国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2011年
10期
1243-1246
,共4页
临床护理路径脑炎%康复效果评估
臨床護理路徑腦炎%康複效果評估
림상호리로경뇌염%강복효과평고
Clinical nursing care path mode%Encephalitis%Rehabilitation%Effect evaluation
目的 探讨临床护理路径模式对重症病毒性脑炎患儿整体干预的方法及康复的影响.方法 在征得家长同意后,将本院于2008年6月-2010年7月收治的80名重症脑炎患儿随机平均分为两组,一组为对照组,采用常规护理方法;一组为实验组,在常规护理的基础上采用临床护理路径干预措施.在护理后30 d采用Fugl-Meyer评分法(包括感觉功能,关节活动和疼痛功能,运动功能)分别评估两组患儿的康复情况并比较一年后患儿伤残的发生率.结果 护理前两组Fugl-Meyer评分均为65分,两组相比差异无显著性(p＞0.05);护理后实验组总分为145分,对照组总分为90分,两组相比差异有显著性(P＜0.05).一年后患儿伤残发生率,实验组显著低于对照组(P＜0.01).结论 临床护理路径模式能有效地恢复重症脑炎患儿的相应功能,降低伤残率,对提高患儿生存质量有着积极作用.
目的 探討臨床護理路徑模式對重癥病毒性腦炎患兒整體榦預的方法及康複的影響.方法 在徵得傢長同意後,將本院于2008年6月-2010年7月收治的80名重癥腦炎患兒隨機平均分為兩組,一組為對照組,採用常規護理方法;一組為實驗組,在常規護理的基礎上採用臨床護理路徑榦預措施.在護理後30 d採用Fugl-Meyer評分法(包括感覺功能,關節活動和疼痛功能,運動功能)分彆評估兩組患兒的康複情況併比較一年後患兒傷殘的髮生率.結果 護理前兩組Fugl-Meyer評分均為65分,兩組相比差異無顯著性(p＞0.05);護理後實驗組總分為145分,對照組總分為90分,兩組相比差異有顯著性(P＜0.05).一年後患兒傷殘髮生率,實驗組顯著低于對照組(P＜0.01).結論 臨床護理路徑模式能有效地恢複重癥腦炎患兒的相應功能,降低傷殘率,對提高患兒生存質量有著積極作用.
목적 탐토림상호리로경모식대중증병독성뇌염환인정체간예적방법급강복적영향.방법 재정득가장동의후,장본원우2008년6월-2010년7월수치적80명중증뇌염환인수궤평균분위량조,일조위대조조,채용상규호리방법;일조위실험조,재상규호리적기출상채용림상호리로경간예조시.재호리후30 d채용Fugl-Meyer평분법(포괄감각공능,관절활동화동통공능,운동공능)분별평고량조환인적강복정황병비교일년후환인상잔적발생솔.결과 호리전량조Fugl-Meyer평분균위65분,량조상비차이무현저성(p＞0.05);호리후실험조총분위145분,대조조총분위90분,량조상비차이유현저성(P＜0.05).일년후환인상잔발생솔,실험조현저저우대조조(P＜0.01).결론 림상호리로경모식능유효지회복중증뇌염환인적상응공능,강저상잔솔,대제고환인생존질량유착적겁작용.
Objective To study the effectiveness of clinical nursing pathway using methodsand overall intervention to rehabilitation of the children with severe viral encephalitis.Methods With parental consent,80 children patients admitted with severe encephalitis from June 2008 to Julv 2010 were randomly divided into two groups,one control group using conventional methods of care;another experimental group using holistic nursing intervention based on the usual care.30 d after the nursing care the rehabilitation conditions of children patients were assessed by Fugl-Meyer score(including the sensory tunction,range of motion and pain function,motor function)and the incidence of children with disabilities Was also compared between these two groups one year after recovery.Rtaults The Fugl-Meyer score before nursing care was 65 points without significant difference between two groups(P＞0.05);after care the experimental group Was 145 points,while the control group 90 points,with statistically significant difference compared with each other(P＜0.05).The incidence of children with disability one year later was signifieantlylower than the that of control group(P＜0.05).conclusion The clinical nursing care path mode can efiectively restore the corresponding function of children with severe encephalitis,reduce their disabilitv rates,and improve their quality of life.
