上海市脑瘫患儿24h治疗及管理模式的深度访谈

Qualitative study of in depth interview on 24 hours treatment and management model of children with cerebral palsy in Shanghai

目的探讨上海市脑瘫患儿24h治疗及管理模式的可行性，以期为脑瘫患儿提供一套行之有效又节约人力、物力、财力的康复治疗及管理模式。方法首先运用扎根理论的抽样方法，来确定10名长期从事脑瘫患儿康复治疗的专家为访谈对象；然后采用深度访谈法，通过访谈提纲和访谈主题内容的设计后实施访谈；最后是对访谈资料的收集和整理分析。结果通过对访谈资料进行三级编码分析，得出影响上海市脑瘫患儿24h治疗及管理模式可行性的三方面因素，包括有利因素、障碍因素及必要因素。结论上海市脑瘫患儿24h治疗及管理模式具有可行性，但实施过程中会遇到一些障碍，通过医疗和教育部门的政策支持，将极大提高该模式实施的可行性。

Objective To investigate the feasibility of implementing the 24 hours treatment and management model of children with cerebral palsy in Shanghai,in order to provide a set of effective andsaving manpower, material and financial rehabilitation and management model for children with cerebral palsy. Methods Firstly, the 10 experts engaged in cerebral palsy rehabilitation were selected as the indepth interviewees by the sampling method of grounded theory. Secondly,applying in depth interviews, the 10 experts were interviewed by designing interview outline and subjects. Last, the interview data were collectedand analyzed. Results By analyzing the interview data in three-stage coding mode, three factors affect- ing the feasibility of 24 hours treatment and management model of children with cerebral palsy in Shanghaiwere obtained, including the favorable factors, obstacles and necessary factors. Conclusions The 24-hour treatment and management model of children with cerebral palsy in Shanghai is feasible, but it will en-counter some obstacles in the implementation process. Through the policy support for health care and edu- cation sectors, the feasibility of the pattern will be greatly enhanced.