情景演示对流行性乙型脑炎患者康复效果的影响

Effects of scene demonstration on rehabilitation of patients with epidemic encephalitis b

目的：探讨情景演示对流行性乙型脑炎患者康复效果的影响。方法选择2013年在我院住院治疗符合标准的流行性乙型脑炎患儿65例为研究对象,其中1—6月住院的33例患儿为对照组,7—12月32例患儿为观察组。对照组实施常规护理,观察组在其基础上,采用情景演示护理干预,干预后比较两组患儿的Gesell得分、神经功能缺损得分及康复效果。结果两组患儿干预前Gesell得分差异无统计学意义,干预3个月后观察组与对照组的Gesell得分均高于干预前,且观察组得分明显高于对照组,差异均有统计学意义（P〈0.05）。干预后观察组患儿的神经功能缺损评分为（2.1±0.6）分,对照组为（8.6±1.0）分,差异有统计学意义（t=4.689,P〈0.01）。干预3个月后观察组总有效率为96.9%（31/32）,明显高于对照组的75.8%（25/33）,差异有统计学意义（χ2=6.985,P〈0.05）。结论采用情景演示对流行性乙型脑炎患儿进行康复训练,能提高患儿对康复训练的兴趣,提高患儿家长协助患儿康复训练的能力,快速恢复患儿各项功能。

Objective To explore the effects of scene demonstration on rehabilitation of patients with epidemic encephalitis b. Methods 32 cases patients with epidemic encephalitis b conform to the standard in July 2013 to December 2013 in our hospital hospitalization were selected as the observation group, 33 cases patients with epidemic encephalitis b conform to the standard in January 2013 to June 2013 in our hospital hospitalization were selected as the control group. Control group routine nursing, the observation group on the basis of conventional nursing, the scene to demonstrate nursing intervention, intervention in two groups were compared after children Gesell scoring, nerve function defect score and the effect of rehabilitation. Results The two groups before intervention in language, should be to, action can and should be four aspects of score difference had no statistical significance （P〉0. 05）;Intervention for 3 months after Gesell score in observation group and control group were higher than before the intervention, the difference had statistical significance （ P〈0. 05）, Gesell score of observation group was obviously higher than that of control group, the difference was statistically significant （P〈0. 05）. Intervention group after neural function defect scale for children was （2. 1 ± 0.6）, the control group was （8.6 ±1.0）, the difference was statistically significant （t=4.689, P〈0.01）. Intervention after 3 months observation group 1 cases ineffective, the total effective rate was 96. 9%, the control group with 8 cases ineffective, the total effective rate was 75. 8%, the difference was statistically significant （χ2 =6. 985,P 〈0. 05）. Conclusions The scene demonstration of rehabilitation training for children with epidemic encephalitis b, can improve children′s interest in rehabilitation training, improve the ability of parents to help children rehabilitation training, fast recovery with various functions.