【摘要】 目的分析康复护理早期干预应用在小儿脑瘫中的效果。方法 48例脑瘫患儿,随机分成对照组和观察组,每组24例。对照组采用常规护理干预,观察组采用常规护理干预+康复护理早期干预。对比两组患儿盖泽尔智能发育诊断量表(GDDS)中各项目评分和巴氏指数(Barthel)评分。结果观察组患儿护理前适应性评分为(8.12±2.10)分,语言能力评分为(7.15±1.26)分,社交能力评分为(7.64±1.37)分,精细动作评分为(8.64±1.28)分,粗大动作评分为(7.15±1.20)分;护理后上述5项评分依次为(16.34±2.25)、(15.67±2.67)、(16.49±2.69)、(14.29±2.78)、(15.84±2.61)分。对照组患儿护理前适应性评分为(8.25±2.01)分,语言能力评分为(7.47±1.31)分,社交能力评分为(7.15±1.24)分,精细动作评分为(8.18±1.09)分,粗大动作评分为(7.23±1.12)分;护理后上述5项评分依次为(10.15±1.12)、(9.58±1.14)、(9.18±1.08)、(10.36±1.21)、(9.58±1.14)分。两组患儿护理前GDDS量表中各项目评分比较差异无统计学意义(P>0.05);护理后,观察组GDDS量表中各项目评分均高于对照组,差异具有统计学意义(P<0.05)。护理前,对照组患儿Barthel评分为(40.21±4.69)分,护理后为(63.87±5.38)分;观察组患儿护理前Barthel评分为(40.36±4.84)分,护理后为(82.53±8.27)分。两组患儿护理前Barthel评分比较差异无统计学意义(P>0.05);护理后观察组Barthel评分高于对照组,差异具有统计学意义(P<0.05)。结论在脑瘫患儿中实施康复护理早期干预可获得较好的效果。更多还原

【Abstract】 Objective To analyze effect by rehabilitation nursing early intervention applied for pediatric cerebral palsy.Methods A total of 48 children patients with cerebral palsy were randomly divided into control group and observation group,with 24 cases in each group.The control group received conventional nursing intervention,and the observation group received conventional nursing intervention + rehabilitation nursing early intervention.Comparison was made on item scores in Gesell development diagnosis scale(GDDS) and Barthel score between the two groups.Results The observation group had adaptability score as(8.12±2.10) points,language competence score as(7.15±1.26) points,sociability score as(7.64±1.37) points,fine motor score as(8.64±1.28) points and gross motor score as(7.15±1.20) points before nursing,which were respectively(16.34±2.25),(15.67±2.67),(16.49±2.69),(14.29±2.78) and(15.84±2.61) points after nursing.The control group had adaptability score as(8.25±2.01) points,language competence score as(7.47±1.31) points,sociability score as(7.15±1.24) points,fine motor score as(8.18±1.09) points and gross motor score as(7.23±1.12) points before nursing,which were respectively(10.15±1.12),(9.58±1.14),(9.18±1.08),(10.36±1.21) and(9.58±1.14) points after nursing.There was no statistically significant difference of item scores in GDDS before nursing between the two groups(P>0.05).After nursing,the observation group had all higher scores in GDDS than the control group,and their difference had statistical significance(P<0.05).Before nursing,the observation group had Barthel score as(40.21±4.69) points,which was(63.87±5.38) points after nursing.The observation group had Barthel score before nursing as(40.36±4.84) points and(82.53±8.27) points after nursing.There was no statistically significant difference of Barthel score before nursing between the two groups(P>0.05).After nursing,the observation group had higher Barthel score than the control group,and their difference had statistical significance(P<0.05).Conclusion Implement of rehabilitation nursing early intervention for pediatric cerebral palsy patients provides excellent effect.更多还原