医学理论与实践
醫學理論與實踐
의학이론여실천
The Journal of Medical Theory and Practice
2015年
15期
1969-1970
,共2页
脑瘫儿童%家长%认知水平%康复%依从性
腦癱兒童%傢長%認知水平%康複%依從性
뇌탄인동%가장%인지수평%강복%의종성
Children with cerebral palsy%Parents%Cognitive level%Rehabilitation%Compliance
目的：：调查对脑瘫(Cerebral palsy,CP)儿童延续家庭康复依从性的影响因素,为 CP 儿童有效的康复提供科学依据。方法：选择2012年1月—2014年1月在门诊儿童康复科诊断为脑瘫的儿童120例,全部病例均给予门诊综合康复治疗结合家庭康复训练,6个月后参照 GMFM 88项粗大运动功能评定表陆续对患儿进行评估及对家长进行问卷调查,了解 CP 儿童康复效果及延续家庭康复依从性的影响因素。结果：120例 CP 儿童中,有42例患儿家长坚持家庭康复训练,依从率为35%。康复效果中显效20例,有效90例,无效10例,总有效率为92%(显效率占17%)。而家长对 CP 知识的认知程度、质疑家庭康复训练效果、家庭不良心理健康、对长期训练缺乏信心耐心、完全依赖医生在医院的康复治疗等因素直接影响延续家庭康复依从性。结论：加强对家长教育指导 CP 康复知识和早期干预,可提高对 CP 的认知水平及延续家庭康复训练依从性,对促进患儿康复效果及改善 CP 儿童生存质量有重要作用。
目的：：調查對腦癱(Cerebral palsy,CP)兒童延續傢庭康複依從性的影響因素,為 CP 兒童有效的康複提供科學依據。方法：選擇2012年1月—2014年1月在門診兒童康複科診斷為腦癱的兒童120例,全部病例均給予門診綜閤康複治療結閤傢庭康複訓練,6箇月後參照 GMFM 88項粗大運動功能評定錶陸續對患兒進行評估及對傢長進行問捲調查,瞭解 CP 兒童康複效果及延續傢庭康複依從性的影響因素。結果：120例 CP 兒童中,有42例患兒傢長堅持傢庭康複訓練,依從率為35%。康複效果中顯效20例,有效90例,無效10例,總有效率為92%(顯效率佔17%)。而傢長對 CP 知識的認知程度、質疑傢庭康複訓練效果、傢庭不良心理健康、對長期訓練缺乏信心耐心、完全依賴醫生在醫院的康複治療等因素直接影響延續傢庭康複依從性。結論：加彊對傢長教育指導 CP 康複知識和早期榦預,可提高對 CP 的認知水平及延續傢庭康複訓練依從性,對促進患兒康複效果及改善 CP 兒童生存質量有重要作用。
목적：：조사대뇌탄(Cerebral palsy,CP)인동연속가정강복의종성적영향인소,위 CP 인동유효적강복제공과학의거。방법：선택2012년1월—2014년1월재문진인동강복과진단위뇌탄적인동120례,전부병례균급여문진종합강복치료결합가정강복훈련,6개월후삼조 GMFM 88항조대운동공능평정표륙속대환인진행평고급대가장진행문권조사,료해 CP 인동강복효과급연속가정강복의종성적영향인소。결과：120례 CP 인동중,유42례환인가장견지가정강복훈련,의종솔위35%。강복효과중현효20례,유효90례,무효10례,총유효솔위92%(현효솔점17%)。이가장대 CP 지식적인지정도、질의가정강복훈련효과、가정불양심리건강、대장기훈련결핍신심내심、완전의뢰의생재의원적강복치료등인소직접영향연속가정강복의종성。결론：가강대가장교육지도 CP 강복지식화조기간예,가제고대 CP 적인지수평급연속가정강복훈련의종성,대촉진환인강복효과급개선 CP 인동생존질량유중요작용。
Objective:Survey of cerebral palsy (Cerebral Palsy,CP)children continue family rehabilitation adherence factors,to provide a scientific basis for rehabilitation of children with CP and effective.Methods:Select January 2012 to January 2014 outpatient rehabilitation for children with cerebral palsy diagnosis in 120 cases of children,all patients were given comprehensive outpatient rehabilitation therapy combined with family rehabilitation training,6 months after the reference GMFM 88 term gross motor function assessment table succession of children and parents to assess the questionnaire,understanding the factors influencing children’s rehabilitation and continuing CP family rehabilitation ad-herence.Results:120 cases of children with CP,there are 42 cases of children with parents insist on family rehabilita-tion training,compliance rate of 35%.Rehabilitation of the 20 cases,effective 90 cases,10 cases of treatment failure. The total effective rate was 92% (1 7% effective rate).The parents of awareness of CP knowledge,questioning family rehabilitation training,poor family mental health,lack of confidence in long-term training for patience,totally dependent on doctors in rehabilitation hospitals and other factors directly affect the continuation of the family rehabilitation com-pliance.Conclusion:CP guiding strengthen parent education and early intervention rehabilitation knowledge,CP can im-prove the level of knowledge and adherence to the continuation of the family rehabilitation training,to promote rehabili-tation of children with CP and improve the quality of child survival have an important role.
