摘要目的 探讨国际功能、残疾和健康分类儿童和青少年版(ICF-CY)架构下的康复治疗流程对脑瘫患儿生活质量的影响.方法 将2015年12月至2016年12月收治的60例脑瘫患儿按照随机数字表法分为观察组和对照组,每组30例.在ICF-CY架构下,对观察组从身体功能、身体结构、活动和参与、环境因素等方面实施评估,制订近期目标、执行治疗方案和措施,并从身体功能、活动和参与、环境因素等方面设计和进行家庭康复指导;对照组按照传统方法进行评估,制订治疗方案和措施,并进行指导.疗程均为2个月.治疗前、治疗后1个月及2个月,比较2组患儿Barthel指数(BI)评分、家长满意度评分.治疗2个月后,比较2组患儿家庭康复指导考核评分.结果 2组患儿治疗前BI评分、家长满意度评分比较,差异无统计学意义(P＞0.05).治疗1个月及2个月后,2组患儿BI评分均较组内治疗前改善(P＜0.05),2组患儿的家长满意度评分均较组内治疗前有所增加(P＜0.05).与对照组治疗后同时间点比较,观察组治疗1个月及2个月后的BI评分、家长满意度评分均较高(P＜0.05).治疗2个月后,2组患儿身体功能评分比较,差异无统计学意义(P＞0.05).观察组患儿的家庭康复指导总分[(22.10±3.99)分]、活动和参与评分[(16.50±3.25)分]、环境因素评分[(8.10±2.56)分]均较对照组明显增加,差异有统计学意义(P＜0.05).结论 ICF-CY架构下的康复治疗工作模式,能有效改善脑瘫患儿的活动能力和参与能力,脑瘫患儿的生活质量明显提高.

abstractsObjective To assess the impact of rehabilitation procedures based on the International Classification of Function,Disability and Health for Children and Youth (ICF-CY) on the life quality of children with cerebral palsy.Methods Sixty children with cerebra] palsy were randomly divided into an observation group and a control group,each of 30.The observation group received an assessment of their physical functioning,physical structure,activity participation and environmental factors,as well as family guidance based on the ICF-CY framework.The control group was evaluated and treated according to traditional methods.The experiment lasted two months.Before the treatment,as well as after one and two months,both groups were evaluated using Barthel index (BI) and the parents' satisfaction was assessed.The two groups' family training was also evaluated after two months of treatment.Results The average BI and parent satisfaction scores of the two groups were not significantly different before the intervention.After one and two months,improvement was observed on both measures in both groups,but the observation groups' ratings were higher at both time points.After the 2 months of treatment there was no significant difference between the two groups in terms of physical functioning,but the average scores on family rehabilitation,activity participation and environment factors were all significantly better for the observation group.Conclusion Treatment based on the ICF-CY framework can more effectively improve the participation of children with cerebral palsy,which should have a positive effect on their life quality.