康复护理对脑瘫患儿日常生活活动能力的影响

　　[摘要]目的 评价综合康复护理措施对脑瘫患儿日常生活活动能力（activities of daily living，ADL）的影响。方法 选取2013年1～12月我院门诊及住院诊治的73例脑瘫患儿作为研究对象，采用非随机同期对照分组，其中住院收治的45例为治疗组，以同期28例仅行康复训练的门诊患儿为对照组。治疗组患儿在康复训练的基础上实施饮食护理、心理护理、伴随障碍护理、日常生活能力训练等综合护理措施；对照组患儿仅行康复训练，疗程均为12周，比较治疗前后患儿ADL评分。结果 两组患儿治疗前ADL评分比较，差异无统计学意义（P>0.05）；治疗后两组患儿ADL评分均较治疗前显著提高（P<0.01），但治疗后治疗组患儿的ADL评分显著高于对照组，差异有统计学意义（P<0.01）。结论 脑瘫康复护理可有效改善脑瘫患儿的生活自理能力和生活质量。
　　[关键词]脑性瘫痪；康复；护理；日常生活活动；儿童
　　[中图分类号] R473.74 [文獻标识码] A [文章编号] 1674-4721（2018）2（b）-0191-03
　　Effect of rehabilitation nursing on activities of daily living in children with cerebral palsy
　　HE Li-xia1 WANG Fang-lin1 LUO Yu-hong1 YANG Dan-yan1 XIE Hong-mei2
　　1.Department of Rehabilitation，Sichuan Civil Administration Rehabilitation Hospital，Sichuan Province，Chengdu 610021，China；2.Department of Nursing，Sichuan Civil Administration Rehabilitation Hospital，Sichuan Province，Chengdu 610021，China
　　[Abstract]Objective To investigate the effect of comprehensive rehabilitation nursing on activities of daily living （ADL） in children with cerebral palsy （CP）.Methods A total of 73 with CP were recruited in our hospital from January 2013 to December.The subjects were then non-randomly allocated to a control group （n=28） who was subjected to an outpatient rehabilitation training and an intervention group （n=45） who received inpatient treatment.The control group was received a conventional rehabilitation training for 12 weeks，while the intervention group was received a conventional rehabilitation training as well as a comprehensive rehabilitation nursing care，which included diet，psychological，concomitant symptoms nursing and activities of daily living training.The scores of ADL were calculated and compared pre-treament and post-treatment in the two groups.Results There was no difference in the scores of ADL between the two groups before treatment（P>0.05）.Compared to baseline，the scores of ADL for children with CP were significantly improved in both groups after treatment（P<0.01）.But the scores after treatment in the intervention group were significantly higher than that of the control group （P<0.01）.Conclusions Rehabilitation nursing intervention may be effective in improving ability of self-care and quality of life for children suffering from CP.
　　[Key words]Cerebral palsy；Rehabilitation；Nursing；Activities of daily living；Children
　　脑性瘫痪（cerebral palsy）简称脑瘫，又称little病，是指出生前到生后1个月内脑损伤引起的脑非进行性病变的一种临床综合征，主要临床特征为中枢性运动障碍和姿势异常[1]。运动障碍和姿势异常会严重影响脑瘫患儿的日常生活活动能力（activities of daily living，ADL），脑瘫患儿又往往合并智力低下而生活不能自理，给患儿带来痛苦、给家庭带来困难、给社会造成负担。促进患儿康复逐渐达到生活自理是最迫切需要解决的问题[2-3]。本研究旨在研究康复护理在改善脑瘫患儿生活活动能力的作用。

相关热词搜索：日常生活 患儿 康复 护理 脑瘫