摘要
目的探究康复护理对重症病毒性脑炎患儿康复进程及功能恢复的影响.方法选取该院2019年6月—2020年6月收治的84例重症病毒性脑炎患儿为研究对象,按照随机数表法分为对照组42例和观察组42例.对照组采用常规护理,观察组在此基础上采用康复护理.比较两组的肢体功能、临床症状恢复时间、生存状态及并发症.结果护理后,观察组的上、下肢功能评分分别为(37.85±2.45)分、(23.58±2.94)分,均高于对照组,组间差异有统计学意义(P<0.05).护理后,观察组颅脑神经障碍及肢体障碍的恢复时间为(8.73±1.52)d、(9.41±2.70)d,均短于对照组,组间差异有统计学意义(P<0.05).护理后,观察组患者的生理、情感、社会及角色功能评分分别为(40.16±5.72)分、(62.47±6.45)分、(43.59±6.20)分、(42.17±6.56)分,均高于对照组,组间差异有统计学意义(P<0.05).观察组的行为异常、智力低下、肢体障碍及语言障碍发生率分别为4.76%、7.14%、2.34%、7.14%,均低于对照组,组间差异有统计学意义(P<0.05).结论康复护理能够有效缩短重症病毒性脑炎患儿的临床症状恢复时间,改善其肢体功能,提高生活质量,降低并发症发生率,值得临床进一步推广应用.
Objective To explore the effect of rehabilitation nursing on rehabilitation process and functional recovery of children with severe viral encephalitis.Methods A total of 84 children with severe viral encephalitis admitted to the hospital from June 2019 to June 2020 were selected as the research objects,and they were divided into a control group(n=42)and an observation group(n=42)according to random number table method.The control group adopted routine nursing,and the observation group adopted rehabilitation nursing on this basis.The limb function,recovery time of clinical symptoms,survival status and complications were compared between the two groups.Results After nursing,the upper and lower limb function scores of the observation group were(37.85±2.45)points and(23.58±2.94)points,respectively,which were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).After nursing,the recovery time of craniocerebral nerve disorders and limb disorders in the observation group were(8.73±1.52)d and(9.41±2.70)d,both shorter than those in the control group,and the differences between the groups were statistically significant(P<0.05).After nursing,the physiological,emotional,social and role function scores of the observation group were(40.16±5.72)points,(62.47±6.45)points,(43.59±6.20)points,(42.17±6.56)points,which were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of abnormal behavior,mental retardation,physical disorder and language disorder in the observation group were 4.76%,7.14%,2.34%and 7.14%,respectively,lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Rehabilitation nursing can effectively shorten the recovery time of clinical symptoms in children with severe viral encephalitis,improve their limb function,improve the quality of life,and reduce the incidence of complications,which is worthy of further clinical application.
作者
冷瑞华
LENG Ruihua(Department of Medical Insurance Management,Lanling People's Hospital of Linyi,Linyi Shandong,277700,China)
出处
《反射疗法与康复医学》
2021年第12期113-116,共4页
Reflexology And Rehabilitation Medicine
关键词
小儿
重症病毒性脑炎
康复护理
肢体功能
生存状态
并发症
Children
Severe viral encephalitis
Rehabilitation nursing
Limb function
Survival state
Complication
作者简介
冷瑞华(1969-),女,山东临沂人,专科,主管护师,研究方向:儿科护理。