摘要
目的探讨癫痫患儿应用个l生化延续护理模式的效果。方法选取2016年4月-2017年4月来南京医科大学附属儿童医院接受治疗的80例癫痫患儿及其家属，将80例患儿按照随机编号法分为对照组和观察组，每组各40例。对照组患儿采用常规护理干预，观察组接受个性化延续护理干预，比较两组患儿出院后医嘱依从性、健康知识认知程度、癫痫复发率、来院复查率、治疗有效率、心理状况和生活质量。结果观察组患儿经过1年个性化延续护理干预，医嘱依从性70．0％、健康知识认知率90．0％、复查率95．5％、癫痫复发率12．5％、治疗有效率75．0％，5项指标均优于对照组，差异有统计学意义（χ^2值分别为6．794、6．063、5．897、5．746、6．906；P〈0．05）。干预后观察组患者SAS、SDS评分均低于对照组，生活质量评分高于对照组，差异均有统计学意义（P〈0．05）。结论癫痫患儿应用个性化延续护理模式可提高治疗效果和医嘱依从性，有效地改善患儿焦虑和抑郁情绪，还可以有效提升患儿生活质量，对临床治疗小儿癫痫具有较高的实用价值。
Objective To explore the effects of individualized continuation nursing mode in children with epilepsy. Methods A total of 80 cases of children with epilepsy and their families who received treatment in the Affiliated Children＇s Hospital of Nanjing Medical University from April 2016 to April 2017 were selected as the research subjects. All the subjects were divided into the control group and the observation group, with 40 cases in each, by random numbering method. Conventional nursing intervention and the individualized continuation nursing mode were applied in the control group and the observation group respectively. The medical compliance after discharge, the cognition of health knowledge, the epilepsy recurrence rate, hospital review rate, treatment efficiency, psychological status and quality of life of the children were compared between the two groups. Results After 1 year intervention, 5 of the indicators of the observation group were better than those of the control group, the medical compliance 70.0%, the cognition of health knowledge 90.0%, the epilepsy recurrence rate 12.5%, hospital review rate 95.5%, and treatment efficiency 75.0%. All the differences were statistically significant（χ^2=6.794, 6.063, 5.897, 5.746, 6.906; P〈 0.05）. The scores of Self-rating Anxiety Scale and Self-rating Depression Scale in the observation group were both lower than in the control group, and the scores of quality of life in the observation group were higher than those in the control group, with statistical significances （P 〈 0.05）. Conclusions The application of individualized continuation nursing mode in epilepsy children can improve the therapeutic effect and medical compliance, effectively improve anxiety and depression of children, and also effectively improve the quality of life of children with epilepsy, which has high practical value for clinical treatment of epilepsy in children.
作者
赵茜
张译文
于雯
Zhao Qian;Zhang Yiwen;Yu Wen(Neurology Department,Affiliated Children＇s Hospital of Nanjing Medical University,Nanjing 210008,China)
出处
《中华现代护理杂志》
2018年第25期3039-3042,共4页
Chinese Journal of Modern Nursing
关键词
儿童
癫痫
生活质量
个性化延续护理模式
治疗效果
Children
Epilepsy
Quality of life
Individualized continuation nursing mode
Intervention effect
