健康教育路径在脑瘫康复中的应用

Application of Health Education Approach in Rehabilitation of Children with Cerebral Palsy

目的探讨健康教育路径应用于脑瘫康复的效果。方法选择脑瘫患儿240例,随机分为试验组和对照组,各120例。试验组按制定的健康教育路径表由责任护士实施每日健康教育并及时评价效果;对照组按一般健康教育宣传模式进行常规指导。将两组患儿的健康教育达标率和健康教育过程中出现的变异情况进行比较。结果试验组患儿其陪护人员对脑瘫疾病的了解程度、对病情预后的心理承受能力、患儿与陪护人员的生活质量、康复疗效以及健康教育的效果均有明显提高;健康教育路径中出现的变异如医源性感染明显下降。结论实现健康教育程序化和标准化可有效地降低脑瘫患儿的医院感染率,提高陪护人员对康复治疗的信心,使医患关系更和谐。

Objective To approach the effect of health education pathway in rehabilitation of children with cerebral palsy （CP）. Methods 240 CP children were divided into the trial group （120 cases） daily practiced by duty nurse according to health education pathway table and evaluated in time, and control group （120 cases） guided by routine methods. Then, the two groups were compared in the rate of achieving standard and the variation in the course of health education. Results The attendants in the trial group knew more about CP, and their acceptance of prognosis, quality of living, rehabilitation effect and health education effect were better than the other group, the variation decreased significantly in the trial group. Conclusion The procedure and standard of health education can decrease the occurrence of hospital infection, increase the confidence of the attendants, and put the staff and patients in barmony.