协同护理在脑瘫患儿康复中的作用
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摘要
目的探讨并总结协同护理在脑瘫患儿康复治疗的应用价值。方法选取2015-03―2016-03新入住院康复治疗的脑瘫患儿163例,家长204位,为协同护理组,填写HAMA和SSRS表格,并接受护理干预。2014-03―2015-03新入住院康复治疗的脑瘫患儿148例,家长167位为对照组,填写HAMA和SSRS表格。结果 2组患儿入院时,协同护理组(163例患儿)较常规组(148例患儿)运动发育指数(PDI)和智力发育指数(MDI)(P>0.5)。1 a后,运动发育指数(PDI)和智力发育指数(MDI)协同护理组(136例患儿)明显高于常规组(103例)(t=4.35,P<0.5,t=3.98,P<0.5)。2组家长在入院时HAMA和SSRS无明显差异(P>0.05);1 a后复查,HAMA护理干预组明显低于对照组(P<0.05),SSRS护理干预组明显高于对照组(P<0.05)。结论脑瘫患儿的链式康复治疗中,同期对家长的协同护理,能够减轻家长的精神障碍,提高患儿康复治疗效果。
Objective To explore and summarize the application value of collaborative nursing in rehabilitation therapy for children with cerebral palsy.Methods A total of 163 children with cerebral palsy from March 2015 to March 2016 were enrolled in the hospital.The parents were 204,and they were in the collaborative care group.They filled out the HAMA and SSRS forms and received nursing intervention.148 children with cerebral palsy in the new hospital for rehabilitation,167 parents were in the control group,fill in the HAMA and SSRS forms.Results In the 2 groups of children,the Synergistic Nursing Group(163 children) had a higher motor development index(PDI) and mental development index(MDI) than the conventional group(148 children)(P>0.5).After 1 year,the exercise development index(PDI) and mental development index(MDI) collaborative care group(136 children) were significantly higher than the conventional group(103 cases)(t=4.35,P<0.5,t=3.98,P<0.5).There was no significant difference between HAMA and SSRS in the two groups(P>0.05).After 1 year,the HAMA nursing intervention group was significantly lower than the control group(P<0.05),and the SSRS nursing intervention group was significantly higher than the control group(P<0.05).Conclusion In the chain rehabilitation treatment of children with cerebral palsy,the coordinated nursing of parents during the same period can alleviate the mental disorders of parents and improve the rehabilitation effect of children.
Objective To explore and summarize the application value of collaborative nursing in rehabilitation therapy for children with cerebral palsy.Methods A total of 163 children with cerebral palsy from March 2015 to March 2016 were enrolled in the hospital.The parents were 204,and they were in the collaborative care group.They filled out the HAMA and SSRS forms and received nursing intervention.148 children with cerebral palsy in the new hospital for rehabilitation,167 parents were in the control group,fill in the HAMA and SSRS forms.Results In the 2 groups of children,the Synergistic Nursing Group(163 children) had a higher motor development index(PDI) and mental development index(MDI) than the conventional group(148 children)(P>0.5).After 1 year,the exercise development index(PDI) and mental development index(MDI) collaborative care group(136 children) were significantly higher than the conventional group(103 cases)(t=4.35,P<0.5,t=3.98,P<0.5).There was no significant difference between HAMA and SSRS in the two groups(P>0.05).After 1 year,the HAMA nursing intervention group was significantly lower than the control group(P<0.05),and the SSRS nursing intervention group was significantly higher than the control group(P<0.05).Conclusion In the chain rehabilitation treatment of children with cerebral palsy,the coordinated nursing of parents during the same period can alleviate the mental disorders of parents and improve the rehabilitation effect of children.
引文
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[16]张鹃鹃,王立成,郑蔚,等.责任制整体护理在脑瘫患儿康复中的应用探索[J].中国实用神经疾病杂志,2018,21(4):434-436.
[17]PARMINDER R.The health and well-being of children with celebral palsy[J].Pediatrecs,2005,115(6):626-636.
[18]张金牛.脑瘫患儿主要照料者生活质量影响因素及综合干预效果分析[D].合肥:安徽医科大学,2016.
[19]宋楷.心理护理对脑瘫患儿家长心理健康水平的影响[J].中国继续医学教育,2015,31(8):259-261.
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[21]CRYDER C E,SPRINGER S,MOREWEDGE C K.Guilty feelings,targeted actions[J].Pers Soc Psychol Bull,2012,38(5):607.
[22]XU H,BEGUE L,BUSHMAN B J.Washing the guilt away:Effects of personal versus vicarious cleansing on guilty feelings and prosocial behavior[J].Front Hum Neurosci,2014,8(8):97.
[23]DVM M L D,BONNEVIE E D,SZETO H S,et al.Mitoprotective Therapy Preserves Chondrocyte Viability and Prevents Cartilage Degeneration in an Ex Vivo Model of Posttraumatic Osteoarthritis[J].J Orthop Res,2018Feb 22.
[24]TOWERS M,TICKLE C.Growing models of vertebrate limb development[J].Development,2009,136(2):179-190.
[25]张金燕,彭宇阁.脑瘫患儿家长应对方式与社会支持的相关性研究[J].中国妇幼保健,2012,27(11):1 687-1 689.
[26]郭岚敏,肖凤鸣,姜志梅,等.脑性瘫痪儿童父母心理健康状况与其人格特征的关系[J].中国康复理论与实践,2014,20(11):1 068-1 070.
[27]HAMILTON M.The assessment of anxiety states by rating[J].Br J Med Psychol,1959,32(1):50-55.
[28]ABRAHAM I L,NEESE J B,WESTERMAN P S.Depression.Nursing implications of a clinical and social problem[J].Nurs Clin North Am,1991,26(3):527-544.
[29]姜永芬,李雪琴,冉雪梅,等.儿科治疗过程中缓解家长心理问题及护理干预的临床效果[J].中国健康心理学杂志,2017,25(5):749-751.
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