摘要
目的:通过家庭康复与医院康复的随机交叉试验,观察家庭康复对脑性瘫痪儿童及其家长生存质量的影响和家庭康复对患儿家庭经济的影响。方法:纳入2008年7月～2010年2月在广州中医药大学附属南海妇产儿童医院住院和家庭康复治疗的脑性瘫痪患儿40例,随机分两组,进行医院康复和家庭康复的交叉对照研究,以3个月为1个阶段,共治疗6个月。进行治疗前后自身对照及组间对比。结果:甲组儿童家庭康复前后、医院康复前后生理功能领域及医院康复前后生存质量总分对比有统计学意义,乙组儿童医院康复前后学校表现对比、家庭康复前后生理功能及总体生存质量对比具有统计学意义,甲组家庭康复治疗后、乙组医院康复治疗后儿童及家长生存质量各能区比较无统计学意义。两组家长家庭康复前后、医院康复前后生存质量各能区比较均无统计学意义。两组儿童家庭康复费用远低于医院康复费用。结论:家庭康复可有效促进患儿生存质量的提高,短期家庭康复对家长生存质量影响不明显;家庭康复的经济花费明显低于医院康复治疗。家庭康复是一种经济、有效、实用、方便的康复方式。
Objective ： To observe the effect of family rehabilitation on qualities of life （QOLs） of children with cerebral palsy and their families and economic situation of the families by a random cross - over trial of family rehabilitation and hospital rehabilitation. Methods： Forty children with cerebral palsy who were treated with family rehabilitation and family rehabilitation in Nanhai Women＇s and Children Hospital, affiliated to Guangzhou University of Traditional Chinese Medicine in July 2008 to February 2010, then they were randomly divided into two groups, a cross - over trial of family rehabilitation and hospital rehabilitation was performed, three months were designed as one course of treatment, and all the children with cerebral palsy were treated for six months ; a self- control study between before and after treatment and an intergroup comparison were conducted. Results： There were statistically significant differences in total score of physiological function domain between before and after family rehabilitation, between before and after hospital rehabilitation and total score of QOLs of between before and after hospital rehabilitation in group A; while in group B, there were statistically significant differences in school performance between before and after hospital rehabilitation, physiological function and total QOL between before and after family rehabilitation ; after family rehabilitation conducted in group A, there was no statistically significant difference in QOLs of different domains of children and their parents after hospital rehabilitation in group B ; there was no statistically significant difference in QOLs of different domains of the parents between before and after family rehabilitation, between before and after hospital rehabilitation ; in the two groups, the fees for family rehabilita- tion were significantly lower than those for hospital rehabilitation. Conclusion： Family rehabilitation can improve QOL of children with cerebral palsy effectively, short - term family rehabilitation has no significant impact on QOL of parents ; the fee for family rehabilitation is significantly lower than that for hospital rehabilitation; family rehabilitation is an economical, effective, practical, and convenient rehabilitation mode.
出处
《中国妇幼保健》
CAS
北大核心
2013年第17期2718-2722,共5页
Maternal and Child Health Care of China
