远程教育对青少年癫痫患者自我效能及负性情绪的影响  

Impact of Distance Education on Self-Efficacy and Negative Emotions of Adolescents with Epilepsy

作　　者：王玥[1] 薄琳[1] 王乾贝 孙阳艺 WANG Yue;BO Lin;WANG Qianbei;SUN Yangyi(Peking Union Medical College Hospital,Beijing 100730,China)

机构地区：[1]北京协和医院

出　　处：《上海护理》2019年第12期10-14,共5页Shanghai Nursing

摘　　要：目的探讨远程教育干预对青少年癫痫患者自我效能和负性情绪的影响。方法选取2016年12月—2018年6月在北京协和医院住院治疗的青少年癫痫患者150例。按照就诊先后顺序予以编号,以奇数作为对照组,偶数为观察组,分为对照组(n=75)、观察组(n=75)。两组患者住院期间给予健康教育、用药指导等常规疾病护理,出院后予以常规出院指导。观察组患者在对照组基础上给予6个月的远程教育干预,包括出院前准备及远程教育干预2个部分。采用一般自我效能感量表评估患者干预前及干预3个月、6个月后的自我效能,采用症状自评量表评估患者干预前及干预6个月的心理精神状态。结果出院前两组患者的自我效能感量表和症状自评量表各因子得分差异无统计学意义(P>0.05);出院后3个月、6个月时,观察组患者的自我效能感量表得分高于对照组(P<0.05),且观察组患者出院6个月时自我效能量表得分高于出院3个月时的得分(P<0.05);出院后6个月时,观察组症状自评量表各因子得分均低于出院前,且低于对照组(P<0.05),对照组的焦虑、抑郁及偏执评分高于出院前(P<0.05)。结论远程教育干预可提高青少年癫痫患者的自我效能,改善其负性情绪,促进其以更好的心理精神状态应对疾病,有较好的临床应用价值。Objective To explore the impact of distance education on self-efficacy and negative emotions of adolescents with epilepsy.Methods 150 adolescents with epilepsy hospitalized in Peking Union Medical College Hospital from December 2016 to June 2018 were selected.They were numbered according to their sequence of visiting the hospital.Patients with an odd ordinal were included in the control group(n=75),and patients with an even ordinal were included in the observation group(n=75).Routine care such as health education and medication directions were given to patients in both groups during hospitalization,and routine discharge instructions were provided at discharge.On this basis,the patients in the observation group were given a 6-month intervention via distance education,including pre-discharge preparation and distance education.The General Self-Efficacy Scale(GSES)was used to evaluate the self-efficacy of patients before intervention,3 months and 6 months after intervention,and the Symptom Checklist 90(SCL-90)was used to evaluate the mental state of patients before intervention and 6 months after intervention.Results Before discharge,there was no statistically significant difference in the scores in GSES and in all subscales of SCL-90 between the groups(P>0.05);the scores in GSES of observation group were both higher than those of control group 3 months and 6 months after discharge(P<0.05),and that score of observation group at 6 months after discharge was higher than at 3 months after discharge(P<0.05);6 months after discharge,the scores in all subscales of SCL-90 of observation group were lower than before discharge,and also lower than those of control group(P<0.05),while the scores in subscales anxiety,depression and paranoid ideation of SCL-90 of control group were higher than before discharge(P<0.05).Conclusion Intervention via distance education can improve the self-efficacy of adolescents with epilepsy,alleviate their negative emotions,and encourage them to better cope with the disease psychologically and ment

关 键 词：癫痫 远程教育 自我效能 心理精神状态 青少年 

分 类 号：R473.74[医药卫生—护理学]