[1]王丽娜,王承云,张会敏,等.延续性护理干预对脑性瘫痪患儿出院后康复的影响[J].新乡医学院学报,2018,35(6):548-550.[doi:10.7683/xxyxyxb.2018.06.026]
　WANG Li-na,WANG Cheng-yun,ZHANG Hui-min,et al.Effect of continuous nursing intervention on post-hospital rehabilitation of children with cerebral palsy[J].Journal of Xinxiang Medical University,2018,35(6):548-550.[doi:10.7683/xxyxyxb.2018.06.026]
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延续性护理干预对脑性瘫痪患儿出院后康复的影响
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
35
期数:
2018年6
页码:
548-550
栏目:
护理研究
出版日期:
2018-06-05

文章信息/Info

Title:
Effect of continuous nursing intervention on post-hospital rehabilitation of children with cerebral palsy
作者:
王丽娜1; 王承云1; 张会敏2; 李树军1
（1.新乡医学院第一附属医院儿科，河南　卫辉　453100；2.新乡医学院护理学院，河南　新乡　453003）
Author(s):
WANG Li-na1; WANG Cheng-yun1; ZHANG Hui-min2; LI Shu-jun1
（1.Department of Pediatrics，the First Affiliated Hospital of Xinxiang Medical University，Weihui 453100，Henan Province，China；2.School of Nursing，Xinxiang Medical University，Xinxiang 453003，Henan Province，China）
关键词:
脑性瘫痪; 康复; 延续性护理
Keywords:
cerebral palsy; rehabilitation; continuous nursing
分类号:
R248.4
DOI:
10.7683/xxyxyxb.2018.06.026
文献标志码:
A
摘要:
目的　探讨延续性护理干预对脑性瘫痪患儿出院后康复的影响。方法　选择2016年2月至2017年2月新乡医学院第一附属医院收治的脑性瘫痪患儿70例，根据护理措施分为观察组和对照组，每组35例。对照组患儿出院后给予常规护理干预，观察组患儿出院后给予延续性护理干预，分别于出院时及出院后1 a 采用Peabody运动发育量表对患儿精细运动进行评分，并于出院后1 a评估临床治疗效果。结果　出院时观察组患儿抓握能力、视觉运动综合能力评分分别为41.15±5.31、102.23±17.42，出院后1 a分别为48.12±3.54、128.22±11.25；出院时对照组患儿抓握能力、视觉运动综合能力评分分别为41.22±5.22、102.56±17.31，出院后1 a分别为43.21±4.52、110.52±15.37；出院时2组患儿抓握能力、视觉运动综合能力评分比较差异均无统计学意义（P>0.05）；出院后1 a 2组患儿抓握能力、视觉运动综合能力评分显著高于出院时（P<0.05）；出院后1 a，观察组患儿抓握能力、视觉运动综合能力评分显著高于对照组（P<0.05）。出院后1 a，观察组和对照组患儿康复治疗总有效率分别为94.29%（33/35）、71.43%（25/35）；观察组患儿治疗总有效率显著高于对照组（χ2=6.440，P<0.05）。结论　延续性护理干预能够显著改善脑性瘫痪患儿的抓握能力和视觉运动综合能力，促进患儿恢复。
Abstract:
Objective　To investigate the effect of continuous nursing intervention on post-hospital rehabilitation of children with cerebral palsy.Methods　A total of 70 children with cerebral palsy treated in the First Affiliated Hospital of Xinxiang Medical University from February 2016 to February 2017 were selected and divided into observation group and control group according to nursing measures，with 35 cases in each group.The patients in the control group were given routine nursing intervention，and the patients in the observation group were given continuous nursing intervention after discharge.The fine motor was evaluated by Peabody-2 developmental motor scale at discharge and one year after discharge.The clinical effect was evaluated one year after discharge.Results　The score of grasping ability and visual movement comprehensive ability of the children in the observation group was 41.15±5.31 and 102.23±17.42 respectively at discharge，and it was 48.12±3.54 and 128.22±11.25 respectively one year after discharge.The score of grasping ability and visual movement comprehensive ability of the children in the control group was 41.22±5.22 and 102.56±17.31 respectively at discharge，and it was 43.21±4.52 and 110.52±15.37 respectively at one year after discharge.There was no significant difference in the scores of grasping ability and visual motor comprehensive ability between the two groups at discharge（P>0.05）.The scores of grasping ability and visual motor comprehensive ability at the time point of one year after discharge were significantly higher than those at discharge in the two groups（P<0.05）.The scores of grasping ability and visual motor comprehensive ability in the observation group were significantly higher than those in the control group at the time point of one year after discharge（P<0.05）.One year after discharge，the total effective rate of rehabilitation treatment in the observation group and the control group was 94.29%（33/35） and 71.43%（25/35） respectively，and the total effective rate in the observation group was significantly higher than that in the control group（χ2=6.440，P<0.05）.Conclusion　The continuous nursing intervention can significantly improve the grasping ability and visual motor comprehensive ability，and promote the recovery of children with cerebral palsy.

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更新日期/Last Update: 2018-06-05