家属参与式早期康复干预对脊髓损伤患儿日常生活能力及预后的影响
The Effect of Family Participation Early Rehabilitation Intervention in the Daily Living Ability and Prognosis of Children with Spinal Cord Injury
冯觐伟1
作者信息
- 1. 深圳市儿童医院康复科,广东 深圳 518000
- 折叠
摘要
目的:探讨家属参与式早期康复干预在改善脊髓损伤患儿日常生活能力及预后中的价值.方法:选取我院 2016 年9 月-2020 年9 月收治的 55例脊髓损伤患儿为研究对象,按照随机数字表法将其分为对照组与观察组.对照组(n=27)采用常规干预,观察组(n=28)在对照组基础上采用家属参与式早期康复干预.比较 2 组患儿的日常生活能力评定量表(ADLPI)、功能独立性评定量表(FIM)、生活质量健康调查量表(SF-36)评分及患儿家属护理满意度.结果:干预后,观察组ADLIP中的照料、工具、需求及总评分分别为(14.12±3.42)分、(13.23±2.13)分、(12.13±1.42)分、(39.48±6.97)分,均低于对照组,组间差异有统计学意义(P＜0.05);观察组FIM各个维度评分均高于对照组,组间差异有统计学意义(P＜0.05);观察组SF-36 各个维度评分均高于对照组,组间差异有统计学意义(P＜0.05);观察组家属护理满意度各个维度评分均高于对照组,组间差异有统计学意义(P＜0.05).结论:家属参与式早期康复干预可提高脊髓损伤患儿的日常生活能力,改善生活质量.
Abstract
Objective:To explore the value of family participation early rehabilitation intervention in improving the daily living ability and prognosis of children with spinal cord injury.Methods:55 children with spinal cord injury admitted to our hospital from September 2016 to September 2020 were selected as the study objects,and were divided into a control group and an observation group according to random number table method.The control group(n=27)received routine intervention,and the observation group(n=28)received family participation early rehabilitation intervention based on the control group.The Ability Daily Living Rating Investigation(ADLPI),Functional Independent Measure(FIM),the MOS item Short Form Health Survey(SF-36)scores and parental nursing satisfaction were compared between the two groups.Results:After intervention,the care,tools,needs and total scores of ADLIP in the observation group were(14.12±3.42)points,(13.23±2.13)points,(12.13±1.42)points and(39.48±6.97)points,respectively,which were lower than those in the control group,and the differences between the two groups were statistically significant(P＜0.05);the FIM scores in all dimensions of the observation group were higher than those of the control group,and the differences between groups were statistically significant(P＜0.05);the SF-36 scores in all dimensions of the observation group were higher than those of the control group,and the differences were statistically significant(P＜0.05);the nursing satisfaction rate of parents in the observation group were higher than those in the control group,and the differences between groups were statistically significant(P＜0.05).Conclusion:Family participation early rehabilitation intervention can improve the daily living ability and quality of life of children with spinal cord injury.
关键词
脊髓损伤/家属参与式/早期康复/日常生活能力Key words
Spinal cord injury/Family participation/Early rehabilitation/Ability of daily living引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据