家庭协同式护理结合任务导向性训练对痉挛型低龄脑瘫儿童肢体协调能力及智力发育的影响  

Effects of family collaborative nursing combined with task-oriented training on limb coordination ability and intellectual development of young children with spastic cerebral palsy

作　　者：雷倩 李蕾 LEI Qian;LI Lei(Xi'an TCM Hospital of Encephalopathy,Xi'an 710032,China)

机构地区：[1]西安中医脑病医院,陕西西安710032

出　　处：《临床医学研究与实践》2025年第8期130-133,共4页Clinical Research and Practice

摘　　要：目的探究家庭协同式护理结合任务导向性训练对痉挛型低龄脑瘫儿童肢体协调能力及智力发育的影响。方法选择2021年2月至2023年3月我院收治的400例痉挛型低龄脑瘫儿童为研究对象,以随机数字表法将其分为对照组、观察组,每组200例。对照组接受常规护理,观察组在对照组护理方案基础上增加用家庭协同式护理结合任务导向性训练。比较两组的干预效果。结果干预后,观察组的Berg平衡量表(BBS)、粗大运动功能测试量表(GMFM)评分均高于对照组(P<0.05)。干预后,观察组的运动发育指数(PDI)、Gesell发育量表(GDS)评分均高于对照组(P<0.05)。干预后,观察组大脑前动脉(ACA)、大脑后动脉(PCA)的平均血流速度(Vm)均高于对照组,差异具有统计学意义(P<0.05)。结论家庭协同式护理结合任务导向性训练用于痉挛型低龄脑瘫儿童护理中,可改善脑血流状态,促进智力发育,恢复肢体协调能力,值得推广。Objective To explore the effects of family collaborative nursing combined with task-oriented training on limb coordination ability and intellectual development of young children with spastic cerebral palsy.Methods A total of 400 young children with spastic cerebral palsy admitted in our hospital from February 2021 to March 2023 were selected as the research objects.The children were divided into control group and observation group by random number table method,with 200 cases in each group.The control group was given routine nursing,and the observation group was given family collaborative nursing combined with task-oriented training on the basis of the control group's nursing program.The intervention effects of the two groups were compared.Results After intervention,the scores of Berg Balance Scale(BBS)and Gross Motor Function Measure(GMFM)in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of Psychomotor Development Index(PDI)and Gesell Developmental Scale(GDS)in the observation group were higher than those in the control group(P<0.05).After intervention,the mean blood flow velocity(Vm)of anterior cerebral artery(ACA)and posterior cerebral artery(PCA)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Family collaborative nursing combined with task-oriented training in the nursing of young children with spastic cerebral palsy can improve the cerebral blood flow status,promote intellectual development,and restore limb coordination ability.It is worth promoting.

关 键 词：家庭协同式护理 任务导向性训练 痉挛型脑瘫 肢体协调能力 智力发育 

分 类 号：R471.6[医药卫生—护理学]