摘要
目的探讨家长参与护理在儿童发育性髋关节脱位(DDH)术后康复中的应用效果。方法选取2017年1月~2019年1月于我院行DDH治疗的120例患儿为研究对象,采用随机数字表法将其分为对照组和观察组,每组各60例。对照组采用常规护理,观察组在对照组的基础上联合家长参与护理。根据髋关节功能评分量表(Harris)及简式Fugl-Meyer运动功能评分法(FMA)测评两组护理前后的髋关节功能及下肢运动功能;根据生活质量量表(SF-36)测评两组护理前后的生活质量;比较两组家长护理满意度评分。结果两组护理后,观察组Harris和FMA评分均高于对照组,差异有统计学意义(P<0.05);观察组SF-36评分的生理机能、生理职能、躯体疼痛、一般健康状况、精力、社会功能、情感职能、精神健康8个维度评分高于对照组,差异均有统计学意义(P<0.05);观察组护理满意度的护理认知度、护理舒适度、护理沟通度、护理综合评分高于对照组,差异均有统计学意义(P<0.05)。结论家长参与护理能有效改善DDH患儿术后髋关节和下肢运动功能,提高其生活质量,护理满意度较高。
Objective To explore application effect of parents-involved nursing in postoperative rehabilitation of children undergoing developmental dislocation of hip(DDH)surgery.Methods A total of 120 children who underwent DDH surgery in our hospital from January 2017 to January 2019 were enrolled in the study.They were divided into control group and observation group by random number table method,60 cases in each group.The control group was given routine nursing.On this basis,observation group was additionally given parents-involved nursing.Harris hip function scale(Harris)and Fugl-Meyer assessment(FMA)were performed to measure hip function and lower limb motor function of the two groups before and after nursing.Quality of life scale(SF-36)was performed to evaluate quality of life in both groups before and after nursing.The scores of satisfaction for nursing were compared between the two groups.Results After nursing,scores of Harris and FMA in observation group were higher than those in control group,with statistical differences(P<0.05).The scores of SF-36 in 8 dimensions such as physiological function,physiological role,physical pain,general health status,energy,social function,emotional role and mental health of observation group were higher than those of control group,with statistical differences(P<0.05).The scores of nursing cognition,nursing comfort,nursing communication and nursing synthesis of observation group were higher than those of control group,with statistical differences(P<0.05).Conclusion Parents-involved nursing can effectively improve recovery of postoperative hip and motor function of lower limbs in DDH children,improve their quality of life.And nursing satisfaction is high.
作者
吴艳
夏群英
WU Yan;XIA Qun-ying(Department of Orthopaedics,Jiangxi Children′s Hospital,Nanchang330006,China)
出处
《中国当代医药》
2020年第15期226-228,232,共4页
China Modern Medicine
关键词
儿童发育性髋关节脱位
术后康复
家长参与护理
生活质量
Developmental dislocation of hip in child
Postoperative rehabilitation
Parents-involved nursing
Quality of life
