个性化延续护理模式在小儿脑性瘫痪临床治疗中的价值体会

doi:10.3969/j.issn.1674-3865.2019.04.025

中国中西医结合儿科学 ›› 2019, Vol. 11 ›› Issue (4): 365-368.doi: 10.3969/j.issn.1674-3865.2019.04.025

• 临床护理 • 上一篇

个性化延续护理模式在小儿脑性瘫痪临床治疗中的价值体会

洪黎，尚清，吴英英，葛雪娇，王亚楠

450000 郑州，河南省儿童医院康复医学研究所一病区

出版日期:2019-08-25 发布日期:2019-09-18
通讯作者: 王亚楠，E-mail：357364289@qq.com
作者简介:洪黎（1982-），女，护师。研究方向：儿童神经系统疾病的康复护理

Value of individualized continuous nursing model in clinical treatment of children with cerebral palsy

HONG Li，SHANG Qing，WU Yingying，GE Xuejiao，WANG Yanan

Henan Children's Hospital，Zhengzhou 450000,China

Online:2019-08-25 Published:2019-09-18

摘要/Abstract

摘要：
目的
探讨个性化延续护理模式在小儿脑性瘫痪临床治疗中的应用价值。
方法
选择2017年1月至2018年10月我院收治的脑瘫患儿60例为研究对象，按随机数字表法分为对照组和观察组各30例。对照组施行常规护理，观察组施行个性化延续护理，比较两组患儿的康复效果、步态指标、肢体运动功能评分、平衡功能评分，并比较两组家属的负性情绪评分、护理满意度。
结果
观察组患儿康复总有效率为93.3%（28/30），显著高于对照组733%（22/30），差异有统计学意义（P<0.05）。观察组患儿护理后10 m最快步行速度、跨步步长均大于对照组，患健侧步长差值小于对照组，差异有统计学意义（P<0.05）。观察组护理后肢体运动功能评分、平衡功能评分均高于对照组，差异有统计学意义（P<0.05）。观察组患儿家属护理后的SAS、SDS评分均较对照组降低，差异有统计学意义（P<0.05）。观察组家属护理总满意率为96.7%（29/30），显著高于对照组80.0%（24/30），差异有统计学意义（P<0.05）。
结论
个性化延续护理模式可有效提高脑瘫患儿的康复效果，改善其步态、肢体运动功能及平衡功能，还可减轻其家属的负性情绪，提高其护理满意度。


关键词: 脑性瘫痪, 延续护理, 个性化护理, 儿童

Abstract:
Objective
To explore the application value of individualized continuing nursing model in the clinical treatment of children with cerebral palsy.
Methods
Totally 60 cases of children with cerebral palsy admitted to our hospital from January 2017 to October 2018 were selected as the research subjects. They were divided into control group and observation group according to random number table method, 30 cases in each group. The control group was given routine nursing, while the observation group was given individualized continuous nursing. The rehabilitation effect, gait index, limb motor function score and balance function score of the two groups were compared, and the negative emotional score and nursing satisfaction of the family members of the two groups were compared.
Results
The total effective rate of rehabilitation in the observation group was 93.3% (28/30), which was significantly higher than 73.3% (22/30) in the control group, and the difference was statistically significant (P<0.05). The fastest walking speed and stride length of 10 m after nursing in the observation group were higher than those in the control group, and the difference in stride length between the sickened and the healthy side was smaller than that in the control group (P<0.05). The scores of limb motor function and balance function in the observation group were higher than those in the control group (P<0.05). The scores of SAS and SDS in the observation group were lower than those in the control group (P<0.05). The total satisfaction rate of the family members in the observation group was 96.7% (29/30), which was significantly higher than 80.0% (24/30) in the control group , and the difference was statistically significant (P<0.05).
Conclusion
Individualized continuing nursing model can effectively improve the rehabilitation effect of children with cerebral palsy, improve their gait, limb movement function and balance function, reduce the negative emotions of their families, and improve their nursing satisfaction.

Key words: Cerebral palsy, Continuous nursing, Individualized nursing, Children

洪黎，尚清，吴英英，葛雪娇，王亚楠. 个性化延续护理模式在小儿脑性瘫痪临床治疗中的价值体会[J]. 中国中西医结合儿科学, 2019, 11(4): 365-368.

HONG Li，SHANG Qing，WU Yingying，GE Xuejiao，WANG Yanan. Value of individualized continuous nursing model in clinical treatment of children with cerebral palsy[J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2019, 11(4): 365-368.

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个性化延续护理模式在小儿脑性瘫痪临床治疗中的价值体会

Value of individualized continuous nursing model in clinical treatment of children with cerebral palsy

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