摘要
目的探讨学龄前期脑瘫患儿采用聚焦解决干预的效果。方法选择2020年10月—2021年10月儿童医院神经内科收治的80例学龄前期脑瘫患儿,按照组间基本特征均衡可比的原则分为对照组和观察组,各40例。对照组予以常规护理,观察组在常规护理基础上予以聚焦解决干预。干预前及干预6个月后采用儿童上肢功能评定量表(QUEST)、儿童平衡量表(PBS)、粗大运动功能评定量表(GMFM)、儿童功能独立性评定量表(WeeFIM)和韦氏幼儿智力量表-第四版(WPPSI-Ⅳ)比较两组患儿的上肢功能、平衡能力、运动功能、认知水平及神经智力发育情况。结果干预前,两组患儿上肢功能、平衡能力、运动功能、认知水平及神经智力发育评分比较差异均无统计学意义(P>0.05)。干预6个月后,观察组患儿的QUEST评分、PBS评分、GMFM表中的D区和E区评分均高于对照组,组间比较差异均有统计学意义(P<0.05);观察组WeeFIM中认知功能维度评分、WPPSI-Ⅳ评分均高于对照组,组间比较差异具有统计学意义(P<0.05)。结论学龄前期脑瘫患儿采用聚焦解决干预的效果明显,不仅能增强上肢功能与平衡能力,改善运动功能,还能促进患儿的认知水平及神经智力发育水平有效提高。
Objective To explore the eff ect of focused solution intervention on preschool children with cerebral palsy.Methods To select 80 preschool children with cerebral palsy admitted to the department of neurology of children's hospital from October 2020 to October 2021,and they were divided into a control group and an observation group according to the principle of balanced and comparable basic characteristics between groups,with 40 cases in each group.The control group was given routine nursing,while the observation group was given focused solution intervention on the basis of routine nursing.Before and 6 months after intervention,the upper limb function,balance ability,motor function,cognitive level and neurointelligence development of the two groups of children were compared by using children's quality of upper extremity skill test(QUEST),pediatric balance scale(PBS),gross motor function measure(GMFM),functional independence measure for children(WeeFIM)and the fourth edition of Wechsler preschool and primary scale of intelligence(WPPSI-Ⅳ).Results Before the intervention,there was no significant difference in the scores of upper limb function,balance ability,motor function,cognitive level and neurointelligence development between the two groups(P>0.05).After 6 months of intervention,the QUEST score,PBS score,D and E scores in GMFM in the observation group were higher than those in the control group,and the diff erences between the groups were statistically signifi cant(P<0.05).The cognitive function score of WeeFIM and WPPSI-Ⅳscore in the observation group were higher than those in the control group,and the diff erences between the groups were statistically signifi cantt(P<0.05).Conclusion Focused solution intervention is eff ective for preschool children with cerebral palsy.It can not only enhance the upper limb function and balance ability,improve motor function,but also promote the cognitive level and neurointellectual development of children.
作者
夏露
陈娇
李玮玮
沈伶俐
XIA Lu;CHEN Jiao;LI Weiwei;SHEN Lingli(Xuzhou Children's Hospital,Xuzhou,221006,China)
出处
《护理实践与研究》
2022年第24期3743-3747,共5页
Nursing Practice and Research
基金
江苏省妇幼健康科研项目(编号:F201726)。
关键词
学龄前期
脑瘫
聚焦解决干预
上肢功能
运动功能
认知水平
神经智力发育
Preschool
Cerebral palsy
Focused solution intervention
Upper limb function
Motor function
Cognitive level
Neurointelligence development
