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基于ICF理论框架对脑瘫儿童家庭康复指导的效果观察
作者:覃花桃1?梁秋叶2▲?
单位:(右江民族医学院附属医院?1.护理部?2.儿童保健科?百色?533000)?
关键词:国际功能、残疾和健康分类?家庭康复?脑性瘫痪?
分类号:R493
出版年,卷(期):页码:2019,47(6):432-435
摘要:

目的 探讨基于《国际功能、残疾和健康分类》(ICF)架构对脑瘫儿童家庭康复指导的效果。方法 选择2017年1月~2018年1月在儿童康复科康复治疗的脑瘫儿童80例,随机分为观察组和对照组各40例,对照组患儿给予常规家庭康复指导,观察组患儿在此基础上以ICF理论框架和方法为基础,进行家庭康复指导。分别于指导前、指导后3个月和6个月用肢体残疾儿童康复训练评估量表和自编工作量表进行评估,比较两组患儿家庭康复实施依从性(简称依从性)、患儿粗大运动功能(GMFM)的D区和E区及日常生活能力(ADL)的康复效果。结果 随着指导时间延长,两组依从性、GMFM的D区和E区、ADL的BI得分逐渐升高(F时间=781.406、545.479、176.405,P时间均<0.001);两组依从性、D区和E区得分比较,差异均有统计学意义(F组间=842.281、23.235,P组间均<0.001),其中指导后3个月及6个月观察组的依从性、D区和E区、BI得分均高于对照组,分组及时间有交互效应(F交互=496.395、75.699、56.537,P交互均<0.001)。结论 以ICF理论框架为基础对患儿进行评估、制订个体化计划并实施,不仅能增强家长康复意识,提高家长对康复知识的认知能力,而且可提高家庭成员康复训练执行力,达到良好的康复效果。

Objective To explore the effect of international classification of function,disability and health(ICF) framework on family rehabilitation guidance for children with cerebral palsy.Methods 80 children with cerebral palsy who received rehabilitation treatment in the department of child rehabilitation from January 2017 to January 2018 were randomly divided into observation group and control group,with 40 cases in each group.Children in the control group were given routine family rehabilitation guidance,and based on which children in the observation group were given family rehabilitation guidance on the basis of ICF theoretical framework and methods.Before guidance,3 months and 6 months after guidance,the rehabilitation training evaluation scale for children with physical disabilities and the self-developed work scale were used to evaluate the conditions of children,and the rehabilitation effects of the implementation compliance(abbreviated as compliance),the rehabilitation effect of area D and area E of gross motor function(GMFM) and the ability of daily living(ADL) were compared between the two groups.Results With the extension of the guidance time,the compliance,the scores of GMFM in zone D and zone E and BI of ADL gradually increased between the two groups(Ftime=781.406,545.479,176.405,all Ptime<0.001).Difference of the compliance and the scores of zone D and zone E of the two groups was statistically significant(Fgroup=842.281,23.235,all Pgroup<0.001),of which the compliance,the scores of zone D,zone E and BI of the observation group were higher than those of the control group at 3 months and 6 months after guidance,grouping and time had interaction effect(Finteraction=496.395,75.699,56.537,Pinteraction<0.001).Conclusion To evaluate the children,formulate and implement individualized plans based on the theoretical framework of ICF can not only enhance parents’ awareness of rehabilitation,improve their cognitive ability of rehabilitation knowledge,but also improve the executive ability of family members’ rehabilitation training,so as to achieve good rehabilitation results.

基金项目:
百色市科学研究与技术开发计划项目(百科计20140932)
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