中医结合护理干预治疗小儿先天性肌性斜颈的临床疗效及对家庭自护知信行的影响  

Clinical efficacy of TCM combined with nursing intervention in the treatment of children with congenital muscular torticollis and its effects on family self-care KABP model

作　　者：王婧婧[1] 李尕梅[1] 顾琦[1] 付仲霞 WANG Jingjing;LI Gamei;GU Qi;FU Zhongxia(Pediatric Surgery Department,Gansu Maternity and Child Health Care Hospital,Lanzhou,Gansu,730050,China;Pediatric Comprehensive Department,Gansu Maternity and Child Health Care Hospital,Lanzhou,Gansu,730050,China)

机构地区：[1]甘肃省妇幼保健院小儿外科,甘肃兰州730050 [2]甘肃省妇幼保健院小儿综合科,甘肃兰州730050

出　　处：《中医儿科杂志》2021年第3期98-102,共5页Journal of Pediatrics of Traditional Chinese Medicine

基　　金：甘肃省中医药管理局项目(GZK-2018-3)。

摘　　要：目的观察中医结合护理干预治疗小儿先天性肌性斜颈(CMT)的临床疗效及对家庭自护知信行的影响。方法选取2015年1月至2018年11月甘肃省妇幼保健院小儿外科门诊收治的CMT患儿268例,按照随机数字表法分为对照组和干预组,各134例。对照组予中医按摩、颈部中药热敷、功能锻炼、佩戴小儿肌性斜颈矫治枕等治疗,干预组在对照组治疗方法的基础上采用以家庭为中心的护理模式和多形式健康教育相结合的护理综合干预法。2组均治疗6个月后统计家庭自护知信行得分、家长的依从性和满意度及临床疗效。结果干预前2组自护知信行评分比较,差异无统计学意义(P>0.05),具有可比性。干预后2组知信行评分均明显升高,与同组干预前比较,差异有统计学意义(P<0.01),且干预组升高更显著,与对照组干预后比较,差异有统计学意义(P<0.05)。干预结束后干预组的家长依从性、满意度均较对照组高,经统计学分析,差异有统计学意义(P<0.05)。对照组总有效率为83.59%(112/134),干预组为100.00%(134/134),2组比较,差异有统计学意义(P<0.05)。结论中医结合护理干预治疗小儿CMT,能明显提高患儿家庭自护知信行评分以及家长的依从性和满意度,发挥家庭的主观能动性,疗效显著,值得临床推广应用。Objective To observe the clinical efficacy of TCM combined with nursing intervention in the treatment of children with congenital muscular torticollis(CMT) and its effects on family self-care knowledge, attitude, belief and practice(KABP) model.Methods From January 2015 to November 2018,268 cases of children with CMT admitted into outpatient service of pediatric surgery department in Gansu Maternity and Child Health Care Hospital were chosen and divided into control group and intervention group according to random number table method, with 134 cases in each group.The control group was given TCM massage, Chinese materia medica hot compress on the neck, synergic dirigation and pediatric CMT orthopedic pillow, on this basis, the intervention group was given nursing comprehensive intervention of family centered nursing model combined with various forms of health education.Both groups were treated for 6 months, and we kept statistics about the scores of family self-care KABP,parents’ compliance and satisfaction, and clinical efficacy.Results Before the intervention, there was no significant difference in the scores of family self-care KABP between the 2 groups(P>0.05),and they were comparable.After the intervention, the KABP scores of the 2 groups increased significantly and the difference was statistically significant(P<0.01),compared with those in the same group before the intervention, and the increase of the intervention group was more significant, and the difference was statistically significant compared with the control group after intervention(P<0.05).After the intervention, the scores of parents’ compliance and satisfaction in the intervention group were higher than those in the control group, and the difference was statistically significant(P<0.05).The total effective rate was 83.59%(112/134) in the control group and 100.00%(134/134) in the intervention group, there was significant statistical difference between the 2 groups(P<0.05).Conclusion TCM combined with nursing intervention in the treatment of chi

关 键 词：小儿先天性肌性斜颈 中医治疗 护理 知信行 临床观察 

分 类 号：R274.39[医药卫生—中医骨伤科学]