| ObjectiveThe research through investigations and analysis of Basic situations,rehabilitation and influence factors of rehabilitation of0~6years old Children withCerebral Palsy in Chengde City of Hebei Province from2008to2011, to reveal thesepatterns, to provide a basis for rehabilitation of children with cerebral palsy for family,rehabilitation agencies and relevant government departments and promotion ofchildren with cerebral palsy rehabilitation.MethodsRehabilitation of children with cerebral palsy in Chengde city in Hebei provinceas background information demands and service status, according to practical work,supplemented by literature, telephone follow-up methods to obtain data, such asinformation, entried the data, then comprehensiveily analysis of survey data.In this study, epi-data to establish a database, using the double entry method fordata entry, the consistency test, the use of SPSS13.0for statistical analysis, usingrank-sum test, chi-square test and Logistic regression analysis for statistical analysiswith P＜0.05as statistically significant.Results1Study of basic characteristicsCase is a total of2420~6years old Children with Cerebral Palsy in ChengdeCity of Hebei Province from2008to2011, in which male children with146cases,60.33%,96cases of children with women, accounting for39.67%of males thanfemales. the number of cases Age of children <1with cerebral palsy was foundvery few, mostly concentrated in2~6. 2Rehabilitation current situation and trends(1) Enter rehabilitation institutions for children with cerebral palsy trainingIn81Children with Cerebral Palsy,28Cases access to rehabilitation institutions,34.6%, from2008to2009; In79Children with Cerebral Palsy,29Cases access torehabilitation institutions,36.7%, from2009to2010; In82Children with CerebralPalsy,36Cases access to rehabilitation institutions,36.9%, from2010to2011;Slightly increasing trend, but still below the37%, more than half of the children arenot receiving rehabilitation training.(2) Entered rehabilitation body training time situation2008-200928cases brain palsy children accept rehabilitation training time3months28cases, accounted for100%;2009-201029cases brain palsy children acceptrehabilitation training time3months1cases, accounted for3.4%,4months3cases,accounted for10.3%,6months25cases, accounted for86.3%;2010-2011years36cases brain palsy children accept rehabilitation training time3months7cases,accounted for19.4%;,4months0cases,6,80.6%. Three years, entered rehabilitationinstitutions for children with cerebral palsy receive rehabilitation training timesignificantly increases, selected from the universal3-month training time for most ofthe patients choose a6-month training time to continual and steady rehabilitationtraining.(3) Entered rehabilitation body training effect2008-200928cases brain palsy children accept rehabilitation training effect,having3cases, accounted for10.7%, effective19cases, accounted for67.9%, invalid6cases, accounted for21.4%;2009-201029cases brain palsy children acceptrehabilitation training effect, having5cases, accounted for17.2%, effective23cases,accounted for79.3%, invalid1cases, accounted for3.4%2010-2011,36cases ofcerebral palsy children received rehabilitation training, having28cases,77.8%,effective of6cases,16.7%, invalid2cases,5.6%.2009-2011in Chengde city, Hebeiprovince into rehabilitation institutions for children with cerebral palsy rehabilitationtraining effectiveness focused and rise steadily changing trend.3Rehabilitation training Rehabilitation training in the treatment of92cases of cerebral palsy, having36cases,38.71%, effective of48cases,51.61%, invalid9cases,9.68%in2008-2011.Rehabilitation training for treatment and rehabilitation of children with cerebral palsyhave a significant effect.4Main influence factors of rehabilitation therapy(1) personal factors in children with cerebral palsyAccess to rehabilitation institutions for children with cerebral palsy training age,the sooner the better, within1rehabilitation training works well, but due to the smallsample size reflected is not obvious.(2) Family factors of children with cerebral palsy cerebral palsyParents of children with knowledge of good, strong medical beliefs, goodattitude, combined with high effect of rehabilitation training; poor awareness, poormedical treatment in children with weak faith, attitude, combined with low degrees ofmajority gave up opportunities for rehabilitation.Parents abandoning treatment because, due to family financial circumstances toabandon rehabilitation therapy in80cases,55.94%, and secondly because theprognosis of the disease suspected of37cases25.87%, also because there arepsychological and social stress, spending too much energy, concerns about the effectof family quality of life,,7.69%,6.29%.(3) rehabilitation of institutional factorsRehabilitation training duration3months,4months,6months, respectivelyeffect on rehabilitation training, results showed that extensions of the duration of thetraining contribute to the improvement of rehabilitation training in cerebral palsy.(4) Government project support and social support factorsGreatly reduces the financial burden on families, have access to rehabilitationinstitutions for children with cerebral palsy treatment.Conclusion(1) Large age for children diagnosed with cerebral palsy, the vast majority of>1,discovery, diagnosis of late. (2) Cerebral palsy children received rehabilitation training notwithstanding themodest increases in the number of cases is still less, rehabilitation training coverage is low.(3) Number of rehabilitation institutions for children with cerebral palsy intotraining, growth in both training time, training, training time and training changes asignificant trend of growth.(4) Rehabilitation training of children having cerebral palsy, works and does nothave very significant differences, good training effect.(5) Impact factor: early detection and rehabilitation of long-term stability, goodunderstanding of the parents, strong medical beliefs, attitude to children with cerebralpalsy, and with a high degree of social projects to support, conducive to therehabilitation of children with cerebral palsy, but is not conducive to the rehabilitationof children with cerebral palsy.(6) Parents give up cause of rehabilitation training in the following order:domestic economy, casting doubt on the prognosis of the disease, psychological andsocial pressures and spending too much energy, concerns about the effect of familyquality of life. At the top of which was due to the financial situation of their families,... |
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