Relationship between postoperative rehabilitation style, gastrointestinal function, and inflammatory factor levels in children with intussusception

BACKGROUND Intussusception occurs in children and progresses rapidly.If not treated in time,it may lead to secondary complications such as intestinal perforation,which affect the quality of life and health of children.Surgery is the most common clinical treatment and has a good effect.However,the postoperative prognosis of children with intussusception has a correlation with the postoperative rehabilitation method.Therefore,in this study,we explored the relationship between postopera-tive rehabilitation,gastrointestinal function,and the expression of inflammatory factors in children with intussusception.The medical records of 18 children who were admitted to our hospital for intussusception surgery between October 2022 and May 2024 were retrospectively reviewed.The patients were divided into the routine nursing group(n=6)and rehabilitation training group(n=12)according to the postoperative rehabilitation method.The general data,gastrointestinal function,and inflammatory factor levels of the two groups were statistically analyzed.Pearson correlation analysis of gastrointestinal function,inflammatory factors,and postoperative rehabil-itation was performed.RESULTS We found no significant intergroup differences in sex,age,or disease course(P>0.05).The times to first defecation,bowel sound recovery,and anal exhaust were shorter and inflammatory factor levels were lower in the rehabilitation training group than in the routine nursing group(P<0.05).Pearson correlation analysis showed that gastrin and motilin levels were positively correlated with postoperative rehabilitation(P<0.05).Interleukin(IL)-2,IL-4,IL-6,IL-10,high-sensitivity C-reactive protein,and tumor necrosis factor-αlevels were negatively correlated with postoperative rehabilitation(P<0.05).Gastrointestinal function was positively correlated(P<0.05),and levels of inflammatory factors were negatively correlated with postoperative recovery time(P<0.05).CONCLUSION We found a positive correlation between gastrointestinal function and postoperative rehabilitation training,and a negative correlation between inflammatory factor levels and rehabilitation training in children with intussus-ception.

Navigating Silence: A Comprehensive Review of Parental Roles in the Rehabilitation of Children with Hearing Loss

This narrative literature review delves into the multifaceted realm of parental involvement in the rehabilitation of children with permanent hearing loss. While existing research has made strides in elucidating parental roles in this context, critical gaps persist, necessitating a comprehensive exploration to inform future endeavors. Our review synthesizes a wide array of studies, identifying these gaps and emphasizing the significance of addressing them. Themes emerging from the literature include the varying degrees of parental engagement, the impact of cultural and socio-economic factors, and the challenges faced by families navigating rehabilitation processes. The synthesis of this literature not only highlights the current state of knowledge but also provides a roadmap for future research efforts. By addressing these gaps, we aim to contribute to a more nuanced understanding of parental involvement in the rehabilitation of children with permanent hearing loss, ultimately fostering improved support systems and holistic care for affected families.

Research Progress on Pulmonary Rehabilitation in Children with Bronchial Asthma

Bronchial asthma is a chronic respiratory disease that poses a significant threat to the physical and mental health of children globally.Currently,pulmonary rehabilitation is a non-pharmacological intervention that has shown promise in treating chronic respiratory diseases.However,most studies related to pulmonary rehabilitation only focus on chronic conditions such as chronic obstructive pulmonary disease(COPD),lung cancer,and bronchiectasis.Research on bronchial asthma in children is still in the preliminary stages.This article reviews the concept,basic content,and application mode of pulmonary rehabilitation,to provide reference for the clinical research of pulmonary rehabilitation in children with bronchial asthma,and to carry out multimodal pulmonary rehabilitation to improve the disease control level and quality of life of asthma in children.

Early rehabilitation improves neurofunctional outcome after surgery in children with spinal tumors

To investigate the effect of early rehabilitation on neurofunctional outcome after surgery in chil- dren with spinal tumors, this study reviewed the medical charts and radiographic records of 70 pediatric patients （1-17 years old） who received spinal tumor surgical removal. The peddiatric patients received rahabilitation treatment at 4 （range, 2-7） days after surgery for 10 （range, 7-23） days. Results from the Modified McCormick Scale, Functional Independence Measure for Chil- dren, American Spinal Injury Association Impairment Scale and Karnofsky Performance Status Scale demonstrated that the sensory function, motor function and activity of daily living of pedi- atric children who received early rehabilitation were significantly improved. Results also showed that tumor setting and level localization as well as patients＇s clinical symptoms have no influences on neurofunctional outcomes.

Research on the Application Effect of Humanized Nursing Management in Pediatric Rehabilitation Wards

Objective:To explore the application effect of humanized nursing management in pediatric rehabilitation wards.Methods:82 pediatric patients admitted to our hospital between January 2023 and January 2024 were randomly divided into a control group and an observation group.Among them,the control group was given routine care,while the observation group received humanized nursing management,and the clinical nursing effects and situations of the two groups of children were compared and analyzed.Results:After nursing,the observation group showed significantly better performance in intelligent Developmental Quotient(DQ)values(P<0.05).The clinical nursing satisfaction of the observation group was significantly better than that of the control group(χ^(2)=11.710,P<0.05).Conclusion:Humanized nursing management for patients in pediatric rehabilitation wards not only improves their recovery but also significantly enhances parental satisfaction,which is worth learning from and promoting in clinical settings.

Rehabilitation nursing and follow-up of pelvis fracture in children

Objective To improve the rehabilitation nursing effect of pelvis f racture,physio logical and mental recovery in child ren.Methods22cases of pe lvis fracture in childr en were analyzed retrospectively and followed up(the me an 2.5years).Results The living confidence of all children was rebuilt in s ome extent,and the children could adapt the study and social life when they lef t hospital.Conclusions The better re-habilitation nursing effect was obtained according to the following fou r important factors:observation an d nursing of the complications,reco g-nizing the major and minor nursing problems,adjusti ng relationship between the fracture fixation and functional exercise,paying mo re attenti on to the rehabilitation nursing of child ren having special mental p roblems.

On the Lawful Rights and Interests of Mentally Retarded Children——A case study of a rehabilitation center in Liaoning Province

Mentally retarded children are the most disadvan- taged among disabled children. Since the reform and opening up, with sup- port from the Communist Party of China, the government and the public, the legitimate rights and interests of mentally retarded children have greatly improved. But problems in this respect remain serious, and vari- ous levels of government, relevant departments and the public should attach much importance to these problems. This paper, taking a reha- bilitation center in Liaoning Province for mentally retarded children as a single case, studies the protection of these children＇s lawful rights and in- terests in a systematic manner.

Short-term effect of rehabilitation training on children with neuropathic acontractile sphincter incontinence

Objective To evaluate the short-term effect of pelvic floor muscle rehabilitation training under the guidance of doctors on children with neuropathic acontractile sphincter incontinence ( NASI) . Methods Sixty-eighty children ( aged 4 - 12 mean,7) years with NASI

Effects of early rehabilitation in improvement of paediatric burnt hands function

BACKGROUND Hands are one of the most common burn sites in children.Hypertrophic scar contractures in hands after wound healing result in further reductions in their range of motion(ROM),motility,and fine motor activities.Rehabilitation can improve the function of hands.But the optimal time of rehabilitation intervention is still unclear.Therefore,this study was designed to investigate the effects of early rehabilitation management of paediatric burnt hands and to compare the efficacy between early and later rehabilitation intervention.AIM To investigate the effects of early rehabilitation management of paediatric burnt hands.METHODS A total of 52 children with burnt hands were allocated into the early intervention group(≤1 mo from onset)and a late intervention group(>1 mo from onset)between January 2016 and December 2017.The children received the same rehabilitation programme including skin care,scar massage,passive ROM exercises,active ROM exercises,compression therapy,orthotic devices wearing and game or music therapy.Rehabilitation assessments were performed before and after the rehabilitation treatment.RESULTS In the early intervention group,the ROM of the hands was significantly improved after rehabilitation(P=0.001).But in the late group the effect was not significant statistically(P=0.142).In the early group,38.5%of the patients showed significant improvement,while in the late group,69.2%of the patients showed no significant improvement.The time from onset to posttraumatic rehabilitation(P=0.0007)and length of hospital stay(P=0.003)were negatively correlated with the hand function improvement.The length of rehabilitation stay was positively correlated with the hand function improvement(P=0.005).CONCLUSION These findings suggest that early rehabilitation might show better results in terms of ROM.

儿童重症肺炎肺康复中西医结合诊疗方案专家共识

重症肺炎是儿童时期急性感染性呼吸系统疾病,因其病程迁延、进展迅速、缠绵难愈,严重影响患儿身心健康。肺康复是重症肺炎管理的核心部分,但目前国内尚缺少规范化、统一化的儿童重症肺炎中西医结合肺康复诊疗方案,为提高肺康复在儿童重症肺炎中的疗效,进一步规范儿童重症肺炎肺康复中西医结合临床诊疗行为,遵循循证医学的基本原则,采用德尔菲法,通过2轮专家调查问卷,并结合临床评价,最终形成《儿童重症肺炎肺康复中西医结合诊疗方案专家共识》。

郭氏背三针联合康复治疗对痉挛型脑瘫患儿运动功能的影响

目的:探讨郭氏背三针联合康复治疗对痉挛型脑瘫患儿的临床疗效及对运动功能的影响。方法:选取2021年10月—2023年10月在河南省中医院儿童康复科接受治疗的70例痉挛性脑瘫患儿,随机分成治疗组和对照组,每组35例。对照组采用新Bobath康复疗法,治疗组在此基础上加用郭氏背三针疗法。对比两组治疗前后Peabody运动发育量表-2(PDMS-2)、粗大运动功能评定量表(GMFM)、儿童平衡量表(PBS)、运动相关指标及血清学指标的变化,并统计两组的临床疗效。结果:治疗组的总有效率明显优于对照组(P<0.05),干预后,两组痉挛型脑瘫患儿PDMS-2、GMFM、PBS、跨步长度和1 min步行距离、脑源性神经营养因子(BDNF)、神经生长因子(NCF)及胶质细胞源性神经营养因子(GDNF)均较治疗前升高(P<0.05),10 m步行时间、血清白细胞介素6(IL-6)的水平发生了显著变化(P<0.05)。与对照组相比,治疗组PDMS-2评分、GMFM评分、PBS评分、跨步长度和1 min步行距离等运动功能指标均明显提高(P<0.05),而10 m步行时间和血清IL-6水平则明显降低(P<0.05)。此外,治疗组的BDNF、NCF和GDNF等神经营养因子的水平也显著高于对照组(P<0.05)。结论:郭氏背三针联合康复治疗对痉挛型脑瘫患儿有显著的治疗效果,能够有效提升患者的平衡能力,改善患者的血清学指标,增强运动功能和步行水平。

发展性社会工作视角下残疾儿童社区康复服务体系重构研究

社区康复服务是增进残疾儿童及其家庭福祉的重要手段。基于LX街道残疾儿童和社区康复站的调查,残疾儿童社区康复服务存在服务供给不足和服务主体单一的问题,使其无法有效满足残疾儿童的多元需要。发展性社会工作强调经济与社会的协调发展、以社区为基础、赋能和优势取向、综合性干预,标志着社会工作从临床干预范式向发展范式的转型。发展性社会工作的实践要素有助于重构残疾儿童社区康复服务体系,形成以需要为导向、以社区为基础、以多元主体为支撑的残疾儿童分级评定与分类服务体系,这对于完善残疾儿童康复救助制度有重要意义。

Treatment of Severe Gluteal Muscle Contracture in Children

To investigate the efficacy of a combination therapy on gluteal muscle contracture, 286 definitely diagnosed patients were subjected to surgical treatment, and then functional exercises and physical therapy. The patients with severe symptoms were asked to have a set of specially-designed functional exercises. All the patients were followed up for 3 to 24 months by hospital visit, correspondence or telephone interview. The effective rate was 100%, and the curative rate was up to 94.6%. Few patients developed complications and relapse was rare. It is concluded that the combination therapy, including surgical removal of diseased tissues, functional exercises and physical therapy, is an effective approach for the treatment of severe juvenile gluteal muscle contracture.

A Social Intervention Approach to Rehabilitate the Health Psychology of Leftbehind Children with Psychological Problems in Healthcare Settings

Background:Left-behind children are more inclined to generate psychological problems relative to non-leftbehind children,thus how to rehabilitate their health psychology and promote the psychological health development of this special disadvantaged group in healthcare settings should be paid more attention to.Objective:This paper attempts to present a social intervention approach and explore its impact on the rehabilitation of rural leftbehind children’s psychological problems in healthcare settings.Methods:This study firstly designed a social intervention program based on the health psychology theory and the generation causes of left-behind children’s psychological problems,and then three groups were applied to test the effectiveness of the program with comparison analysis.Results:Compared with the control left-behind children(group 2),the left-behind children in the experimental group 1 had positive changes in learning anxiety,physical symptoms,anxiety about people,loneliness tendency,self-blame tendency,allergy tendency,terror tendency and impulse tendency.And their mental health can be rehabilitated to the level of non-left-behind children in group 3.Conclusion:This study revealed positive effects of specially designed social intervention program on the rehabilitation of left-behind children’s psychological problems in healthcare settings.The results have both theoretical and practical implications.

Stages of Emotional Experience of Parents of Children with Cochlear Implantation (CI)

Rehabilitation is a set of measures aimed at compensating or fully restoring the functions of the patient impaired by the disease. In the rehabilitation of children with a cochlear implant, a comprehensive, systematic approach is essential in the work of doctors, teachers, sign language teachers, psychologists, and families. Rehabilitation and social adaptation of children with a cochlear implant depend not only on specialists but also on the ability of parents to help the child organize educational activities in an optimistic mood and the ability to provide emotional support. This means that the role of parents in the way to successful rehabilitation is high, and therefore this topic is especially relevant today. .

基于ICF的听力障碍儿童言语与语言康复服务:理论架构与服务体系

目的 基于《国际功能、残疾和健康分类》(ICF)的生物-心理-社会功能和健康模式,系统分析世界卫生组织(WHO)康复相关的政策文件,探讨听力障碍儿童言语与语言康复的理论与政策原则、服务体系以及优先发展领域、主要政策和技术措施。方法 采用文献研究和政策研究法,系统梳理ICF的功能和健康架构、WHO康复相关政策报告和美国语言听力协会技术文件,结合我国听障儿童康复服务的现状和需求,提出构建基于ICF的听障儿童言语与语言康复服务体系的理论框架、优先领域和主要政策与技术措施。结果 发展听障儿童言语与语言康复需要遵循八大原则:以儿童为中心、尊重个体差异;全生命周期支持和促进持续发展;开展循证实践,确保干预的科学性和有效性;多学科团队合作并提供全面支持;构建家庭参与的支持网络;促进儿童的融合教育与社会参与;关注文化敏感性;技术赋能康复创新。听障儿童言语与语言康复要构建五大服务体系:早期筛查、诊断与干预综合体系;家庭和社会支持体系;多学科团队服务体系;全方位、多层次的听障儿童言语与语言康复服务体系;数字赋能服务构建新的康复服务模式。并讨论了优先发展领域以及主要政策和技术措施。结论 基于ICF的生物-心理-社会的功能和健康架构,通过加强政策支持、完善服务体系、构建多学科团队服务、推广数字赋能技术、加强社会支持等措施,可以为听障儿童提供全方位、个性化、持续性的高质量、全覆盖康复服务,促进儿童的全面发展和社会参与,提高儿童的生活质量。

术后早期综合康复对儿童青少年肱骨髁上骨折伴尺神经损伤的效果

目的观察术后早期综合康复对并发尺神经损伤的肱骨髁上骨折儿童青少年的肘关节功能障碍与尺神经损伤的效果。方法2016年1月至2021年12月在中国中医科学院望京医院治疗的并发尺神经损伤的肱骨髁上骨折术后的儿童青少年49例,随机分为对照组(n=24)和治疗组(n=25)。对照组采用蜡敷治疗和针灸治疗,治疗组采用药物熏蒸、关节松动术及肌电生物反馈治疗,治疗12周。治疗前后分别采用美国特种外科医院肘关节评定表(HSS)和英国医学研究院神经外伤学会报告(MCRR)进行评估。结果治疗后,两组HSS评分均显著升高(|t|>8.345,P<0.001),治疗组HSS评分显著高于对照组(t=4.536,P<0.001),治疗组治疗前后HSS评分差值高于对照组(t=3.717,P<0.05)。治疗组尺神经恢复优良率高于对照组(χ^(2)=5.975,P<0.05)。结论术后早期综合康复可改善并发尺神经损伤的肱骨髁上骨折儿童青少年的肘关节功能,促进尺神经恢复。

基于价值工程的儿童下肢主动训练矫正器设计

目的 为改善现有儿童下肢主动训练矫正器的外观品质与交互方式,提升产品的整体价值,基于价值工程理论(ValueEngineering,VE)提出一种儿童下肢主动训练矫正器改进设计。方法 首先,结合层次分析法对儿童下肢主动训练矫正器产品功能模块进行划分与功能权重量化;其次,依据价值工程计算原理依次求出各功能要素的功能系数、成本系数和价值系数,利用价值机会分析获取关键功能要素的改进设计方向,为整体价值提升提供设计指导;最后,运用模糊综合评价法对多个改进设计方案进行排序,最终确定优选设计方案。结论 设计评价与验证结果表明改进设计方案在矫正模块和训练模块方面的用户满意度有明显提升。将价值工程理论应用于儿童下肢主动训练矫正器改进设计中具有一定可行性和有效性,对相关产品设计有一定参考与借鉴意义。

儿童人工耳蜗植入术后听觉言语康复情况的影响因素

目的 分析儿童人工耳蜗植入术后听觉言语康复情况的影响因素。方法 回顾性收集2015年1月至2020年1月南阳市中心医院收治的120例人工耳蜗植入术后耳聋儿童临床资料,术后均随访24个月,比较所有儿童开机前及术后1、3、6、9、12、24个月听觉行为分级、语言可懂度分级、婴幼儿有意义听觉整合量表评分,以多重线性回归分析耳聋儿童人工耳蜗植入术后24个月听觉言语康复情况的影响因素。结果 开机前及术后1、3、6、9、12、24个月,耳聋儿童人工耳蜗植入术后听觉行为分级、语言可懂度分级、婴幼儿有意义听觉整合量表评分均呈逐渐升高趋势,不同时间点比较,差异有统计学意义(P<0.05)。多重线性回归分析结果显示,术前有残余听力且佩戴助听器、植入时年龄≤3岁、人工耳蜗植入术电极类型为弯电极、监护人受教育程度为中及以上、康复模式为康复机构联合家庭、基因突变类型为GJB2、监护人为父母均为影响耳聋儿童人工耳蜗植入术后24个月听觉行为分级评分、婴幼儿有意义听觉整合量表评分的保护因素(P<0.05);术前有残余听力且佩戴助听器、植入时年龄≤3岁、人工耳蜗植入术电极类型为弯电极、康复模式为康复机构联合家庭、基因突变类型为GJB2、监护人受教育程度为高中及以上均为影响耳聋儿童人工耳蜗植入术后24个月语言可懂度分级评分的保护因素(P<0.05)。结论 影响耳聋儿童人工耳蜗植入术后24个月婴幼儿听觉言语康复的相关因素包括植入时年龄、术前有残余听力且佩戴助听器情况、人工耳蜗植入术电极类型情况、监护人情况、康复模式、基因突变类型,临床可针对以上因素对耳聋儿童进行干预,促进其听觉言语康复。

危重症患儿早期活动的最佳证据总结

目的对危重症患儿早期活动的最佳证据进行整理总结,为临床制定相关干预策略提供参考。方法通过检索加拿大安大略省注册护士协会网(RNAO)、英国国家卫生与临床优化研究所(NICE)、苏格兰学院间指南网络(SIGN)、Web of Science、Cochrane Library、PubMed、Best Practice(BMJ)、UpToDate、中国生物医学文献服务系统、万方数据知识服务平台、中国知网等数据库中危重症患儿早期活动的相关文献,检索时限为建库至2023年8月14日,按照JBI循证卫生保健中心的相应评价标准进行质量评价,对纳入的文献进行证据提取。结果最终纳入文献10篇,提取内容包括团队、评估、绝对禁忌、相对禁忌、运动状况监测和活动内容6个维度共20条最佳证据。结论提取的危重症患儿早期活动的最佳证据可作为重症患儿早期活动的循证依据。