基于引导式教育训练的综合康复护理在学龄期药物难治性癫痫患儿术后的应用  

Effects of comprehensive rehabilitation nursing based on guided education and training on rehabilitation treatment in school-age children with drug-resistant epilepsy undergoing epileptogenic focus resection

作　　者：李萌[1] 纪凡[1] 徐翠萍[1] 王惠娟[1] 遇涛[1] 马艳辉[2] 王惠琴[3] 刘然[4] Li Meng;Ji Fan;Xu Cuiping;Wang Huijuan;Yu Tao;Ma Yanhui;Wang Huiqin;Liu Ran;无(Functional Neurosurgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Endocrinology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Neurology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院功能神经外科,北京100053 [2]首都医科大学宣武医院麻醉手术科,北京100053 [3]首都医科大学宣武医院内分泌科,北京100053 [4]首都医科大学宣武医院神经内科,北京100053

出　　处：《中国实用护理杂志》2022年第12期888-893,共6页Chinese Journal of Practical Nursing

基　　金：国家自然科学基金(81771395);北京市落实中央引导地方科技发展专项基金(Z191100008319003)。

摘　　要：目的探讨基于引导式教育训练的综合康复护理在学龄期药物难治性癫痫患儿术后的应用效果。方法选取2017年1月至2019年12月首都医科大学宣武医院功能神经外科收治的学龄期药物难治性癫痫病灶切除术后出现肢体运动障碍患儿50例为研究对象,按入院时间先后顺序分组,2017年1月至2018年6月为对照组,2018年7月至2019年12月为观察组,每组25例。对照组进行癫痫术后常规护理与功能锻炼指导,观察组术后进行基于引导式教育训练的综合康复护理。评估2组患儿术后3 d及出院当日运动功能、日常生活能力,以及2组患儿家长对护理工作的满意度。结果观察组术后3 d与出院当日运动功能评分分别为(57.0±6.8)、(73.0±5.4)分,对照组分别为(55.0±5.6)、(65.6±5.9)分,2组组内前后比较差异有统计学意义(t=-9.26、-6.48,均P<0.05);观察组术后3 d与出院当日日常生活能力评分分别为(45.2±5.9)、(74.2±8.3)分,对照组分别为(44.0±5.8)、(60.2±7.6)分,2组组内前后比较差异有统计学意义(t=-14.33、-8.51,均P<0.05);2组出院当日比较差异有统计学意义(t=-4.65、-6.25,均P<0.05);观察组与对照组患儿家长对护理工作满意度分别为96.0%(24/25)、72.0%(18/25),2组比较差异有统计学意义(χ^(2)=8.78,P<0.05)。结论基于引导式教育训练的综合康复护理有利于提高学龄期药物难治性癫痫病灶切除术后肢体运动障碍患儿运动功能和日常生活能力,促进患儿术后康复,提高患儿家长对护理工作满意度。Objective To evaluate the effects of comprehensive rehabilitation nursing based on guided education and training on rehabilitation treatment in school-age children with drug-resistant epilepsy undergoing epileptogenic focus resection.Methods Fifty movement disorders school-age children with drug-resistant epilepsy undergoing epileptogenic focus resection in Institute of Functional Neurosurgery,Xuanwu Hospital,Capital Medical University from January 2017 to December 2019 were enrolled in this study.The child patients were divided into the control group and the observation group according to the order of admission,with 25 cases in each group,and the control group was from January 2017 to June 2018 while the observation group was from July 2018 to December 2019.In the control group,routine nursing after epileptogenic focus resection and functional exercise were conducted.The observation group was treated with comprehensive rehabilitation nursing based on guided education and training.On the third day after operation,the day of discharge respectively,the motor function and activity of daily living of the two groups were evaluated.The satisfaction of children′s parents on nursing was compared between the two groups.Results The scores of motor function on the third day after operation and the day of discharge were(57.0±6.8),(73.0±5.4)points respectively in the observation group,and those in the control group were(55.0±5.6),(65.6±5.9)points.There were significant differences intra group comparison(t=-9.26,-6.48,both P<0.05).The activity of daily living scores on the third day after operation and the day of discharge were(45.2±5.9),(74.2±8.3)points respectively in the observation group,and those in the control group were(44.0±5.8),(60.2±7.6)points.There were significant differences intra group comparison(t=-14.33,-8.51,both P<0.05).There were significant differences between the scores of motor function and the ability of daily living scores on the day of discharge in the observation group and the control group(

关 键 词：康复护理 药物难治性癫痫 儿童 运动障碍 引导式教育训练 

分 类 号：R473.74[医药卫生—护理学]