康复护理对脑瘫患儿日常生活活动能力的影响

Effect of rehabilitation nursing on activities of daily living in children with cerebral palsy

目的评价综合康复护理措施对脑瘫患儿日常生活活动能力(activities of daily living,ADL)的影响。方法选取2013年1~12月我院门诊及住院诊治的73例脑瘫患儿作为研究对象,采用非随机同期对照分组,其中住院收治的45例为治疗组,以同期28例仅行康复训练的门诊患儿为对照组。治疗组患儿在康复训练的基础上实施饮食护理、心理护理、伴随障碍护理、日常生活能力训练等综合护理措施;对照组患儿仅行康复训练,疗程均为12周,比较治疗前后患儿ADL评分。结果两组患儿治疗前ADL评分比较,差异无统计学意义(P>0.05);治疗后两组患儿ADL评分均较治疗前显著提高(P<0.01),但治疗后治疗组患儿的ADL评分显著高于对照组,差异有统计学意义(P<0.01)。结论脑瘫康复护理可有效改善脑瘫患儿的生活自理能力和生活质量。

Objective To investigate the effect of comprehensive rehabilitation nursing on activities of daily living （ADL） in children with cerebral palsy （CP）.Methods A total of 73 with CP were recruited in our hospital from January 2013 to December.The subjects were then non-randomly allocated to a control group （n=28） who was subjected to an outpatient rehabilitation training and an intervention group （n=45） who received inpatient treatment.The control group was received a conventional rehabilitation training for 12 weeks,while the intervention group was received a conventional rehabilita- tion training as well as a comprehensive rehabilitation nursing care,which included diet,psychological,concomitant symptoms nursing and activities of daily living training.The scores of ADL were calculated and compared pre-treament and post-treatment in the two groups.Results There was no difference in the scores of ADL between the two groups be- fore treatment（P〉O.05）.Compared to baseline,the scores of ADL for children with CP were significantly improved in both groups after treatment （P〈0.01）.But the scores after treatment in the intervention group were significantly higher than that of the control group （P〈0.01）.Conclusions Rehabilitation nursing intervention may be effective in improving ability of self-care and quality of life for children suffering from CP.