高青鳳

【摘要】 目的：探討家庭康復護理對小兒腦癱的康復影響。方法：選取2016年1月-2018年2月筆者所在醫(yī)院收治的120例小兒腦癱患兒作為研究對象，通過隨機分組，將腦癱高危兒分為康復機構干預組（對照組）和家庭干預組（觀察組），分別給予在康復機構內(nèi)干預和家庭康復護理干預，6個月后進行Gesell發(fā)育量表評分，比較兩組干預的效果。結果：觀察組患兒的臨床效果明顯高于對照組患兒，差異有統(tǒng)計學意義（P<0.05）;對照組患兒適應行為、大運動行為、精細運動行為、語言行為及個人-社交行為等康復評分明顯低于觀察組患兒，差異有統(tǒng)計學意義（P<0.05）。結論：家庭康復護理干預在小兒腦癱患兒中具有較好的應用效果，有助于提高患兒肢體功能水平，具有經(jīng)濟優(yōu)惠的優(yōu)勢，能夠減輕家庭負擔。

【關鍵詞】 小兒腦癱; 家庭康復訓練; 臨床療效

doi：10.14033/j.cnki.cfmr.2019.09.031 文獻標識碼 B 文章編號 1674-6805（2019）09-00-02

Effect of Family Rehabilitation Nursing on Rehabilitation of Cerebral Palsy in Children/GAO Qingfeng.//Chinese and Foreign Medical Research，2019，17（9）：-69

【Abstract】 Objective：To explore the effect of family rehabilitation nursing on rehabilitation of cerebral palsy in children.Method：120 children with cerebral palsy were admitted to our hospital from January 2016 to February 2018 were selected as observation objects.The children at high risk of cerebral palsy were divided into rehabilitation intervention group（control group） and family intervention group（observation group） by random grouping.They were given intervention in rehabilitation institutions and family rehabilitation nursing intervention respectively.After 6 months，the Gesell development scale was used to compare the effect of intervention between the two groups.Result：The clinical efficacy of the observation group was significantly higher than the control group，the difference was statistically significant（P<0.05）.And the rehabilitation scores of adaptive behavior，large motor behavior，fine motor behavior，language behavior and individual-social behavior were significantly lower than those of the observation group，and the differences were statistically significant（P<0.05）.Conclusion：Family rehabilitation nursing intervention in children with cerebral palsy has a good application effect，helps to improve the level of children's limb function，and has economic advantages，can reduce the burden on the family.

【Key words】 Children with cerebral palsy; Family rehabilitation training; Clinical efficacy

First-authors address：Shenzhen Hospital of University of Chinese Academy of Sciences，Shenzhen 518107，China

小兒腦性癱瘓也被稱為小兒腦癱，是指出生一個月后由于腦部發(fā)育不成熟而非腦損傷造成的各種運動障礙，是一種常見的中樞神經(jīng)系統(tǒng)疾病[1]。病變位置主要在腦部，常伴隨智力障礙、癲癇、行為異常、語言障礙等癥狀[2]。目前尚無特效治療方法，因此康復訓練在小兒腦癱患兒中的療效有待探究[3]。近年來，隨著康復理念的普及，患兒家屬已經(jīng)意識到康復的重要性和必要性[4]。由于患兒的病情千差萬別，對治療的敏感度也相差較大，因此就需要家庭的護理支持，才能保證有效的治療效果[5]。本文主要針對小兒腦癱患兒的家庭康復訓練方法及效果展開研究，報道如下。

1 資料與方法

1.1 一般資料