以家庭为中心的延续护理在小儿脑瘫康复护理中的效果

Effect of Family-centered Continuous Nursing in Rehabilitation Nursing of Children with Cerebral Palsy

目的探讨在脑瘫患儿康复护理中应用以家庭为中心的延续护理的临床价值,以不断优化护理效果。方法选择医院2018年11月至2019年11月收治的50例脑瘫患儿作为试验对象,采用数字奇偶法分组,对照组(25例,应用常规护理)及试验组(25例,应用以家庭为中心的延续护理)。对比两组患儿护理前后焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、各项生活质量评分。结果护理前,两组患儿SAS评分、SDS评分比较,差异无统计学意义,P>0.05;护理后,试验组SAS评分SDS评分均低于对照组,差异有统计学意义(P<0.05);试验组精神状态评分、日常生活能力评分、社会活动能力评分均比对照组低,组间差异有统计学意义(P<0.05)。试验组患儿智力中上等占比高于对照组,差异有统计学意义(P<0.05)。护理后,试验组患儿的精细运动能力评分高于对照组,组间差异有统计学意义(P<0.05)。结论在脑瘫患儿的护理过程中,采用以家庭为中心的延续护理模式,能够加快患儿的康复速度,改善其负面情绪和生活质量,能提高其智力发育水平和精细运动能力。

Objective To study the clinical value of family-centered continuous nursing in rehabilitation nursing of children with cerebral palsy,in order to optimize the nursing effect.Methods A total of 50 children with cerebral palsy in our hospital from November 2018 to November 2019 were selected as experimental subjects.The digital parity method was used to divide into the control group(25 cases,applying routine care)and the experimental group(25 cases,applying family-centered continuous care).The scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS)and various quality of life scores were compared between the two groups before and after nursing.Results Before nursing,there was no difference between the two groups in SAS score and SDS score(P>0.05).After nursing,the scores of SAS and SDS in the experimental group were lower than those in the control group,the difference was statistically significant(P<0.05).The score of mental state,daily living ability,and social activity ability were lower than the control group,and the difference between the groups was significant(P<0.05).The proportion of upper-class intelligence in the experimental group was higher than that in the control group,and there was a difference in the comparison between the groups(P<0.05).After nursing,there was a difference in the fine motor ability of the two groups of children,and the score of the experimental group was higher than that of control group,and the difference between the groups was significant(P<0.05).Conclusion In the process of clinical nursing for children with cerebral palsy,the family-centered continuous nursing model can accelerate the recovery of children with cerebral palsy,improve their negative emotions and quality of life,and improve their level of intellectual development and fine motor ability.