健康教育与延续性护理对小儿癫痫服药依从性的影响  

Effect of Health Education and Continuous Nursing on Medication Compliance of Children with Epilepsy

作　　者：王川云[1] 张琰敏[1] 徐建文 WANG Chuanyun;ZHANG Yanmin;XU Jianwen(Department of Pediatrics,the Third Affiliated Hospital of Xinxiang Medical College,Xinxiang 453000,Henan,China)

机构地区：[1]新乡医学院第三附属医院儿科,河南新乡453000

出　　处：《中国药物滥用防治杂志》2022年第5期673-676,共4页Chinese Journal of Drug Abuse Prevention and Treatment

摘　　要：目的:探究健康教育与延续性护理对小儿癫痫服药依从性的影响。方法:于2020年1月—2021年1月选取我院收治的87例小儿癫痫患儿作为研究对象,按照随机数字表法分为3组,即联合组(29例,常规护理+健康教育+延续性护理)、观察组(29例,常规护理+健康教育)和对照组(29例,常规护理),出院后随访8个月,比较3组患儿家属癫痫知识掌握情况、疲劳程度、服药依从性、癫痫发作情况和认知功能及生活质量。结果:联合组患儿家属癫痫知识掌握评分高于观察组、对照组,FSS评分低于观察组、对照组(P<0.05)。联合组服药依从性(100.00%)高于观察组(79.31%)、对照组(51.72%)(P<0.05)。联合组癫痫发作低于观察组、对照组(P<0.05)。联合组生活质量评分高于观察组、对照组(P<0.05)。结论:将常规护理+健康教育+延续性护理用于小儿癫痫治疗中,可显著提高患儿服药依从性和家属对疾病的掌握度,改善癫痫发作症状,提升患儿的生活质量。Objective: To explore the effect of health education and continuous nursing on medication compliance in children with epilepsy. Methods: A total of 87 children with epilepsy were selected from January 2020 to January 2021. They were randomly divided into three groups according to the random number table method, namely, the combined group(29 cases, routine nursing +health education + continuous nursing), the observation group(29 cases, routine nursing + Health Education) and the control group(29 cases, routine nursing). The patients were followed up for 8 months after discharge. The knowledge of epilepsy, fatigue degree, medication compliance, seizures, cognitive function and quality of life were compared among the three groups. Results:The epilepsy knowledge score of family members in the combined group was higher than that in the observation group and the control group, and the FSS score was lower than that in the observation group and the control group(P<0.05). The medication compliance of the combined group(100.00%) was higher than that of the observation group(79.31%) and the control group(51.72%)(P<0.05). The epileptic seizures in the combined group were lower than those in the observation group and the control group(P<0.05). The quality of life score of the combined group was higher than that of the observation group and the control group(P<0.05). Conclusion: The application of routine nursing+health education+continuous nursing in the treatment of pediatric epilepsy can significantly improve the medication compliance of children and the mastery of the disease by their families, improve the symptoms of epilepsy and improve the quality of life of children.

关 键 词：延续性护理 健康教育 小儿癫痫 服药依从性 

分 类 号：R473.74[医药卫生—护理学]