Objective: To explore the feasibility and efficacy of guiding education in rehabilitation nursing for children with cerebral palsy.
Methods: From July 2015 to December 2016, 120 cases of cerebral palsy receiving rehabilitation nursing in Shenzhen Children’s Hospital were recruited in this study. They were randomly divided into study group (60 cases) and control group (60 cases). The control group received routine rehabilitation nursing, and the study group adopted rehabilitation nursing based on guiding education concept. The Gross Motor Function Measure (GMFM) was used to evaluate the rehabilitation efficacy of the 2 groups at the first visit and 24 weeks after the end of the treatment.
Results: GMFM functional area scores of two groups were significantly increased 24 weeks after the end of the treatment as compared with those at the first visit (both P < 0.05). The study group had a higher score (84.37 ± 5.94) than the control group (68.77 ± 6.02) (P < 0.05). The total effective rate of the study group (86.7%, 52/60) was also significantly higher than that of the control group (68.3%, 41/60) (P < 0.05).
Conclusion: The introduction of guiding education concept into rehabilitation nursing of children with cerebral palsy can significantly improve the effect of rehabilitation treatment, and is worthy of clinical application.
Key words
Cerebral palsy /
Child /
Rehabilitation nursing /
Guiding education
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References
[1] 唐木得, 叶洪武, 龚 勇, 等. 学龄前脑瘫儿童医学康复并教育康复的研究[J]. 中国康复医学杂志, 2010, 25(5):439-442.
[2] 李晓捷, 唐久来, 马丙祥, 等. 脑性瘫痪的定义、诊断标准及临床分型[J]. 中华实用儿科临床杂志, 2014, 29(19):1520.
[3] Hirata GC, Santos RS. Rehabilitation of oropharyngeal dysphagia in children with cerebral palsy: A systematic review of the speech therapy approach[J]. Int Arch Otorhinolaryngol, 2012, 16(3):396-399.
[4] Davlet’yarova KV, Korshunov SD, Kapilevich LV. Biomechanical bases of rehabilitation of children with cerebral palsy[J]. New Oper Tech, 2015, 1688(1):26-28.
[5] 吴至凤, 赵聪敏, 张雨平, 等. 调整的中文版PEDI量表在正常及脑瘫儿童中的信效度分析[J]. 第三军医大学学报, 2013, 35(24): 2714-2716.
[6] Mahasup N, Sritipsukho P, Lekskulchai R, et al. Effects of mirror neurons stimulation on motor skill rehabilitation in children with cerebral palsy: a clinical trial[J]. J Med Assoc Thai, 2012, 95 Suppl 1:S166-172.
[7] 景玉珍, 周青蕊. 引导式教育对脑瘫合并智力障碍患儿智能发育的影响[J].中国妇幼保健, 2011, 26(15):2256-2258.
[8] Godo O. Rehabilitation tools for postural support and locomotion of children with cerebral palsy (clinical guide series)[J]. J Jpn Phys Ther Assoc, 2013, 40:140-145.