综合性康复护理干预对脑瘫患儿运动功能及生存质量的影响

Comprehensive intervention on the movement function and quality of life in children with cerebral palsy

目的探讨综合性康复护理干预对脑瘫患儿运动功能及生存质量的影响。方法选择2013年1月~2014年1月在我院治疗的脑瘫患儿64例为研究对象,全部入选病例随机分为观察组和对照组各32例。对照组行常规护理,观察组行综合性护理干预,包括心理干预、康复训练、饮食指导、运动训练。比较两组干预后的疗效、患儿的合作率、两组干预前后CMFM评分的变化以及生活质量Peds QL评分的变化。结果观察组干预后的总有效率为90.6%,而对照组为71.9%,两组比较差异具有统计学意义（P〈0.05）;观察组合作型比率达28.1%,而对照组为9.4%,两组比较差异具有统计学意义（P〈0.05）;观察组患儿拒绝型比21.9%,显著低于对照组（62.5%）,差异具有统计学意义（P〈0.05）;干预前两组CMFM评分比较,差异无统计学意义（P〉0.05）;干预后,两组CMFM评分均较干预前显著升高,且观察组干预后的CMFM评分均较对照组升高更显著,差异有统计学意义（P〈0.05）;两组患者干预后生理功能、情感功能、社交功能各领域生存质量评分及Peds QL总分较干预前显著升高,且观察组患者干预后生理功能、情感功能、社交功能各领域生存质量评分及Peds QL总分较对照组升高更显著,差异有统计学意义（P〈0.05）。结论对脑瘫患儿实施综合性康复护理干预,可以提高其运动功能及生存质量。

Objective To study the effects of comprehensive rehabilitation on the movement function and quality of life in children with cerebral palsy. Methods From January 2013 to January 2014 in our hospital, selected 64 cases chil- dren with cerebral palsy as the object of study, all the patients were randomly divided into observation group and con- trol group with 32 cases in each group. The control group received routine nursing care, observation group received comprehensive nursing intervention, included psychological intervention, rehabilitation training, dietary guidance, ex- ercise training. The effects of two groups after the intervention, and the cooperation rate, PedsQL scores and CMFM scores in two groups before and after the intervention and change of quality of life changes were compared. Results The total effective rate in intervention group was 90.6%, while the control group was 71.9%, with significant difference（P〈 0.05）. The ratio of cooperative group was 28.1%, and 21.9% in the control group, with statistically significant differ- ence （P〈O.05）. The cooperation rate in the the observation group were higher than that of control group. The rejection ratio of observation group was 9.4%, significantly lower than the control group （62.5%）, with significant difference （P〈0.05）. Two groups＇s CMFM scores were compared before intervention, no significant difference （P〉0.05）. After the intervention,two groups＇s CMFM scores was significantly increased than before intervention, and after the intervention, CMFM scores of the observation group were higher than the control group, the difference was statistically significant （P〈0.05）. The observation group and the control group of patients after the intervention, physiological function, quality of life in all areas of emotional function, social function score and the total score of PedsQL significantly increasedcompared with that before the intervention,and the intervention group patients after the intervention, physiological function, quality of life of each field of emotional function, social function score and PedsQL score were significantly higher than those in the control group, there were significant differences（P〈0.05）. Conclusion Comprehensive rehabili- tation nursing intervention for children with cerebral palsy of can improve the motor function and quality of life.