pediatric rehabilitation

小儿康复
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    文章类型: Journal Article
    目的:探讨规范化质量控制管理对宁波市面瘫患儿康复的影响。
    方法:在这项回顾性研究中,选择2017年7月至2021年5月在宁波康复医院收治的需要康复治疗的儿科患者400例作为研究对象.根据不同的质量管理模式分为观察组(标准化模式)和对照组(常规模式)。康复疗效,护理质量,负面情绪,满意,DQ分数,ADL分数,PDI分数,MDI分数,合规率,护理投诉率,比较两组患者的不良事件发生率。
    结果:观察组康复疗效优于对照组(P<0.05)。与对照组相比,护理质量评分和满意率较高,观察组负性情绪评分低于对照组(P均<0.05)。DQ分数,ADL分数,PDI分数,观察组MDI评分高于对照组(均P<0.05)。达标率有统计学差异,护理投诉率,两组不良反应发生率比较(均P<0.05)。
    结论:规范化质量控制管理提高了康复疗效,提高了护理质量,提高了临床效果,提高了满意率,降低了儿科患者的负面情绪。
    OBJECTIVE: To investigate the effect of standardized quality control management on the rehabilitation of children with palsy in Ningbo City.
    METHODS: In this retrospective study, a total of 400 pediatric patients requiring rehabilitation therapy admitted to Ningbo Rehabilitation Hospital from July 2017 to May 2021, were selected as the research subjects. Pediatric patients were divided into an observation group (standardized model) and a control group (routine model) based on the different quality management models. The rehabilitation efficacy, nursing quality, negative emotion, satisfaction, DQ scores, ADL scores, PDI scores, MDI scores, compliance rate, complaint rate of nursing, and incidence of adverse events were compared between the two groups.
    RESULTS: The rehabilitation efficacy in the observation group was better than that in the control group (P<0.05). Compared to the control group, the nursing quality score and satisfaction rate were higher, and the negative emotion score was lower in the observation group (all P<0.05). DQ scores, ADL scores, PDI scores, and MDI scores in the observation group were higher than the control group (all P<0.05). The statistical differences were observed in the compliance rate, complaint rate in nursing, and incidence of adverse events between the two groups (all P<0.05).
    CONCLUSIONS: The standardized quality control management enhanced the rehabilitation efficacy, promoted the nursing quality, improved the clinical effects, increased the satisfaction rate, and decreased the negative emotions in pediatric patients.
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  • 文章类型: Journal Article
    Over the last two decades, the number of studies on motor imagery in children has witnessed a large expansion. Most studies used the hand laterality judgment paradigm or the mental chronometry paradigm to examine motor imagery ability. The main objective of the current review is to collate these studies to provide a more comprehensive insight in children\'s motor imagery development and its age of onset. Motor imagery is a form of motor cognition and aligns with forward (or predictive) models of motor control. Studying age-related differences in motor imagery ability in children therefore provides insight in underlying processes of motor development during childhood. Another motivation for studying age-related differences in motor imagery is that in order to effectively apply motor imagery training in children (with motor impairments), it is pertinent to first establish the age at which children are actually able to perform motor imagery. Overall, performance in the imagery tasks develops between 5 and 12 years of age. The age of motor imagery onset, however, remains equivocal, as some studies indicate that children of 5 to 7 years old can already enlist motor imagery in an implicit motor imagery task, whereas other studies using explicit instructions revealed that children do not use motor imagery before the age of 10. From the findings of the current study, we can conclude that motor imagery training is potentially a feasible method for pediatric rehabilitation in children from 5 years on. We suggest that younger children are most likely to benefit from motor imagery training that is presented in an implicit way. Action observation training might be a beneficial adjunct to implicit motor imagery training. From 10 years of age, more explicit forms of motor imagery training can be effectively used.
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