疫情期间线上康复成长营对臂丛神经损伤患儿康复疗效及家长情绪的干预研究  

Study on the effect of online rehabilitation camp on the rehabilitation of children with brachial plexus injury during the epidemic situation and the intervention of parents’emotions

作　　者：闫鹏飞 朱俞岚[1] 林怡[1] 米纯亿 朱修明[1] 朱玉连[1] YAN Pengfei;ZHU Yulan;LIN Yi;MI Chunyi;ZHU Xiuming;ZHU Yulian(Huashan Hospital Fudan University,Shanghai 200040,China;School of Social Development and Public Policy Fudan University,Shanghai 200433,China)

机构地区：[1]复旦大学附属华山医院,上海200040 [2]复旦大学社会发展与公共政策学院,上海200433

出　　处：《现代医院》2023年第3期468-471,共4页Modern Hospitals

基　　金：上海市医院协会医院管理研究基金青年课题(Q2021061);上海市残疾人联合会康复政策研究(2022ZC1012);复旦大学上海医学医学人文和思政调研重点课题(SYSZ2202)。

摘　　要：目的以疫情期间多学科团队线上干预的方式,为分娩性臂丛神经损伤患儿家庭提供多元化心理社会支持。方法2022年4—7月对56名分娩性臂丛神经损伤患儿家庭以讲座、成长营、微信群等服务进行干预,使用PHQ-9和GAD-7进行OBPP家长的焦虑抑郁情况前后对照,使用Mallet肩关节评估量表进行患儿前后康复情况的对照。使用Stata 15.1进行描述性分析、卡方分析及回归分析。结果干预后PHQ-9得分减少2.09,GAD-7得分减少1.62,重度抑郁减少6人,中重度和中度焦虑减少8人,Mallet肩关节评估后测得分相比前测增加0.95分。线上成长营干预后分娩性臂丛神经损伤患儿家庭的抑郁和焦虑情况得到改善,儿童的肢体功能障碍情况得到一定改善。结论社工联动的多学科合作的线上成长营干预模式是可行的、具有效果的,提供了一种疫情防控背景下、医务社工非面对面干预服务的可能性。Objective To provide diversified psychosocial support for families of children with obstetrical brachial plexus injury by multidisciplinary team online intervention during the epidemic.Methods From April to July 2022,56 families of children with obstetrical brachial plexus injury were intervened with lectures,growth camps,WeChat groups and other services.PHQ-9 and GAD-7 were used to control the anxiety and depression of OBPP parents before and after treatment,and Mallet Shoulder Assessment Scale was used to control the rehabilitation of children before and after treatment.Descriptive analysis,chi square analysis and regression analysis were performed using stata15.1.Results After the intervention,PHQ-9 score decreased by 2.09,GAD-7 score decreased by 1.62,severe depression decreased by 6,moderate and severe anxiety decreased by 8,and Mallet shoulder joint evaluation post test score increased by 0.95 compared with pre-test score.After the online growth camp,the family depression and anxiety of the children with obstetrical brachial plexus injury were improved,and the children’s limb dysfunction was improved to some extent.Conclusion The online growth camp intervention model of multidisciplinary cooperation of social workers is feasible and effective,which provides a possibility of non face-to-face intervention services of medical social workers in the context of epidemic prevention and control.

关 键 词：分娩性臂丛神经损伤 线上康复指导 多学科合作 

分 类 号：R741[医药卫生—神经病学与精神病学] C91[医药卫生—临床医学]