脑性瘫痪儿童手功能与生活自理能力的相关性分析  

Correlation analysis between hand function and self-care ability in children with cerebral palsy

作　　者：叶元元[1] 曾梅凤[1] 张何威[1] YE Yuanyuan;ZENG Meifeng;ZHANG Hewei(Children's Hosipital of Suzhou University,Suzhou,215025,China)

机构地区：[1]苏州大学附属儿童医院康复科,江苏省苏州市215025

出　　处：《护理实践与研究》2022年第20期3111-3116,共6页Nursing Practice and Research

基　　金：2020年度苏州市民生科技科-医疗卫生应用基础研究项目(编号:SYSD2020209);苏州市科技发展计划项目(编号:N202026)。

摘　　要：目的探讨6~10岁脑性瘫痪(简称脑瘫)儿童手功能与生活自理能力的相关性。方法选取2019年1月—2021年6月在医院确诊且年龄在6~10岁(手功能分级Ⅰ~Ⅲ级)的脑瘫儿童53例为研究对象,采用横断面研究,使用一般资料调查表、双手操作功能调查表、中文版儿童残疾评定量表-计算机自适应测试、瑞文彩色型推理测验、执行功能行为评定量表父母版对脑瘫儿童进行调查。采用t检验、Pearson相关性分析和线性回归分析检验脑瘫儿童手功能与生活自理能力的相关性。使用Graphpad prism9.3绘制散点图,使用Dagitty online software构建有向无环图为线性回归模型选择变量。结果脑瘫儿童手功能与生活自理能力之间呈正相关性,痉挛型偏瘫儿童手功能与生活自理能力之间的相关性更强(r=0.727,P<0.05)。痉挛型偏瘫和痉挛型四肢瘫儿童各项量表得分差异无统计学意义(P>0.05);线性回归模型中,手功能是生活自理能力的影响因素。结论手功能与生活自理能力之间有着正相关关系。痉挛型偏瘫和痉挛型四肢瘫儿童的手功能和生活自理能力之间的相关程度不同。Objective To explore the correlation between hand function and self-care ability in children with cerebral palsy aged 6-10 years.Methods A total of 53 children with cerebral palsy who were diagnosed in the hospital from January 2019 to June 2021 and aged 6-10 years(hand function gradeⅠ-Ⅲ)were selected as the study objects.We used a cross-sectional study to investigate children with cerebral palsy using a general information questionnaire,both hands assessment,the Chinese version of the pediatric evaluation of disability inventorycomputer adaptive test,the Raven’s color progressive matrix,and the parental version of the behavior rating inventory of executive function.T-test,Pearson correlation analysis and linear regression analysis were used to test the correlation between hand function and self-care ability in children with cerebral palsy.Scatter plots were drawn using Graphpad prism 9.3,and directed acyclic graphs were constructed using Dagitty online software.Variables were selected for linear regression models.Results There was a positive correlation between hand function and self-care ability in children with cerebral palsy,and there was a stronger correlation between hand function and self-care ability in children with spastic hemiplegia(r=0.727,P<0.05).There was no significant difference in the scores of various scales between children with spastic hemiplegia and spastic tetraplegia(P>0.05).In the linear regression model,hand function was an influencing factor of self-care ability.Conclusion There was a positive correlation between hand function and self-care ability.The degree of correlation between hand function and selfcare ability in children with spastic hemiplegia and spastic tetraplegia differs.

关 键 词：脑性瘫痪儿童 手功能 生活自理能力 相关性 影响因素 

分 类 号：R473.72[医药卫生—护理学]