以家庭为中心的护理干预对小儿脑瘫康复中智力及运动功能发育的影响

Effect of family-centered nursing intervention on the development of mental reten-tion and motor function in children with cerebral palsy

目的探讨以家庭为中心的护理干预对小儿脑瘫康复中智力及运动功能发育的影响。方法选择2013年12月～2014年12月收治的小儿脑瘫患儿57例为对照组，实施常规护理；另选择2015年1月-2016年1月收治的小儿脑瘫患儿57例作为观察组，实施以家庭为中心的护理干预。观察并记录两组护理有效率、护理前后智力发育指数、运动功能发育指数和护理后发育正常情况，并作比较分析。结果观察组护理有效率高于对照组，差异有统计学意义（P〈O．05）；两组护理后9个月、12个月的智力发育指数评分、运动功能发育指数评分均高于护理前，且观察组护理后9个月、12个月的智力发育指数评分、运动功能发育指数评分均高于对照组，差异均有统计学意义（均P〈O．05）；观察组发育正常率高于对照组，差异有统计学意义（P〈O．05）。结论以家庭为中心的护理干预可显著提高小儿脑瘫康复中护理疗效，促进患儿智力发育和运动功能发育，提高发育正常率，值得推广应用。

Objective To explore the effect of family-centered nursing intervention on the development of mental and motor function in children with cerebral palsy. Methods A total of 57 children with cerebral palsy from De- cember 2013 to December 2014 were selected as the control group, and routine nursing was performed. 57 cases of chil- dren with cerebral palsy received from January 2015 to January 2016 were selected as observation group, and the nurs- ing intervention centered on the family was carried out. The nursing efficiency, the mental development index before and after the nursing, the index of motor function development and the normal development of nursing of the two groups were observed, recorded, coinpared and analyzed. Results The nursing efficiency of the observation group was higher than that of the control group, and the difference was statistically significant （P〈0. 05 ） . The scores of mental develop- ment index and motor function development index of 9 months and 12 months were significantly higher than those before nursing, the scores of mental development index and motor function development index were significantly higher than those of control group at 9 months and 12 months after treatment. The difference was statistically significant （P〈0. 05 ） . The normal rate of development in the observation group was higher than that in the control group, and the difference was statistically significant （ P 〈 0.05 ） . Conclusions Family-centered nursing intervention can improve the nursing effect in children＇s cerebral palsy rehabilitation, promote the development of children＇s mental development and motor function and improve the normal rate of development. It is worth popularization and application.