果,降低并发症发生,提升对护理服务的满意度。Objective To investigate the effect of family-centered care on wearing ankle-foot orthosis(AFO) in children with spastic cerebral palsy.Methods From July to December, 2016, 65 children with spastic cerebral palsy were divided into control group(n=32)and observation group(n=33). The control group accepted routine nursing, while the observation group accepted family-centered care. The children were assessed with modified Ashworth Scale(MAS), and the incidence of skin and soft tissue problems, the compliance for wearing AFO and the satisfaction for nursing service were recorded.Results The score of MAS decreased in the observation group compared with that in the control group(t=3.298, P=0.002), and the incidence of skin and soft tissue problems was less(χ~2=7.386, P=0.007). The compliance of patients wearing AFO for rehabilitation, the rate that family performed the rehabilitation, the satisfaction for nursing service were all more in the observation group than in the control group(χ~2>5.346, P<0.05).Conclusion The application of family-centered care can improve the compliance for wearing AFO in the children with spastic cerebral palsy, to improve the rehabilitation effect, reduce the incidence of complications, and promote the satisfaction for nursing service.

关 键 词：脑性瘫痪 护理 以家庭为中心护理 踝足矫形器 

分 类 号：R473.74[医药卫生—护理学]