早期序贯康复护理联合童趣化互动干预对外伤性颅内出血患儿的影响  

Effect of early sequential rehabilitation nursing combined with childlike interactive intervention on children with traumatic intracranial hemorrhage

作　　者：黄霞 张莉[1] 狄红珍[1] 冯小丹 朱梅 HUANG Xia;ZHANG Li;DI Hongzhen;FENG Xiaodan;ZHU Mei(Children's Hospital of Soochow University,Soochow 215025,China)

机构地区：[1]苏州大学附属儿童医院神经外科,江苏省苏州市215025

出　　处：《护理实践与研究》2024年第6期821-827,共7页Nursing Practice and Research

摘　　要：目的 探究早期序贯康复护理联合童趣化互动干预对外伤性颅内出血患儿的影响。方法 选取2021年12月—2022年11月在医院进行外伤性颅内出血治疗的100例患儿为研究对象,按照组间基本特征具有可比性的原则将其分为对照组与观察组,每组50例。对照组开展常规护理,观察组开展早期序贯式康复护理联合童趣化互动干预。比较两组患儿干预前后神经功能、营养状态、运动功能及生存质量。结果 两组患儿实施干预方法前上肢、下肢的肢体运动功能评分比较差异均无统计学意义(P>0.05);观察组患儿实施早期序贯康复护理联合童趣化互动干预后上肢、下肢运动评分高于对照组干预后,差异有统计学意义(P<0.05)。两组患儿实施干预方法前美国国立卫生研究院卒中量表(NIHSS)评分比较差异无统计学意义(P>0.05);观察组患儿实施早期序贯康复护理联合童趣化互动干预后NIHSS评分低于对照组干预后,组间比较差异有统计学意义(P<0.05)。两组患儿实施干预方法前视黄醇结合蛋白(RBP)、前白蛋白(PAB)水平比较差异均无统计学意义(P>0.05);观察组患儿实施早期序贯康复护理联合童趣化互动干预后RBP及PAB高于对照组干预后,差异有统计学意义(P<0.05)。两组患儿实施干预方法前两组患儿中文版儿童生存质量测定量表评分比较差异无统计学意义(P>0.05);观察组患儿实施早期序贯康复护理联合童趣化互动干预后各维度生存质量评分高于对照组干预后,差异有统计学意义(P<0.05)。结论对外伤性颅内出血患儿实施早期序贯式康复护理联合童趣化互动干预,能够有效改善患儿神经功能,同时有助于提高患儿运动功能及生存质量。Objective To explore the effect of early sequential rehabilitation nursing combined with childlike interactive intervention on children with traumatic intracranial hemorrhage.Methods A total of 100 children treated for traumatic intracranial hemorrhage in the hospital from December 2021 to November 2022 were selected for the study.According to the principle of comparability in basic characteristics between groups,they were divided into a control group and an observation group,with 50 cases in each.The control group implemented routine nursing care,while the observation group implemented early sequential rehabilitation nursing combined with childlike interactive intervention.The neurological function,nutritional status,motor function,and quality of life before and after intervention were compared between the two groups of patients.Results Before intervention,there was no statistically significant difference in upper and lower limb motor function scores of children between the two groups(P>0.05).After early sequential rehabilitation nursing combined with childlike interactive intervention,the upper and lower limb motor scores of the children in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Before intervention,there was no statistically significant difference in National Institutes of Health Stroke Scale(NIHSS)scores of children between the two groups(P>0.05).After early sequential rehabilitation nursing combined with childlike interactive intervention,the NIHSS scores of the children in the observation group were lower than those in the control group,the differences between the groups were statistically significant(P<0.05).Before intervention,there was no statistically significant difference in levels of Retinol-Binding Protein(RBP)and Prealbumin(PAB)of children between the two groups(P>0.05).After early sequential rehabilitation nursing combined with childlike interactive intervention,the RBP and PAB of the children in the observation group

关 键 词：早期序贯式康复护理 童趣化互动干预 外伤性颅内出血 神经功能 运动功能 生活质量 

分 类 号：R473.6[医药卫生—护理学]