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视频辅助教学计划对接受高压氧治疗的脑瘫儿童照料者粗大运动结果的有效性:一项准实验研究。

Effectiveness of video assisted teaching program for caregivers on gross motor outcome among children with cerebral palsy undergoing hyperbaric oxygen therapy: A quasi-experimental study.

作者信息

Abd-Elzaher Rania Ebrahim, Abd-El-Aal Ebtisam Mohamed, Abd-Elrazek Mahmoud Amina, Abd-Elrahman Basma Mohamed

机构信息

Community Health Nursing Department, Faculty of Nursing, Benha University, Benha, Egypt.

出版信息

Sci Rep. 2025 Aug 5;15(1):28502. doi: 10.1038/s41598-025-14038-4.

Abstract

Caregivers play a crucial role in the care of children with cerebral palsy, and their practices greatly influence the development of gross motor skills. A quasi-experimental research design was utilized in the study. This study was conducted in the Hyperbaric Oxygen Therapy Unit at Nasser Institute for Research and Treatment in Cairo Governorate, Egypt. A purposive sample of 76 caregivers and their children with cerebral palsy (age 3-12 years, gross motor level I-III) were assigned to study and control groups. The study group underwent hyperbaric oxygen therapy treatment and received video assisted teaching program for about eight months. Tool I: An interviewing questionnaire comprised of two parts: caregivers- sociodemographic characteristics and children's personal characteristics and medical history. Tool II: Caregiver Priorities & Child Health Index of Life with Disability to evaluate caregivers practices. Tool III: The Gross Motor Function Measure-88 is used to evaluate changes in the gross motor functions of children with cerebral palsy. The findings revealed that 71.1% and 65.8% of the study and control groups of caregivers were mothers with mean ages of 33.03 ± 4.750 and 32.42 ± 5.006 years, respectively. Before the implementation of the video-assisted teaching program, 34.2% of the children in both the study and control groups exhibited a total gross motor level I. After the program, this percentage increased to 84.2%. The analysis indicated a highly significant positive correlation between the total practices of the studied caregivers and the gross motor skills of their children with cerebral palsy following the implementation of the program. The video-assisted teaching program significantly enhanced the studied caregivers practices regarding care of their children with cerebral palsy, which positively affected gross motor skills among children with cerebral palsy of studied caregivers.

摘要

照顾者在脑瘫患儿的护理中起着至关重要的作用,他们的行为对粗大运动技能的发展有很大影响。本研究采用了准实验研究设计。该研究在埃及开罗省纳赛尔研究与治疗机构的高压氧治疗科进行。选取了76名照顾者及其患有脑瘫的儿童(年龄3至12岁,粗大运动水平为I至III级)作为目的抽样样本,分为研究组和对照组。研究组接受了高压氧治疗,并接受了约八个月的视频辅助教学项目。工具一:一份访谈问卷,由两部分组成:照顾者的社会人口学特征以及儿童的个人特征和病史。工具二:照顾者优先事项与残疾儿童生活健康指数,用于评估照顾者的行为。工具三:粗大运动功能测量-88用于评估脑瘫患儿粗大运动功能的变化。研究结果显示,研究组和对照组中分别有71.1%和65.8%的照顾者为母亲,平均年龄分别为33.03±4.750岁和32.42±5.006岁。在实施视频辅助教学项目之前,研究组和对照组中均有34.2%的儿童表现出粗大运动总水平为I级。项目实施后,这一比例增至84.2%。分析表明,在项目实施后,所研究的照顾者的总体行为与他们患有脑瘫的孩子的粗大运动技能之间存在高度显著的正相关。视频辅助教学项目显著提高了所研究的照顾者对其脑瘫患儿的护理行为,这对所研究的照顾者的脑瘫患儿的粗大运动技能产生了积极影响。

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