《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (11): 1083-1085.

• 康复护理 • 上一篇    下一篇

脑性瘫痪患儿家属对康复效果的影响因素

王春蕾，谢家兴，李文娟，顾秀娟，李志军，屈伟利，郑奕晗   

  1. 中国康复研究中心北京博爱医院儿童康复科，北京市100068
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-11-25 发布日期:2014-11-25

Factors of Families Related to Outcome of Rehabilitation for Cerebral Palsy Children

WANG Chun-lei, XIE Jia-xing, LI Wen-juan,GU Xiu-juan, LI Zhi-jun, QU Wei-li, ZHENG Yi-han.   

  1. Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-11-25 Online:2014-11-25

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摘要： 目的研究影响脑瘫患儿康复效果的家属因素。方法对153 例脑瘫患儿的153 名家属，采用家庭基本情况、对患儿疾病了解程度、依从性3 项自制调查问卷和艾森克人格量表、婚姻质量问卷、社会支持量表、症状自评量表、幸福感指数5 项标准调查问卷进行调查；康复前后采用残疾儿童综合功能评定法对患儿进行评定。结果康复有效、无效的患儿间，家属的依从性、对患儿疾病了解程度、家中有无健康子女、艾森克人格内外向和掩饰性、症状自评6 项因素有显著性差异(P<0.05)。多因素Logistic回归分析显示，家中有无健康子女、内外向人格、症状自评是影响患儿康复效果的独立因素。结论脑瘫患儿的家庭状况、家长的人格特征和心理健康影响患儿康复效果。

关键词: 脑性瘫痪, 康复效果, 家属, 影响因素

Abstract: Objective To investigate the factors of families related to the outcome of rehabilitation for cerebral palsy children. Methods Families of 153 cerebral palsy children were investigated with questionnaires of family condition, knowledge of cerebral palsy, compliance,and the Eysenck Personality Questionnaire, Marital Quality Questionnaire, Social Support Scale, Symptom Check List, Happiness Index.The children were assessed with Comprehensive Assessment for Disable Children before and after rehabilitation. Results There were significant differences of compliance, knowledge of cerebral palsy, being of other healthy children, personality of extraversion/introversion and lying,and mental symptom between the families of the cerebral palsy children improved or not after rehabilitation (P<0.05). Multivariate Logistic regression analysis showed that, being of other healthy children, personality of extraversion/introversion and mental symptom were the independent factors. Conclusion It may relate to the outcome of rehabilitation for cerebral palsy children of family condition, personality and mental health of the families, which need further intervention.

Key words: cerebral palsy, outcome of rehabilitation, families, related factors