脑瘫患儿出院后后续康复护理模式探讨

摘要

[Abstract ]Objective To study the effect of rehabilitation nursing and evaluation of telemedicine rehabilitation in children with cerebral palsy.Meth-ods Forty children with cerebral palsy were randomly selected from hospital rehabilitation therapy.Forty children with cerebral palsy were randomly di-vided into two groups ,A group of 20 cases for the experimental group,a group of 20 patients in the control group.There were no significant differences in age,sex,course of disease,hospitalization program,and degree of rehabilitation before discharge.Both groups were given a one-year rehabilitation nursing observation,and after one year,the rehabilitation nursing effect was evaluated by using American Barthel index and cerebral palsy scale.Par-ents of the control group were treated independently by the rehabilitation theory and skills accepted during the hospitalization.In the experimental group,children with cerebral palsy were discharged with continuous nursing care and rehabilitation.Rehabilitation nursing staff to conduct regular on-site guidance once a week.Rehabilitation nursing staff at any time to accept the families of children with modern information consulting services guidance and Q&A.Results The scores of Barthel and cerebral palsy in children with cerebral palsy were higher than those in the control group (P <0.05).The difference was statistically significant (P0.05).Conclusion The children with cerebral palsy Follow-up rehabilitation care after discharge was conducted by regular on-site rehabilitation nursing care and evaluation and remote rehabilitation nursing guidance and evaluation by modern communication tech-nology.The rehabilitation effect of children with cerebral palsy was significantly better than that of simple family rehabilitation.%目的：：脑瘫患儿出院后定期上门康复护理与测评以及远程通信康复护理指导与测评模式实际应用效果方法：随机选取脱离医院康复治疗的脑瘫儿童40例，随机将选取的40例脑瘫儿童分成两组，一组为实验组20例，一组为对照组20例.两组在年龄、性别、病程、住院治疗方案，出院前治疗康复程度等方面的无明显差异.两组都给以一年的康复护理观察，并在一年后通过采用美国 Barthel 指数评分和脑瘫量表测评康复护理效果.对照组出院后家长仅独立利用在患儿住院康复期间所接受的康复理论与技能自行进行康复治疗.实验组脑瘫患儿出院后给以延续性的护理康复.康复护理人员每周定期入户进行现场指导1次.康复护理人员每周随时接受患儿家属的现代信息咨询服务指导和答疑.结果：试验组脑瘫患儿出院后在1年的延续性康复护理治疗下，其Barthel、脑瘫量表评分均高于对照组脑瘫患儿，此差异具有统计学意义(P＜0．05)结论：脑瘫患儿出院后的后续康复护理采用定期上门康复护理与测评以及采用现代通信技术进行远程康复护理指导和测评，脑瘫患儿康复效果明显好于普通患儿家庭简单康复护理.