引导式教育在小儿脑瘫康复护理干预中的护理效果及对运动功能的影响

Nursing Effect of Conductive Education in Rehabilitation Nursing Intervention of Children with Cerebral Palsy and its Influence on Motor Function

目的研究引导式教育在小儿脑瘫康复护理干预中的护理效果及对患儿运动功能的影响。方法选取2021年1月-2022年6月兴国县第二医院康复医学科收治的80例脑瘫患儿,采用随机数字表法分为对照组(40例)与观察组(40例)。对照组给予常规康复干预,观察组在其基础上应用引导式教育,比较两组康复效果、语言水平[语言行为评估量表(VerBAS)评分]、运动功能[粗大运动功能测试量表(GMFM-88)评分]、发育商[0~6岁神经心理发育诊断量表(儿心量表)评分、格塞尔婴幼儿发展量表(Gesell)的发展商数(DQ)]、家长满意度。结果观察组康复有效率高于对照组(P<0.05)。两组干预后VerBAS、GMFM-88分数均高于干预前,且观察组VerBAS、GMFM-88分数高于对照组(P<0.05)。两组干预后儿心量表评分、DQ值均高于干预前,且观察组儿心量表评分、DQ值高于对照组(P<0.05)。观察组家长满意度高于对照组(P<0.05)。结论引导式教育在小儿脑瘫康复护理中具有确切作用,可提高其康复效果,促进患儿的语言水平、运动功能及发育商,家长满意度反馈良好。

Objective To study the nursing effect of conductive education in rehabilitation nursing intervention of children with cerebral palsy and its influence on motor function of children.Methods A total of 80 children with cerebral palsy admitted to the Department of Rehabilitation Medicine,Xingguo County Second Hospital of from January 2021 to June 2022 were selected and divided into control group(40 children)and observation group(40 children)by random number table method.The control group was given routine rehabilitation intervention,and the observation group was given conductive education on the basis of the control group.The rehabilitation effect,language level(VerBAS score),motor function[Gross Motor Function Measure-88(GMFM-88)score],development quotient[0-6 Years Old Neuropsychological Development Diagnosis Scale score,Gesell Infant Development Scale(Gesell)development quotient(DQ)]and parental satisfaction were compared between the two groups.Results The effective rate of rehabilitation in the observation group was higher than that in the control group(P<0.05).The scores of VerBAS and GMFM-88 in the two groups after intervention were higher than those before intervention,and the scores of VerBAS and GMFM-88 in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of children's heart scale and DQ values in the two groups were higher than those before intervention,and the scores of children's heart scale and DQ values in the observation group were higher than those in the control group(P<0.05).The satisfaction of parents in the observation group was higher than that in the control group(P<0.05).Conclusion Conductive education has a definite effect in the rehabilitation nursing of children with cerebral palsy,which can improve the rehabilitation effect,promote the language level,motor function and development quotient of children,and the feedback of parents'satisfaction is good.