观察循证护理模式对癫痫患儿生活能力、负性情绪及睡眠质量的影响  

To Observe the Effects of Evidence-based Nursing Mode on Living Ability,Negative Emotion and Sleep Quality of Children with Epilepsy

作　　者：刘亚萍 张姗[1] 朱应红[1] 盛桂梅[1] LIU Yaping;ZHANG Shan;ZHU Yinghong;SHENG Guimei(Department of Pediatric Neurology,Shandong University Qilu Hospital,Ji′nan 250012,China)

机构地区：[1]山东大学齐鲁医院儿科神经内科,济南250012

出　　处：《世界睡眠医学杂志》2022年第10期1860-1864,共5页World Journal of Sleep Medicine

摘　　要：目的:观察循证护理模式对癫痫患儿生活能力、负性情绪及睡眠质量的影响。方法:选取2020年10月至2021年10月山东大学齐鲁医院儿科神经内科收治的小儿癫痫患儿60例作为研究对象,按照随机数字表法分为观察组和对照组,其中对照组29例,观察组31例。对照组给予常规护理干预,观察组在对照组基础上给予循证护理干预,出院后跟踪随访1年。采用日常生活能力量表(ADL)比较2组生活能力的变化,采用儿童抑郁障碍自评量表(DSRSC)和儿童焦虑型情绪障碍筛查量表(SCARED)比较2组患者情绪的改善情况,采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠的变化,同时统计2组患儿的遵医率、家属护理满意度。结果:护理干预后,观察组ADL、DSRSC、SCARED、PSQI得分均有所降低,且观察组显著低于对照组(均P<0.05);观察组总遵医率和家属护理满意显著高于对照组(均P<0.05)。结论:循证护理模式能提高癫痫患儿认知功能和生命质量,降低患儿负性情绪,改善癫痫患儿睡眠质量,同时可提高患儿遵医率及家属护理满意度,利于疾病控制。Objective:To observe the effects of evidence-based nursing mode on living ability,negative emotion and sleep quality of children with epilepsy.Methods:A total of 60 children with epilepsy admitted to the Department of Pediatric Neurology of Shandong University Qilu Hospital from October 2020 to October 2021 were selected as the research objects.According to the random number table method,they were divided into observation group and control group,including 29 cases in the control group and 31 cases in the observation group.The control group was given routine nursing intervention,and the observation group was given evidence-based nursing intervention on the basis of the control group,and followed up for 1 year after discharge.The Activity of Daily Living(ADL)was used to compare the changes of living ability between the 2 groups,the Depression Self-rating Scale for Children(DSRSC)and Screen for Child Anxiety Related Emotional Disorders(SCARED)were used to compare the improvement of mood between the 2 groups,and the changes of sleep between the 2 groups were compared with the Pittsburgh Sleep Quality Index(PSQI).At the same time,the compliance rate and nursing satisfaction of family members of the 2 groups were analyzed.Results:After nursing intervention,the scores of ADL,DSRSC,SCARED and PSQI in the observation group were decreased,and the observation group was significantly lower than the control group(P s<0.05).The total compliance rate and nursing satisfaction of family members in observation group were significantly higher than those of the control group(P s<0.05).Conclusion:Evidence-based nursing mode can improve cognitive function and quality of life,reduce negative emotions,improve sleep quality of children with epilepsy,and improve compliance rate and nursing satisfaction of family members,which is conducive to disease control.

关 键 词：循证护理 小儿癫痫 生活能力 负性情绪 睡眠 

分 类 号：R742.1[医药卫生—神经病学与精神病学] R338.63[医药卫生—临床医学]