临床护理路径模式对重症病毒性脑炎患儿康复的效果评估

目的探讨临床护理路径模式对重症病毒性脑炎患儿整体干预的方法及康复的影响。方法在征得家长同意后,将本院于2008年6月-2010年7月收治的80名重症脑炎患儿随机平均分为两组,一组为对照组,采用常规护理方法;一组为实验组,在常规护理的基础上采用临床护理路径干预措施。在护理后30d采用Fugl—Meyer评分法（包括感觉功能,关节活动和疼痛功能,运动功能）分别评估两组患儿的康复情况并比较一年后患儿伤残的发生率。结果护理前两组Fugl—Meyer评分均为65分,两组相比差异无显著性（P〉0．05）护理后实验组总分为145分,对照组总分为90分,两组相比差异有显著性（P〈0．05）。一年后患儿伤残发生率,实验组显著低于对照组（P〈0．01）。结论临床护理路径模式能有效地恢复重症脑炎患儿的相应功能,降低伤残率,对提高患儿生存质量有着积极作用。

Effect evaluation on clinical nursing pathway mode to rehabilitation of the children with severe viral encephalitis

Objective To study the effectiveness of clinical nursing pathway using methodsand overall intervention to rehabilitation of the children with severe viral encephalitis.Methods With parental consent,80 children patients admitted with severe encephalitis from June 2008 to Julv 2010 were randomly divided into two groups,one control group using conventional methods of care;another experimental group using holistic nursing intervention based on the usual care.30 d after the nursing care the rehabilitation conditions of children patients were assessed by Fugl-Meyer score(including the sensory tunction,range of motion and pain function,motor function)and the incidence of children with disabilities Was also compared between these two groups one year after recovery.Rtaults The Fugl-Meyer score before nursing care was 65 points without significant difference between two groups(P＞0.05);after care the experimental group Was 145 points,while the control group 90 points,with statistically significant difference compared with each other(P＜0.05).The incidence of children with disability one year later was signifieantlylower than the that of control group(P＜0.05).conclusion The clinical nursing care path mode can efiectively restore the corresponding function of children with severe encephalitis,reduce their disabilitv rates,and improve their quality of life.