Application of family posture management combined with rehabilitation training in nursing of children with cerebral palsy
家庭姿势管理配合康复训练在脑瘫患儿护理中的应用

摘要

目的 研究家庭姿势管理配合康复训练在脑瘫患儿护理中的应用效果。方法 选出我院2020.12——2021.12收诊小儿脑瘫者共计80名，基于“随机编号法”平均分成两组对象，每组40名。40名患儿纳入常规组予以基本康复训练，40名患儿纳入常规组予以基本康复训练+家庭姿势管理干预。对比两组患儿干预前后日常生活活动能力（ADL评分）与肌张力（MAS评分）、干预前后粗大运动功能（GMFM-88评分）、家属护理满意度。结果 干预前，两组对比ADL、MAS、GMFM-88评分无差异性，P＞0.05。干预后，相较常规组，实验组ADL、GMFM-88评分、家属护理满意度更高，P＜0.05。相较常规组，实验组MAS值更低，P＜0.05。结论 针对小儿脑瘫疾病，基于康复训练护理联合应用家庭姿势管理可改善患儿病理症状，恢复神经功能，建议普及应用。

Abstract

Objective To study the effect of family posture management combined with rehabilitation training in the nursing of children with cerebral palsy.
Methods a total of 80 children with cerebral palsy in our hospital from December 2020 to December 2021 were selected and divided into two groups based on the "random numbering method", with 40 subjects in each group. 40 children were included in the routine group for basic rehabilitation training, and 40 children were included in the routine group for basic rehabilitation training + family posture management intervention. The activities of daily living (ADL score) and muscle tone (MAS score), gross motor function (gmfm-88 score) and nursing satisfaction of family members were compared between the two groups before and after intervention.
Results before intervention, there was no difference in ADL, MAS and gmfm-88 scores between the two groups (P > 0.05). After the intervention, compared with the routine group, the scores of ADL, gmfm-88 and family nursing satisfaction in the experimental group were higher (P < 0.05). Compared with the routine group, the MAS value of the experimental group was lower (P < 0.05).
Conclusion   for children with cerebral palsy, family posture management based on rehabilitation training and nursing can improve children's pathological symptoms and restore neurological function. It is recommended to popularize it.