引导式教育结合家庭参与对脑瘫患儿的影响  

Influence of conductive education combined with family participation on children with cerebral palsy

作　　者：刘娟 李静静 任佳乐 LIU Juan;LI Jingjing;REN Jiale(Children’s Ward,Department of Rehabilitation,Fuyang Women and Children’s Hospital,Anhui,Fuyang 236000,China)

机构地区：[1]安徽省阜阳市妇女儿童医院康复科儿童病区,236000

出　　处：《河北医药》2024年第18期2817-2820,共4页Hebei Medical Journal

摘　　要：目的研究引导式教育结合家庭参与护理对脑瘫患儿功能独立性、家长应对方式的影响。方法选取2022年1月至2023年7月治疗的脑瘫患儿86例为研究对象,以随机数字表法分为观察组(在对照组基础上采用引导式教育结合家庭参与护理)及对照组(采用常规康复干预),每组43例。比较2组患儿的功能独立性[儿童功能独立性评定量表(WeeFIM)]、精细运动功能[脑性瘫痪患儿精细运动功能测试量表(FMFM)]、智力水平[Gesell发育量表中婴幼儿适应性发育商(DQ)]及家长应对方式[医学应对方式问卷(MCMQ)]。结果干预3个月后,2组患儿WeeFIM评分均升高,且观察组较对照组高(P<0.05)。干预3个月后,2组患儿家长面对评分均升高,且观察组较对照组高(P<0.05)。2组患儿家长回避、屈服评分均降低,且观察组较对照组低(P<0.05)。干预3个月后,2组患儿FMFM评分均升高,且观察组较对照组高(P<0.05)。干预3个月后,2组患儿DQ分级均升高,且观察组较对照组高(P<0.05)。结论采用引导式教育结合家庭参与护理可明显改善脑瘫患儿的功能独立性及其家长应对方式,同时提高其精细运动功能及智力水平。Objective To study the influence of conductive education combined with family participatory nursing on functional independence and parental coping styles in children with cerebral palsy.Methods A total of 86 children with cerebral palsy treated from January 2022 to July 2023 were randomly assigned into observation group(n=43,conductive education combined with family participatory nursing plus routine rehabilitation intervention)and control group(n=43,routine rehabilitation intervention)by adopting the random number table method.The functional independence assessed by the Functional Independence Measure for Children(WeeFIM),fine motor function assessed by the Fine Motor Function Measure for Children with Cerebral Palsy(FMFM),intelligence level assessed by the Infant Adaptive Development Quotient(DQ)in Gesell Development Scale and parental coping styles assessed by the Medical Coping Modes Questionnaire(MCMQ)were compared.Results After 3 months of intervention,the WeeFIM scores in both groups significantly increased,which were significantly higher in the observation group than those of control group(P<0.05).After 3 months of intervention,the score of parental confrontation in both groups significantly increased,which was significantly higher in the observation group than in the control group(P<0.05).After 3 months of intervention,the scores of avoidance and yielding of parents in both groups significantly decreased,which were significantly lower in the observation group than in the control group(P<0.05).After 3 months of intervention,FMFM scores in both groups significantly increased,which were significantly higher in the observation group than in the control group(P<0.05).After 3 months of intervention,the DQ grade in both groups significantly increased,which was significantly higher in the observation group than in the control group(P<0.05).Conclusion Conductive education combined with family participatory nursing can significantly improve the functional independence and parental coping styles in children with ce

关 键 词：引导式教育 家庭参与护理 脑瘫 功能独立性 应对方式 

分 类 号：R748[医药卫生—神经病学与精神病学]