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 ›› 2017, Vol. 9 ›› Issue (4): 295-297.doi: 10.3969/j.issn.1674-3865.2017.04.007

• 临床研究 • 上一篇    下一篇

腕关节康复训练装置在脑性瘫痪患儿腕背屈能力训练中应用的依从性分析

谭丽双，胡晓丽   

  1. 110032 沈阳，辽宁中医药大学附属医院现代疗法中心
  • 出版日期:2017-08-25 发布日期:2017-12-08
  • 通讯作者: 胡晓丽，E-mail：hero9024@163.com
  • 作者简介:谭丽双（1971-），女，副教授。研究方向：小儿脑性瘫痪的康复评定与治疗
  • 基金资助:
    辽宁省科学技术计划项目（2014020054）

Analysis of compliance in using wrist rehabilitation training device in wrist dorsiflexion training in children with cerebral palsy

TAN Lishuang, HU Xiaoli. Modern Treatment Center   

  1. the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Shenyang 110032,China
  • Online:2017-08-25 Published:2017-12-08

PDF (PC)

163

摘要：
目的
探讨腕关节康复训练装置在脑性瘫痪（简称脑瘫）患儿腕背屈能力训练中应用的依从性。
方法
2014年8月至2016年2月在辽宁中医药大学附属医院脑瘫康复中心治疗的痉挛型脑瘫患儿98例，随机分为对照组52例和观察组46例。对照组采用作业疗法，观察组在常规作业疗法训练中，结合佩戴自制腕关节康复训练装置于患手腕关节上方，1个月为1个疗程。通过调查问卷了解患儿治疗的依从性和患儿家长满意度。依从性评分转换为依从率，依从率又分为三个水平，低（<50%）、中（50%～75%）、高（>75%）。
结果
观察组高依从率为45.7%（21/46），显著高于对照组23.1%（12/52），低依从率为15.2%（7/46），显著低于对照组48.1%（25/52），差异有统计学意义（P<0.05）。观察组患儿家长满意率为71.7%（33/46），显著高于对照组42.3%（22/52），差异有统计学意义（P<0.05）。
结论
自制腕关节康复训练装置在脑瘫患儿的作业治疗中，可激发患儿康复训练的兴趣，提高患儿对康复的依从性和患儿家长满意度。

关键词: 脑性瘫痪, 自制腕关节康复训练装置, 作业疗法, 依从性, 儿童

Abstract:

Objective
To study the compliance in using wrist rehabilitation training device in wrist dorsiflexion training in children with cerebral palsy.
Methods
A total of 98 children with spastic cerebral palsy were treated in the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from Aug. 2014 to Feb. 2016, and they were randomly divided into two groups: the control group(52 cases) and the observation group(46 cases). The control group received occupational therapy, while the observation group was asked to wear the device in addition to receiving occupational therapy, one month as a course. The compliance of children and the satisfaction of their parents were investigated by questionnaires. The compliance score was transformed into compliance rate, which was classified into 3 levels: low(<50%),medium(50%～75%) and high(>75%).
Results
The high compliance rate in observation group was 45.7%(21/46), significantly higher than that in control group(23.1%,12/52);the low compliance rate in observation group was 15.2%(7/46), significantly lower than that in control group(48.1%,25/52); both differences were of statistical significance(P<0.05).The satisfaction rate of parents in observation group was 71.7%(33/46), which was significantly higher than that in control group(42.3%,22/52), and there was statistical difference(P<0.05).
Conclusion
The self made wrist rehabilitation training device can be used in the occupational therapy, which stimulates the children's interest in rehabilitation training and improves the children's compliance and their parents' satisfaction.

Key words: Cerebral palsy, Self-made wrist rehabilitation training device, Occupational therapy, Compliance, Child