[摘要]目的 評價綜合康復護理措施對腦癱患兒日常生活活動能力（activities of daily living，ADL）的影響。方法 選取2013年1～12月我院門診及住院診治的73例腦癱患兒作為研究對象，采用非隨機同期對照分組，其中住院收治的45例為治療組，以同期28例僅行康復訓練的門診患兒為對照組。治療組患兒在康復訓練的基礎上實施飲食護理、心理護理、伴隨障礙護理、日常生活能力訓練等綜合護理措施；對照組患兒僅行康復訓練，療程均為12周，比較治療前后患兒ADL評分。結果 兩組患兒治療前ADL評分比較，差異無統(tǒng)計學意義（P>0.05）；治療后兩組患兒ADL評分均較治療前顯著提高（P<0.01），但治療后治療組患兒的ADL評分顯著高于對照組，差異有統(tǒng)計學意義（P<0.01）。結論 腦癱康復護理可有效改善腦癱患兒的生活自理能力和生活質量。
　　[關鍵詞]腦性癱瘓；康復；護理；日常生活活動；兒童
　　[中圖分類號] R473.74 [文獻標識碼] A [文章編號] 1674-4721（2018）2（b）-0191-03
　　Effect of rehabilitation nursing on activities of daily living in children with cerebral palsy
　　HE Li-xia1 WANG Fang-lin1 LUO Yu-hong1 YANG Dan-yan1 XIE Hong-mei2
　　1.Department of Rehabilitation，Sichuan Civil Administration Rehabilitation Hospital，Sichuan Province，Chengdu 610021，China；2.Department of Nursing，Sichuan Civil Administration Rehabilitation Hospital，Sichuan Province，Chengdu 610021，China
　　[Abstract]Objective To investigate the effect of comprehensive rehabilitation nursing on activities of daily living （ADL） in children with cerebral palsy （CP）.Methods A total of 73 with CP were recruited in our hospital from January 2013 to December.The subjects were then non-randomly allocated to a control group （n=28） who was subjected to an outpatient rehabilitation training and an intervention group （n=45） who received inpatient treatment.The control group was received a conventional rehabilitation training for 12 weeks，while the intervention group was received a conventional rehabilitation training as well as a comprehensive rehabilitation nursing care，which included diet，psychological，concomitant symptoms nursing and activities of daily living training.The scores of ADL were calculated and compared pre-treament and post-treatment in the two groups.Results There was no difference in the scores of ADL between the two groups before treatment（P>0.05）.Compared to baseline，the scores of ADL for children with CP were significantly improved in both groups after treatment（P<0.01）.But the scores after treatment in the intervention group were significantly higher than that of the control group （P<0.01）.Conclusions Rehabilitation nursing intervention may be effective in improving ability of self-care and quality of life for children suffering from CP.
　　[Key words]Cerebral palsy；Rehabilitation；Nursing；Activities of daily living；Children
　　腦性癱瘓（cerebral palsy）簡稱腦癱，又稱little病，是指出生前到生后1個月內腦損傷引起的腦非進行性病變的一種臨床綜合征，主要臨床特征為中樞性運動障礙和姿勢異常[1]。運動障礙和姿勢異常會嚴重影響腦癱患兒的日常生活活動能力（activities of daily living，ADL），腦癱患兒又往往合并智力低下而生活不能自理，給患兒帶來痛苦、給家庭帶來困難、給社會造成負擔。促進患兒康復逐漸達到生活自理是最迫切需要解決的問題[2-3]。本研究旨在研究康復護理在改善腦癱患兒生活活動能力的作用。

相關熱詞搜索：日常生活 患兒 康復 護理 腦癱