早期康复护理模式对重症病毒性脑炎患儿肢体功能能力、吞咽障碍及生活质量的影响(1)
【摘要】 目的：分析早期康复护理模式对重症病毒性脑炎(VE)患儿肢体功能能力、吞咽障碍及生活质量的影响。方法：选取2014年5月-2018年4月本院收治的68例重症VE患儿为研究对象。按照随机数字表法将其分为观察组(早期康复护理)和对照组(常规护理)，各34例。比较两组肢体功能能力(Fugl-Meyer评分)、吞咽障碍和生活质量。结果：干预后，两组Fugl-Meyer评分均高于干预前，且观察组高于对照组，差异均有统计学意义(P<0.05);观察组吞咽障碍恢复总有效率高于对照组(P<0.05);观察组干预后的一般健康状况、躯体疼痛、生理机能、生理职能、精神健康、精力、情感职能、社会功能评分均高于对照组，差异均有统计学意义(P<0.05)。结论：对于患重症VE的儿童来说，实施早期康复护理模式可以促进肢体功能能力的恢复、提高吞咽能力，改善其生活质量，值得在临床护理中推广。
【關键词】 早期康复护理; 儿童重症病毒性脑炎; 肢体功能; 吞咽障碍; 生活质量
【Abstract】 Objective：To analyze the effect of early rehabilitation nursing mode on limb function，dysphagia and quality of life of children with severe viral encephalitis.Method：A total of 68 children with severe VE admitted to our hospital from May 2014 to April 2018 were selected.According to the random number table method，they were divided into observation group(early rehabilitation nursing)and control group(routine nursing)，34 cases in each group.The limb function(Fugl-Meyer score)，dysphagia and quality of life between two groups were compared.Result：After intervention，the Fugl-Meyer scores of two groups were higher than those of before intervention，and observation group was higher than that of control group，the differences were statistically significant(P<0.05).The total effective rate of recovery of dysphagia in observation group was higher than that of control group(P<0.05).After intervention，the scores of general health status，physical pain，physiological function，physiological function，mental health，energy，emotional function and social function in observation group were higher than those of control group，the differences were statistically significant(P<0.05).Conclusion：For children with severe VE，the implementation of early rehabilitation nursing model can promote the recovery of limb function，improve swallowing ability and improve their quality of life，which is worthy of promotion in clinical nursing.
【Key words】 Early rehabilitation nursing; Severe viral encephalitis in children; Limb function; Dysphagia; Quality of life
First-author’s address：Ganzhou People’s Hospital，Ganzhou 341000，China
doi：10.3969/j.issn.1674-4985.2019.10.021
由各种病毒感染脑实质造成的病毒性脑炎(viral encephalitis，VE)会对小儿中枢神经系统造成很大的危害，是儿科科室常见的感染性疾病[1-2]。患儿除表现复杂的临床症状外，还可能伴有肢体功能障碍、吞咽困难等并发症[3-4]。肢体功能障碍会对患儿的运动系统产生很大影响，而吞咽困难会对儿童营养的摄入和吸收造成极大的阻碍，导致儿童营养不良甚至易发生吸入性肺炎对患儿生命造成威胁，对患儿的生活质量造成严重影响[5-6]。因此，除进行积极的药物治疗外，对患儿进行早期的针对性的康复护理模式是十分有必要的[7-8]。近年，在对重症VE患儿的护理中，本院采用早期康复护理模式，与常规护理模式相比效果明显。现报道如下。
1 资料与方法, 百拇医药(邱荷岚)
【關键词】 早期康复护理; 儿童重症病毒性脑炎; 肢体功能; 吞咽障碍; 生活质量
【Abstract】 Objective：To analyze the effect of early rehabilitation nursing mode on limb function，dysphagia and quality of life of children with severe viral encephalitis.Method：A total of 68 children with severe VE admitted to our hospital from May 2014 to April 2018 were selected.According to the random number table method，they were divided into observation group(early rehabilitation nursing)and control group(routine nursing)，34 cases in each group.The limb function(Fugl-Meyer score)，dysphagia and quality of life between two groups were compared.Result：After intervention，the Fugl-Meyer scores of two groups were higher than those of before intervention，and observation group was higher than that of control group，the differences were statistically significant(P<0.05).The total effective rate of recovery of dysphagia in observation group was higher than that of control group(P<0.05).After intervention，the scores of general health status，physical pain，physiological function，physiological function，mental health，energy，emotional function and social function in observation group were higher than those of control group，the differences were statistically significant(P<0.05).Conclusion：For children with severe VE，the implementation of early rehabilitation nursing model can promote the recovery of limb function，improve swallowing ability and improve their quality of life，which is worthy of promotion in clinical nursing.
【Key words】 Early rehabilitation nursing; Severe viral encephalitis in children; Limb function; Dysphagia; Quality of life
First-author’s address：Ganzhou People’s Hospital，Ganzhou 341000，China
doi：10.3969/j.issn.1674-4985.2019.10.021
由各种病毒感染脑实质造成的病毒性脑炎(viral encephalitis，VE)会对小儿中枢神经系统造成很大的危害，是儿科科室常见的感染性疾病[1-2]。患儿除表现复杂的临床症状外，还可能伴有肢体功能障碍、吞咽困难等并发症[3-4]。肢体功能障碍会对患儿的运动系统产生很大影响，而吞咽困难会对儿童营养的摄入和吸收造成极大的阻碍，导致儿童营养不良甚至易发生吸入性肺炎对患儿生命造成威胁，对患儿的生活质量造成严重影响[5-6]。因此，除进行积极的药物治疗外，对患儿进行早期的针对性的康复护理模式是十分有必要的[7-8]。近年，在对重症VE患儿的护理中，本院采用早期康复护理模式，与常规护理模式相比效果明显。现报道如下。
1 资料与方法, 百拇医药(邱荷岚)