个性化延续护理模式在癫痫患儿临床护理中的应用及对照顾者负荷改善作用研究  

Application of personalized continuous nursing model in clinical care of children with epilepsy and improvement of caregivers'load

作　　者：侯敏 张洪燕[1] 边燕[1] 沈佳艺 马燕 HOU Min;ZHANG Hongyan;BIAN Yan;SHEN Jiayi;MA Yan(Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China)

机构地区：[1]上海交通大学医学院附属新华医院,中国上海200092

出　　处：《教育生物学杂志》2021年第6期508-512,518,共6页Journal of Bio-education

摘　　要：目的分析在癫痫患儿临床护理中应用个性化延续护理模式的效果以及对照顾者负荷的改善作用。方法将2018年8月—2020年3月上海交通大学医学院附属新华医院收治的90例癫痫患儿随机分为2组,给予对照组(n=45)常规护理,干预组(n=45)在常规护理基础上实施基于信息动机行为技巧模型(information-motivation-behavioral skills model,IMB)的个性化延续护理。评价2组患儿干预前后心理状态、生活质量;评估照顾者干预前后负担水平;调查2组患儿及家属出院后相关指标,统计护理满意度。结果分组干预后,干预组汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)、汉密尔顿抑郁量表(Hamilton depression scale,HAMD)评分均低于对照组,差异有统计学意义(P<0.05);干预组生活质量各维度评分均明显高于对照组(P<0.05);干预组个人负担、责任负担、Zarit照顾者负担量表(Zarit caregiver burden interview,ZBI)总分均显著低于对照组(P<0.05);干预组健康知识知晓率、医嘱依从率高于对照组,复发率低于对照组(均P<0.05);干预组具有更高的护理总满意率(P<0.05)。结论个性化延续护理模式应用于癫痫患儿的临床护理中,能够有效降低复发率,提高医嘱依从性,改善患儿心理状态,提升生活质量,并且减轻照顾者负担水平,护理满意度较高,值得推广。Objective To analyze the effect of applying personalized continuous nursing model in clinical care of children with epilepsy and the improvement of caregiver's load.Methods Ninety children with epilepsy treated in Xinhua Hospital,Shanghai Jiao Tong University School of Medicine from August 2018 to March 2020 were randomly divided into two groups.The control group(n=45)was given routine care and the intervention group(n=45)was given personalized continuing care based on information-motivation-behavioral skills model(IMB).The psychological status and quality of life of the children before and after intervention were evaluated.The burden levels of caregivers before and after intervention were assessed.The relevant indicators of the children and their families after discharge were investigated,and the nursing satisfaction of the two groups was counted.Results The Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)scores of the intervention group were significantly lower than those of the control group after intervention(P<0.05).The scores of quality of life in each dimension of the intervention group were significantly higher than those of the control group(P<0.05).Personal burden,burden of responsibility,and Zarit caregiver burden interview(ZBI)total score of the intervention group were significantly lower than those of the control group after intervention(P<0.05).The health knowledge awareness rate and medical order compliance rate of the intervention group were significantly higher than those of the control group,while the recurrence rate was significantly lower than that of the control group(P<0.05).Compared with the control group,the total satisfaction rate of nursing care was significantly higher in intervention group(P<0.05).Conclusion The application of personalized continuous care model in clinical care of children with epilepsy can effectively reduce the recurrence rate,improve the compliance of medical orders,improve the psychological state of children,improve the quality of life,and reduce the

关 键 词：癫痫 个性化延续护理 照顾者 生活质量 负担 

分 类 号：R47[医药卫生—护理学]