Application of early comprehensive rehabilitation nursing in the nursing of children with cerebral palsy
小儿脑瘫护理中早期综合康复护理的应用

摘要

目的 评析对脑瘫患儿在护理过程中使用常规护理联合早期综合康复护理的临床意义。方法 参加此调查的脑瘫患儿就诊时间为2019/4-2020/4，随机取60例，分两组，各30例，对照组使用常规护理，实验组接受常规护理联合早期综合康复护理，评估差异化护理对患者踝关节活动情况、痉挛程度及粗大运功功能改善情况。结果 护理前脑瘫患儿的PROM踝关节被动活动范围评分、MAS痉挛分级量表评分及粗大功能运动量表（FMFM）D区和E区评分组间对比均无差异(P>0.05)。护理后，加用早期综合康复护理的实验组患儿PROM评分、FMFM的D区和E区评分和比对照组相比有所提高(P<0.05)，实验组患者MAS评分比对照组低(P<0.05)。患者的满意率显著高于对照组患者（P＜0.05）。实验组患者的生活质量高于对照组，数据之间对比存在显著差异（P＜0.05）。结论 对脑瘫患儿护理时采用常规护理联合早期综合康复护理可取得满意临床疗效，能够有效缓解患儿下肢痉挛状况，可帮助患儿提升踝关节活动能力和粗大运动功能。对于改善患儿生活质量具有重要意义，值得推广。

Abstract

Objective: To evaluate the clinical significance of routine nursing combined with early comprehensive rehabilitation nursing in the nursing process of children with cerebral palsy.
Methods: the treatment time of children with cerebral palsy participating in this survey was from April 2019 to April 2020. 60 cases were randomly divided into two groups with 30 cases in each group. The control group received routine nursing and the experimental group received routine nursing combined with early comprehensive rehabilitation nursing. The improvement of ankle movement, spasticity and gross motor function of patients with differentiated nursing were evaluated.
Results: there was no difference in PROM ankle passive range of motion score, MAS spasticity scale score and gross functional exercise scale (fmfm) area D and e score between groups (P > 0.05). After nursing, the scores of PROM, D and e of fmfm in the experimental group with early comprehensive rehabilitation nursing were higher than those in the control group (P < 0.05), and the score of MAS in the experimental group was lower than that in the control group (P < 0.05). The satisfaction rate of patients was significantly higher than that of the control group (P < 0.05). The quality of life of patients in the experimental group was higher than that in the control group, and there was significant difference between the data (P < 0.05).
Conclusion  : routine nursing combined with early comprehensive rehabilitation nursing for children with cerebral palsy can achieve satisfactory clinical effect, effectively alleviate the spasticity of children's lower limbs, and help children improve their ankle activity and gross motor function. It is of great significance to improve the quality of life of children and is worth popularizing.