ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2018, Vol. 10 ›› Issue (6): 517-519.doi: 10.3969/j.issn.1674-3865.2018.06.018

• 临床研究 • 上一篇    下一篇

家庭训练及家长配合度对发育迟缓患儿早期认知能力的影响

尹水贵   

  1. 410007 长沙，湖南省儿童医院康复一科
  • 出版日期:2018-12-25 发布日期:2019-03-25
  • 作者简介:尹水贵（1986-），女，医学硕士，医师。研究方向：儿童神经系统疾病的康复，E-mail:2410536882@qq.com

Impact of family training and parents' cooperation on early cognitive ability of children with developmental delay

YIN Shuigui   

  1. Rehabilitation Department of Hunan Children's Hospital，Changsha 410007，China
  • Online:2018-12-25 Published:2019-03-25

PDF (PC)

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摘要：
目的
探讨家庭训练及家长配合度对发育迟缓患儿早期认知能力的影响。
方法
选择2017年1月至2018年1月湖南省儿童医院康复科收治的发育迟缓患儿75例为研究对象，按是否进行家庭训练分为对照组13例和观察组62例。观察组根据家庭训练配合程度又分为观察1组（家庭训练配合度<30%）15例、观察2组（家庭训练配合度30%~60%）18例、观察3组（家庭训练配合度61%~90%）16例、观察4组（家庭训练配合度>90%）13例。两组均进行综合康复，包括运动疗法、认知训练、小脑电刺激、水疗和针灸等治疗。观察组家长予患儿每日家庭训练。患儿在治疗前和治疗3个月后，分别采用Gesell发育量表进行评定。
结果
各组治疗后发育商较治疗前均有显著改善，差异有统计学意义(P<0.01)。观察3组、观察4组治疗后发育商显著高于对照组，差异有统计学意义(P<0.05)。
结论
家长的家庭训练对发育迟缓患儿发育商的改善有极其重要的作用。

关键词: 发育迟缓, 家庭训练, 家庭训练配合度, 认知, 儿童

Abstract:
Objective
To investigate the effects of family training and parents' cooperation on early cognitive ability of children with developmental delay.
Methods
Totally 75 children with developmental delay were chosen as the research subjects, who were treated in Hunan Children's Hospital from Jan. 2017 to Jan. 2018, and they were divided into two groups based on whether they received family training or not: control group(n=13) and observation group(n=62). Based on the parents' cooperation, the observation group was again divided into 4 group: 15 cases in observation group 1(cooperation degree<30%), 18 cases in observation group 2(cooperation degree between 30% and 60%), 16 cases in group 3(61%-90%) and 13 cases in group 4(>90%). Both control and observation groups received rehabilitation treatment, including exercise therapy, cognition training, electrical stimulation of cerebellum, hydrotherapy and acupuncture. Family training was carried out by the parents every day in the observation groups. Before treatment and 3 month after treatment, Gesell development scale was used to make evaluation in the children.
Results
After treatment, the developmental quotient of each group was significantly improved(P<0.01). The improvement of the developmental quotient of observation group 3 and 4 was significantly higher than the control group(P<0.05).
ConclusionFamily training by the parents plays an important role in the improvement of developmental quotient in children with developmental delay.

Key words: Developmental delay, Family training, Family training cooperation, Cognition, Children