家庭式康教结合模式对脑瘫儿童发育情况的影响

The effect of the model of family rehabilitation education on the development of children with cerebral palsy

目的观察家庭式康复教育结合模式对脑瘫儿童发育情况的影响。方法采用随机数字表法将38例脑瘫患儿分为实验组及对照组。2组患儿均给予常规日常康复,康复治疗师、引导式教师、特殊教育教师组成的团队共同对实验组内儿童功能情况进行评估,设计引导式教育课程,对无康复教育知识背景的专职护理人员进行课程培训,完成培训的护理员具体执行引导式教育课程,每天2次,每次60min,每周介入6日,持续半年。于治疗前、治疗后采用Gesell发展量表进行评测。结果治疗前,两组患儿适应性行为、大运动、精细动作、语言、个人-社会行为5个领域指标组间差异无统计学意义(P>0.05);经介入半年后,两组患儿的适应性行为、大运动、精细动作、语言、个人-社会行为5个领域评分均优于组内治疗前水平(P <0.05),且实验组优于对照组(P <0.05)。结论家庭式康复教育结合模式,对改善脑瘫患儿的多方面功能发展有重要意义,值得在专业人才资源缺乏的机构和社会中推广、应用。

Objective To observe the effect of the model of family rehabilitation education on the development of children with cerebral palsy.Methods38children with cerebral palsy were divided into experimental group and control group by random digital table method.Two groups of children were given routine daily rehabilitation.A team of rehabilitation therapists,guided teachers and special education teachers assessed the children's function in the experimental group,and designed guiding education course.The team offered curriculum training for full-time nurses without background knowledge of rehabilitation education,and the trained nurses implemented the guiding education course twice each day,60minutes each time,6days per week.The training lasted for six months.The Gesell development scale was used for evaluation before and after treatment.Results Before treatment,there was no statistically difference between2groups of children in5areas of adaptive behavior,exercise,fine motor,language and personal social behavior(P>0.05).After six months'intervention,2groups of children were better than the pre-treatment level(P<0.05).The experimental group was superior to the control group(P<0.05).Conclusion The model of family rehabilitation education is of great significance to the improvement of the multifaceted function of children with cerebral palsy.It is worthy of popularization and application in institutions and societies which are lack of professional talent resources.