以患儿和家庭为中心的标准化护理方案在脑性瘫痪患儿护理中的应用效果  

Application effect of standardized nursing scheme centered on children and families in the nursing of children with cerebral palsy

作　　者：刘彭 马海荣 吴静 Liu Peng;Ma Hairong;Wu Jing(Nursing Department,the First People's Hospital of Urumqi,Urumqi 830000,China;Department of Rehabilitation Medicine,the First People's Hospital of Urumqi,Urumqi 830000,China;Quality Control Department,the First People's Hospital of Urumqi,Urumqi 830000,China)

机构地区：[1]乌鲁木齐市第一人民医院护理部,乌鲁木齐830000 [2]乌鲁木齐市第一人民医院康复医学科,乌鲁木齐830000 [3]乌鲁木齐市第一人民医院质管科,乌鲁木齐830000

出　　处：《中华现代护理杂志》2022年第19期2634-2638,共5页Chinese Journal of Modern Nursing

基　　金：乌鲁木齐市科学技术计划项目(Y161310018)。

摘　　要：目的基于以患儿和家庭为中心的护理模式构建脑性瘫痪患儿标准化护理方案, 并评价其对脑性瘫痪患儿生活质量和日常生活自理能力的影响。方法采用便利抽样法, 选取2017年8月—2019年8月在乌鲁木齐市第一人民医院康复医学科初次住院进行康复治疗的120例脑性瘫痪患儿及其家长120名为研究对象, 按照随机数字表法分为对照组和观察组, 均为60例患儿和60名家长。对照组实施常规康复护理, 观察组在对照组基础上实施以患儿和家庭为中心的标准化护理方案, 比较两组干预前、干预后12周脑性瘫痪患儿的生活质量和日常生活自理能力的改善情况。结果干预后, 观察组脑性瘫痪患儿的生活质量和日常生活自理能力得分均优于对照组, 差异有统计学意义(P<0.05)。结论以患儿和家庭为中心的标准化护理方案能提高脑性瘫痪患儿的生活质量和日常生活自理能力, 值得临床应用。Objective To construct a standardized nursing scheme for children with cerebral palsy based on a child-and family-centered nursing model and to evaluate its effect on quality of life and self-care ability of daily life in children with cerebral palsy.Methods Using the convenient sampling method,a total of 120 children with cerebral palsy and 120 parents who were initially hospitalized for rehabilitation in Department of Rehabilitation Medicine of the First People's Hospital of Urumqi from August 2017 to August 2019 were selected as the research objects.According to the random number table method,the children and primary caregivers were divided into the control group and the observation group,with 60 children and 60 parents in each group.The control group was given routine rehabilitation nursing,while the observation group was given a standardized nursing scheme centered on children and families on the basis of the control group.The improvement of quality of life and daily living ability of children with cerebral palsy before the intervention and 12 weeks after the intervention were compared between the two groups.Results After intervention,the scores of quality of life and self-care ability in daily life in the observation group were better than those in the control group,and the differences were statistically significant(P<0.05).Conclusions Standardized nursing scheme centered on children and families can improve quality of life and daily self-care ability of children with cerebral palsy,which is worthy of clinical application.

关 键 词：脑性瘫痪 生活质量 以患儿和家庭为中心 标准化护理方案 自理能力 

分 类 号：R473.74[医药卫生—护理学]