围术期精细化护理联合延续性护理在下肢脑性瘫痪矫形术患儿康复中的应用效果

Application effect of perioperative fine nursing combined with continuous nursing on rehabilitation of children with orthopedics of lower limb cerebral palsy

目的探讨围术期精细化护理联合延续性护理在下肢脑性瘫痪矫形术患儿康复中的应用效果。方法将我院2015年1月至2020年1月收治的528例行下肢矫形术的脑性瘫痪患儿按照护理方式分为对照组与观察组,各264例。对照组给予常规护理,观察组给予围术期精细化护理联合延续性护理。比较两组的平衡功能、步行能力、运动功能、生活能力、家属心理状态及并发症发生情况。结果护理后,两组患儿的Berg、FAC、GMFM及ADL评分均升高,患儿家属的SAS、SDS评分均降低,且观察组优于对照组(P<0.05)。观察组的并发症总发生率低于对照组(P<0.05)。结论围术期精细化护理联合延续性护理能有效提高下肢脑性瘫痪矫形术患儿术后的康复效果,改善患儿肢体运动功能及家属心理状态,降低术后并发症发生率。

Objective To explore the application effect of perioperative fine nursing combined with continuous nursing on rehabilitation of children with orthopedics of lower limb cerebral palsy.Methods A total of 528 children with cerebral palsy who underwent lower limb orthopedic surgery and admitted in our hospital from January 2015 to January 2020 were divided into control group and observation group according to the nursing methods,with 264 cases in each group.The control group was given routine nursing,and the observation group was given perioperative fine nursing combined with continuous nursing.The balance function,walking ability,motor function,living ability,psychological state of family members and occurrence of complication of the two groups were compared.Results After nursing,the Berg,FAC,GMFM and ADL scores of children in the two groups increased,while SAS and SDS scores of the children’s families decreased,and those in the observation group were better than the control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion Perioperative fine nursing combined with continuous nursing can effectively improve the rehabilitation effect of children with lower limb cerebral palsy after orthopedic surgery,improve the limb motor function of children and the psychological state of the families of children,and reduce the incidence of postoperative complications.