影响脑瘫儿童康复依从性的家庭因素及家庭康复护理分析

Family factors affecting rehabilitation compliance of children with cerebral palsy and family rehabilitation nursing

目的对影响脑瘫儿童康复依从性的各项家庭因素进行调查,并分析应用家庭康复护理的效果。方法选取2019年6月至2020年6月粤北人民医院收治的脑瘫儿童82例,收集儿童康复信息和家属相关资料,将配合康复治疗及家庭训练的儿童分为试验组,将不配合康复治疗及家庭训练的儿童分为对照组。试验组12例中男6例、女6例,年龄(5.25±1.04)岁;对照组70例中男28例、女42例,年龄(4.02±1.13)岁。采用单因素分析法和多因素logistic回归分析法,调查家庭因素中对脑瘫儿童康复依从性造成影响的相关因素和独立危险因素。结果纳入的82例患儿中,有12例依从性较差,发生率为14.63%。经多因素logistic回归分析法总结家庭月收入<3000元(OR=2.085,P=0.025)、家属对疾病知识掌握程度(OR=2.280,P=0.031)及家属对康复计划认识(OR=2.083,P=0.019)均为影响脑瘫儿童依从性的家庭因素。结论家庭月收入<3000元、家属对疾病知识掌握程度及家属对康复计划认识等均是降低脑瘫儿童康复期间依从性的重要家庭因素,临床应提高对上述因素的重视,强化对家属疾病康复知识宣教,实施有效的家庭康复护理同时,提高儿童对康复依从性,提高其生活质量。

Objective To investigate the family factors of rehabilitation compliance of children with cerebral palsy and to analyze the effect of family rehabilitation nursing.Methods Eighty-two children with cerebral palsy admitted to North Guangdong People's Hospital from June 2019 to June 2020 were selected,and their rehabilitation information and family data were collected.The 12 children who cooperated with the rehabilitation treatment and family training and who were(5.25±1.04)years old were set as an experimental group,including 6 males and 6 females;and the 70 who did not cooperate and who were(4.02±1.13)years old were set as a control group,including 28 males and 42 females.Univariate analysis and multivariate logistic regression analysis were used to investigate the related factors and independent risk factors influencing the children's rehabilitation compliance.Results Among the 82 children,12 had poor compliance,and the incidence was 14.63%.The multivariate logistic regression analysis indicated that family income less than 3000 yuan(OR=2.085,P=0.025),family members'mastery of disease knowledge,and family members'understanding of rehabilitation plan were the family factors influencing their compliance.Conclusions Family monthly income less than 3000 yuan,family members'mastery of disease knowledge,and family members'understanding of rehabilitation plan are the important family factors reducing the compliance of children with cerebral palsy during rehabilitation.We should pay more attention to the above factors in clinic,strengthen the family members'education about disease rehabilitation knowledge,and implement effective family rehabilitation nursing,so as to improve the children's rehabilitation compliance and quality of life。