国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
11期
1511-1514
,共4页
高危儿%脑损伤%早期干预%程序康复%医院与家庭%有效联动
高危兒%腦損傷%早期榦預%程序康複%醫院與傢庭%有效聯動
고위인%뇌손상%조기간예%정서강복%의원여가정%유효련동
High-risk infants%Brain damage%Early intervention%Rehabilitation program%Hospital and family%Effective linkage
目的 观察医院与家庭有效联动对高危儿早期干预的效果,寻求有效可行干预方法.方法 312例高危儿随机分为家庭常规育儿组(简称育儿组)和家庭与医院配合干预组(简称干预组),两组在医院均采用相同的常规综合治疗,干预组让家长共同参予干预计划,除在医院做训练治疗外,利用家庭的作用,每日至少进行两次家庭康复训练.育儿组的家长只依赖医疗机构,回家后除一般生活护理外,不做任何训练.结果 干预组高危儿的精细动作,适应能力,社交行为的发育商为97.32％高于对照组的94.19％,差异有统计学意义(P＜0.05).干预组的治疗效果显效率为14.2％,有效率为82.1％,总有效率达96.3％,明显高于育儿组的10％,73.3％和83.3％.结论 建立规范的医院与家庭有效联动对高危儿早期干预可更好促进其神经、心理、行为发育,其模式是切实可行.
目的 觀察醫院與傢庭有效聯動對高危兒早期榦預的效果,尋求有效可行榦預方法.方法 312例高危兒隨機分為傢庭常規育兒組(簡稱育兒組)和傢庭與醫院配閤榦預組(簡稱榦預組),兩組在醫院均採用相同的常規綜閤治療,榦預組讓傢長共同參予榦預計劃,除在醫院做訓練治療外,利用傢庭的作用,每日至少進行兩次傢庭康複訓練.育兒組的傢長隻依賴醫療機構,迴傢後除一般生活護理外,不做任何訓練.結果 榦預組高危兒的精細動作,適應能力,社交行為的髮育商為97.32％高于對照組的94.19％,差異有統計學意義(P＜0.05).榦預組的治療效果顯效率為14.2％,有效率為82.1％,總有效率達96.3％,明顯高于育兒組的10％,73.3％和83.3％.結論 建立規範的醫院與傢庭有效聯動對高危兒早期榦預可更好促進其神經、心理、行為髮育,其模式是切實可行.
목적 관찰의원여가정유효련동대고위인조기간예적효과,심구유효가행간예방법.방법 312례고위인수궤분위가정상규육인조(간칭육인조)화가정여의원배합간예조(간칭간예조),량조재의원균채용상동적상규종합치료,간예조양가장공동삼여간예계화,제재의원주훈련치료외,이용가정적작용,매일지소진행량차가정강복훈련.육인조적가장지의뢰의료궤구,회가후제일반생활호리외,불주임하훈련.결과 간예조고위인적정세동작,괄응능력,사교행위적발육상위97.32％고우대조조적94.19％,차이유통계학의의(P＜0.05).간예조적치료효과현효솔위14.2％,유효솔위82.1％,총유효솔체96.3％,명현고우육인조적10％,73.3％화83.3％.결론 건립규범적의원여가정유효련동대고위인조기간예가경호촉진기신경、심리、행위발육,기모식시절실가행.
Objective To observe the effect of hospital and family effective linkage in early intervention for high-risk infants,and to seek effective and feasible intervention methods.Methods 312 cases of high-risk infants were randomly divided into family conventional parenting group (referred to "parenting group") and family and hospital intervention group (intervention group),two groups in the hospital were treated with the same comprehensive treatment,all using the same routine comprehensive treatment,the intervention group let parents participate in the intervention program,based on training treatment in the hospital,taking advantage of the role of family,have some rehabilitation training at least two times per day.While parenting group only relied on medical institutions after coming home,with only general life care,without any other training.Results The fine movement,the adaptive capacity and social behavior of high-risk infants in the intervention group was 97.32％,much higher than that of the control group (94.19％),showing statistical significant difference (P ＜ 0.05).The therapeutic efficiency rate,effective rate and the total effective rate of intervention group were 14.2％,82.1％ and 96.3％,significantly higher than those of the control group (10％,73.3％ and 83.3％).Conclusion To establish standard hospital and family effective linkage for early intervention of high risk infants can promote the neurological,psychological and behavioral development,its model is feasible.
