个性化延续护理模式在小儿脑性瘫痪临床治疗中的价值体会

Value of individualized continuous nursing model in clinical treatment of children with cerebral palsy

目的探讨个性化延续护理模式在小儿脑性瘫痪临床治疗中的应用价值。方法选择2017年1月至2018年10月我院收治的脑瘫患儿60例为研究对象,按随机数字表法分为对照组和观察组各30例。对照组施行常规护理,观察组施行个性化延续护理,比较两组患儿的康复效果、步态指标、肢体运动功能评分、平衡功能评分,并比较两组家属的负性情绪评分、护理满意度。结果观察组患儿康复总有效率为93.3%(28/30),显著高于对照组73.3%(22/30),差异有统计学意义(P<0.05)。观察组患儿护理后10m最快步行速度、跨步步长均大于对照组,患-健侧步长差值小于对照组,差异有统计学意义(P<0.05)。观察组护理后肢体运动功能评分、平衡功能评分均高于对照组,差异有统计学意义(P<0.05)。观察组患儿家属护理后的SAS、SDS评分均较对照组降低,差异有统计学意义(P<0.05)。观察组家属护理总满意率为96.7%(29/30),显著高于对照组80.0%(24/30),差异有统计学意义(P<0.05)。结论个性化延续护理模式可有效提高脑瘫患儿的康复效果,改善其步态、肢体运动功能及平衡功能,还可减轻其家属的负性情绪,提高其护理满意度。

Objective To explore the application value of individualized continuing nursing model in the clinical treatment of children with cerebral palsy.Methods Totally 60 cases of children with cerebral palsy admitted to our hospital from January 2017 to October 2018 were selected as the research subjects.They were divided into control group and observation group according to random number table method,30 cases in each group.The control group was given routine nursing,while the observation group was given individualized continuous nursing.The rehabilitation effect,gait index,limb motor function score and balance function score of the two groups were compared,and the negative emotional score and nursing satisfaction of the family members of the two groups were compared.Results The total effective rate of rehabilitation in the observation group was 93.3%(28/30),which was significantly higher than 73.3%(22/30)in the control group,and the difference was statistically significant(P<0.05).The fastest walking speed and stride length of 10 m after nursing in the observation group were higher than those in the control group,and the difference in stride length between the sickened and the healthy side was smaller than that in the control group(P<0.05).The scores of limb motor function and balance function in the observation group were higher than those in the control group(P<0.05).The scores of SAS and SDS in the observation group were lower than those in the control group(P<0.05).The total satisfaction rate of the family members in the observation group was 96.7%(29/30),which was significantly higher than 80.0%(24/30)in the control group,and the difference was statistically significant(P<0.05).ConclusionIndividualized continuing nursing model can effectively improve the rehabilitation effect of children with cerebral palsy,improve their gait,limb movement function and balance function,reduce the negative emotions of their families,and improve their nursing satisfaction.