康复专科护士介入家庭疗育支持系统提高脑性瘫痪患儿日常生活活动能力的临床研究  

Clinical study on improvement of daily living ability of children with cerebral palsy by intervention of special rehabilitation nurses in family therapy support system

作　　者：李洁[1] 赵宁[1] LI Jie;ZHAO Ning.(Shenyang Children＇s Hospital, Shenyang 110032, China)

机构地区：[1]沈阳市儿童医院护理部,沈阳110032

出　　处：《中国中西医结合儿科学》2018年第2期172-175,共4页Chinese Pediatrics of Integrated Traditional and Western Medicine

基　　金：沈阳市卫生和计划生育委员会2016年科研课题计划项目(2016688)

摘　　要：目的观察由国家级康复专科护士指导家长使用家庭训练方案提高脑性瘫痪(简称脑瘫)患儿运动能力及日常生活活动能力的作用。方法选取2016年11月1日至2017年1月30日沈阳市儿童医院康复病房收治住院的脑瘫患儿60例作为研究对象,随机分为观察组和对照组各30例。对照组入院后予常规康复训练,观察组在对照组基础上增加Peabody运动发育量表第2版家庭训练方案,治疗6个月后比较两组日常生活活动能力及运动发育商的变化。结果训练6个月后,观察组患儿日常生活活动能力评分差值高于对照组,差异有统计学意义(P<0.05)。观察组患儿粗大运动发育商、精细运动发育商和总发育商差值均高于对照组,差异有统计学意义(P<0.05)。结论由国家级康复专科护士指导家长实施的家庭训练结合康复治疗能明显提高脑瘫患儿的运动能力和日常生活活动能力。Objective To observe the effect of the family training program directed by the national special rehabilitation nurses on the exercise ability and daily living ability of children with cerebral palsy（cerebral palsy）.Methods Sixty children with cerebral palsy hospitalized in the Rehabilitation Ward of Shenyang Children＇s Hospital from November 1^st,2016 to January 30 th,2017 were selected as the subjects,and they were divided into the observation group and the control group according to the random table method.The control group was given routine rehabilitation training after admission,and the observation group was also treated according to the family training program of the Peabody Motor Development Scale（2^nd edition）on the basis of the treatment for control group.After 6 months of treatment,the changes of daily living ability and sports development quotient in the two groups were compared.Results After 6 months＇ training,the difference of activities of daily living in the observation group was higher than that in the control group,the difference being significant（P〈0.05）.The differences in the gross motor development quotient,fine motor development quotient and total developmental quotient of the observation group were all higher than those of the control group,the difference being statistically significant（P〈0.05）.Conclusion Family training combined with rehabilitation therapy,which is directed by the national special rehabilitation nurses,can obviously improve the exercise ability and daily living ability of the children with cerebral palsy.

关 键 词：脑性瘫痪 PEABODY运动发育量表 日常生活活动能力 康复专科护士 家庭训练计划 

分 类 号：R742.3[医药卫生—神经病学与精神病学]