脑性瘫痪患儿家属对康复效果的影响因素

Factors of Families Related to Outcome of Rehabilitation for Cerebral Palsy Children

目的研究影响脑瘫患儿康复效果的家属因素。方法对153例脑瘫患儿的153名家属,采用家庭基本情况、对患儿疾病了解程度、依从性3项自制调查问卷和艾森克人格量表、婚姻质量问卷、社会支持量表、症状自评量表、幸福感指数5项标准调查问卷进行调查;康复前后采用残疾儿童综合功能评定法对患儿进行评定。结果康复有效、无效的患儿间,家属的依从性、对患儿疾病了解程度、家中有无健康子女、艾森克人格内外向和掩饰性、症状自评6项因素有显著性差异(P<0.05)。多因素Logistic回归分析显示,家中有无健康子女、内外向人格、症状自评是影响患儿康复效果的独立因素。结论脑瘫患儿的家庭状况、家长的人格特征和心理健康影响患儿康复效果。

Objective To investigate the factors of families related to the outcome of rehabilitation for cerebral palsy children. Methods Families of 153 cerebral palsy children were investigated with questionnaires of family condition, knowledge of cerebral palsy, compliance, and the Eysenck Personality Questionnaire, Marital Quality Questionnaire, Social Support Scale, Symptom Check List, Happiness Index. The children were assessed with Comprehensive Assessment for Disable Children before and after rehabilitation. Results There were signifi-cant differences of compliance, knowledge of cerebral palsy, being of other healthy children, personality of extraversion/introversion and ly-ing, and mental symptom between the families of the cerebral palsy children improved or not after rehabilitation （P〈0.05）. Multivariate Lo-gistic regression analysis showed that, being of other healthy children, personality of extraversion/introversion and mental symptom were the independent factors. Conclusion It may relate to the outcome of rehabilitation for cerebral palsy children of family condition, personali-ty and mental health of the families, which need further intervention.