基于ICF-CY框架的四位一体康复护理措施对痉挛型脑瘫患儿精细运动功能的影响

Effects of quaternity rehabilitation nursing measures based on ICF-CY framework on fine motor function in children with spastic cerebral palsy

目的 探讨基于《国际功能、残疾和健康分类(儿童与青少年版)》(ICF-CY)框架的四位一体康复护理措施对痉挛型脑瘫患儿精细运动功能的影响。方法 选择2020年4月至2022年2月陕西省康复医院收治的103例痉挛型脑瘫患儿作为研究对象,按照随机数表法分为观察组52例和对照组51例,对照组患儿采用常规康复护理措施,观察组患儿使用基于ICF-CY框架的四位一体康复护理措施,两组患儿均持续接受3个月的康复护理。比较两组患儿护理前、护理3个月后Berg平衡量表(BBS)评分、粗大运动评估88项(GMFM-88)评分、Prabody精细运动发育量表(PDMS-FM)评分、Gesell发育商(DQ)值、儿童生存质量核心通用量表(PedsQL)评分的变化,并比较两组患儿监护人对护理的满意度。结果 护理后,观察组患儿的BBS评分、GMFM-88评分分别为(42.37±3.19)分、(156.70±18.21)分,明显高于对照组的(36.08±3.34)分、(139.72±15.32)分,差异均有统计学意义(P<0.05);护理后,观察组患儿PDMS-FM评分中的抓握、视觉运动评分分别为(43.05±3.06)分、(68.92±6.40)分,明显高于对照组的(39.83±3.24)分、(61.32±5.63)分,差异均有统计学意义(P<0.05);护理后,观察组患儿的DQ值、Peds QL评分分别为(59.01±5.23)分、(57.39±4.26)分,明显高于对照组的(54.34±4.80)分、(51.42±4.08)分,差异均有统计学意义(P<0.05);观察组患儿监护人对护理的总满意率为90.38%,明显高于对照组的70.59%,差异有统计学意义(P<0.05)。结论 基于ICF-CY框架的四位一体康复护理措施有助于改善痉挛型脑瘫患儿的精细运动功能,具有临床推广应用价值。

Objective To study the effects of quaternity rehabilitation nursing measures based on《International Classification of Functioning,Disability and Health(Children and Adolescents)》(ICF-CY)framework on fine motor function in children with spastic cerebral palsy.Methods A total of 103 children with spastic cerebral palsy admitted to Shaanxi Provincial Rehabilitation Hospital from April 2020 to February 2022 were selected as the research objects.According to the random number table method,they were divided into an observation group(52 cases)and a control group(51 cases).The children in the control group received conventional rehabilitation nursing measures,while the children in the observation group received quaternity rehabilitation nursing measures based on ICF-CY framework,both for 3 months.The Berg Balance Scale(BBS)score,Gross Motor Assessment 88(GMFM-88)score,Prabody Fine Motor Development Scale(PDMS-FM)score,Gesell development quotient(DQ)value,and Core Universal Scale for Quality of Life(PedsQL)score before nursing and at 3 months after nursing were compared between the two groups.The satisfaction of the family members towards nursing was compared between the two groups.Results After nursing,the BBS and GMFM-88 scores in the observation group were(42.37±3.19)points and(156.70±18.21)points,which were significantly higher than(36.08±3.34)points and(139.72±15.32)points of the control group(P<0.05).After nursing,the PDMS-FM scores in the observation group were(43.05±3.06)points and(68.92±6.40)points,which were significantly higher than(39.83±3.24)points and(61.32±5.63)points of the control group(P<0.05).After nursing,the DQ value and PedsQL score in the observation group were(59.01±5.23)points and(57.39±4.26)points,which were significantly higher than(54.34±4.80)points and(51.42±4.08)points of the control group(P<0.05).The total satisfaction rate of the family members of children in the observation group was 90.38%,which was significantly higher than 70.59%in the control group(P<0.05).Conclusion The quaternity rehabilitation nursing measures based on ICF-CY framework can improve the fine motor function of children with spastic cerebral palsy,which have clinical application value.