引导式教育理念在脑瘫儿童康复护理中的应用  

Guiding education in rehabilitation nursing of children with cerebral palsy

作　　者：陈玉芬[1] 李蔷[1] 罗娟子 

机构地区：[1]深圳市儿童医院康复科,广东深圳518026

出　　处：《神经病学与神经康复学杂志》2017年第2期70-73,共4页Journal of Neurology and Neurorehabilitation

摘　　要：目的:探讨引导式教育理念在脑瘫儿童康复护理中应用的可行性和疗效。方法 :选择2015年7月—2016年12月在深圳市儿童医院康复科接受康复护理的120例脑瘫患儿,随机分为研究组(60例)和对照组(60例)。对照组采用常规康复护理方法,研究组采用基于引导式教育理念的康复护理方法。分别在初诊时和治疗结束后24周时采用粗大运动功能评估量表(Gross Motor Function Measure,GMFM)对患儿进行评估,比较2组患儿的康复疗效。结果 :2组患儿治疗结束后24周时的GMFM能区评分均较初诊时显著提高(P值均<0.05),并且研究组的评分(84.37±5.94)显著高于对照组(68.77±6.02)(P<0.05)。研究组的总有效率(86.7%,52/60)亦显著高于对照组(68.3%,41/60)(P<0.05)。结论 :将引导式教育理念引入脑瘫儿童的康复护理中能够显著提高康复治疗的效果,值得在临床上予以推广应用。Objective: To explore the feasibility and efficacy of guiding education in rehabilitation nursing for children with cerebral palsy.Methods: From July 2015 to December 2016, 120 cases of cerebral palsy receiving rehabilitation nursing in Shenzhen Children's Hospital were recruited in this study. They were randomly divided into study group(60 cases) and control group(60 cases). The control group received routine rehabilitation nursing, and the study group adopted rehabilitation nursing based on guiding education concept. The Gross Motor Function Measure(GMFM) was used to evaluate the rehabilitation efficacy of the 2 groups at the first visit and 24 weeks after the end of the treatment.Results: after the end of the treatment as compared with those at the first visit(both P < 0.05). The study group had a higher score(84.37 ± 5.94) than the control group(68.77 ± 6.02)(P < 0.05). The total effective rate of the study group(86.7%, 52/60) was also significantly higher than that of the control group(68.3%, 41/60)(P < 0.05). Conclusion: The introduction of guiding education concept into rehabilitation nursing of children with cerebral palsy can significantly improve the effect of rehabilitation treatment, and is worthy of clinical application.

关 键 词：脑性瘫痪 儿童 康复护理 引导式教育 

分 类 号：R473.74[医药卫生—护理学]