团队延续护理模式在脑性瘫痪患儿居家康复中的应用效果

Application effect of team continuous nursing mode in home rehabilitation of children with cerebral palsy

目的探讨团队延续护理模式在脑性瘫痪患儿居家康复中的应用效果。方法采用便利抽样法选取2022年2月至11月在河南大学第一附属医院儿科和康复科治疗的96例脑瘫患儿及其照顾者为研究对象,随机将其分为对照组和干预组,各48例。对照组采用传统护理模式,干预组采用团队延续护理模式。比较两组的干预效果。结果出院6个月,干预组照顾者的焦虑自评量表(SAS)评分低于对照组(P<0.05);出院3、6个月,干预组照顾者的抑郁自评量表(SDS)评分低于对照组,护理满意度评分高于对照组(P<0.05)。出院6个月,两组患儿的康复锻炼依从性差于干预3个月(P<0.05);出院3、6个月,干预组患儿的康复锻炼依从性优于对照组(P<0.05)。结论团体延续护理模式应用在脑瘫患儿居家康复中的效果确切,可以有效改善照顾者的负性情绪,提升照顾者的满意度,提高脑瘫患儿的依从性。

Objective To explore the application effect of team continuous nursing mode in home rehabilitation of children with cerebral palsy.Methods A total of 96 children with cerebral palsy and their caregivers who were treated in the pediatrics department and rehabilitation department of the First Affiliated Hospital of Henan University from February to November 2022 were selected by convenience sampling method,and they were randomly divided into control group and intervention group,with 48 cases in each group.The control group adopted the traditional nursing mode,and the intervention group adopted the team continuous nursing mode.The intervention effects of the two groups were compared.Results At 6 months after discharge,the Self-Rating Anxiety Scale(SAS)score of caregivers in the intervention group was lower than that in the control group(P<0.05);at 3 and 6 months after discharge,the Self-Rating Depression Scale(SDS)score of caregivers in the intervention group was lower than that in the control group,and the nursing satisfaction was higher than that in the control group(P<0.05).At 6 months after discharge,the compliance of rehabilitation exercise in the two groups was worse than that after 3 months of intervention(P<0.05);at 3 and 6 months after discharge,the compliance of rehabilitation exercise in the intervention group was better than that in the control group(P<0.05).Conclusion Team continuous nursing mode applied to home rehabilitation of children with cerebral palsy has definite effect,it can effectively improve the negative emotions of caregivers,improve the satisfaction of caregivers and improve the compliance of children with cerebral palsy.