摘要
目的探讨“以家庭为中心”的护理模式对痉挛性脑瘫患儿康复质量及生活质量的影响。方法收集2018年1月至2019年10月商丘市中心医院接收的98例痉挛性脑瘫患儿的临床资料,将接受常规护理干预的52例痉挛性脑瘫患儿纳入对照组,将接受“以家庭为中心”护理干预的46例痉挛性脑瘫患儿纳入观察组,运用倾向性评分匹配法(1∶1,卡钳值=0.01),根据性别、年龄及粗大运动功能分级进行配对,每组35例。比较两组患儿干预前、干预6个月的脑痉挛程度[采用改良Ashworth痉挛评定量表(MAS)评定]、运动功能[采用Fugl-Meyer运动功能评估量表(FMA)评定]和生活质量[采用儿童生存质量测定量表(PedsQL4.0)评定]。结果干预6个月后,两组患儿MAS评分低于干预前,且观察组低于对照组(P<0.05);干预6个月后,两组患儿FMA评分高于干预前,观察组高于对照组(P<0.05);干预6个月后,两组患儿PedsQL4.0评分高于干预前,观察组高于对照组(P<0.05)。结论“以家庭为中心”的护理模式干预可减轻痉挛性脑瘫患儿痉挛程度,改善运动功能,提高患儿生活质量。
Objective To explore the effect of“family centered”nursing model on rehabilitation quality and quality of life of children with spastic cerebral palsy.Methods The clinical data of 98 children with spastic cerebral palsy received by Shangqiu Central Hospital from January 2018 to October 2019 were collected,and 52 children with spastic cerebral palsy treated with routine nursing intervention were included in the control group,and 46 children with spastic cerebral palsy treated with“family centered”nursing intervention were included in the observation group.Propensity score matching method was used(1∶1,caliper value=0.01).Based on gender,age and gross motor function grade,the control group and the observation group were paired.There were 35 cases in each group.The degree of cerebral spasm[assessed by modified Ashworth spasticity scale(MAS)],motor function[assessed by Fugl-Meyer motor function assessment(FMA)]and quality of life[assessed by pediatric quality of life 4.0(PedsQL4.0)]were compared of patients in both groups before and 6 months after intervention.Results After 6 months of intervention,the MAS score of children in both groups were lower than those before intervention,and the observation group was lower than that of the control group(P<0.05).After 6 months of intervention,the FMA scores of children in both groups were higher than those before intervention,and the observation group was higher than that of the control group(P<0.05).After 6 months of intervention,the PedsQL4.0 scores of children in both groups were higher than those before intervention,and the observation group was higher than that of the control group(P<0.05).Conclusion“Family centered”nursing intervention can reduce the degree of spasticity of children with spastic cerebral palsy,improve motor function and improve the quality of life.
作者
常敏
CHANG Min(Department of Pediatrics,Shangqiu Central Hospital,Shangqiu 476000,China)
出处
《河南医学研究》
CAS
2022年第23期4399-4401,共3页
Henan Medical Research
关键词
痉挛性脑瘫
家庭护理
痉挛程度
运动功能
生活质量
spastic cerebral palsy
home nursing
degree of spasm
motor function
quality of life
