基于HACCP的预警干预对学龄前癫痫患儿的影响  

Effect of HACCP-based Early Warning Intervention in Preschool Children with Epilepsy

作　　者：戴艳 刘双云[1] 谢茜[1] Dai Yan;Liu Shuangyun;Xie Qian(Hunan Children′s Hospital,Changsha Hunan 410007,China)

机构地区：[1]湖南省儿童医院,湖南长沙410007

出　　处：《齐鲁护理杂志》2023年第3期6-9,共4页Journal of Qilu Nursing

摘　　要：目的:探讨基于危害分析和关键控制点(HACCP)的预警干预对学龄前癫痫患儿的影响。方法:选取2019年1月1日-2021年1月31日就诊的88例癫痫患儿作为研究对象,随机分为对照组和观察组各44例,对照组实施癫痫常规护理,观察组实施基于HACCP的预警干预;比较两组干预前后照护者疾病认知水平(采用癫痫儿童病程及疾病相关知识调查表)、家庭疾病管理能力[采用家庭管理测量量表(FaMM)]及患儿生活质量[采用癫痫儿童健康相关生活质量特异性量表(QOLCE-16)]、服药依从性[采用Morisky服药依从性量表],比较干预期间两组患儿癫痫发作次数。结果:干预后,两组照护者癫痫儿童病程及疾病相关知识调查表、FaMM评分均高于干预前(P<0.05),且观察组高于对照组(P<0.01,P<0.05);干预后,两组患儿QOLCE-16中认知、情感、社交、身体机能维度得分均高于干预前(P<0.05),且观察组高于对照组(P<0.01,P<0.05);观察组患儿服药依从率高于对照组(P<0.05),癫痫再发次数少于对照组(P<0.01)。结论:基于HACCP的预警干预有助于提升学龄前癫痫患儿照护者癫痫认知水平,促使其进行家庭疾病管理,改善患儿生活质量,有利于防止癫痫再发作。Objective:To explore the effect of early warning intervention based on Hazard Analysis and Critical Control Point(HACCP)in preschool children with epilepsy.Methods:A total of 88 children with epilepsy admitted during January 1,2019 to January 31,2021 were selected as the research subjects,and they were randomly divided into the control group and the observation group with 44 cases in each group.The control group implemented routine epilepsy nursing,while the observation group implemented early warning intervention based-on HACCP.The disease cognition of caregivers by disease course and disease-related knowledge questionnaire for children with epilepsy,family disease management ability by Family Management Measure(FaMM)and quality of life by Quality of Life in Childhood Epilepsy Questionnaire(QOLCE-16)and medication adherence by Morisky Medication Adherence Scale were compared between the two groups before and after intervention,and the frequency of epileptic seizures in the two groups during intervention was compared.Results:After intervention,the scores of disease course and disease-related knowledge questionnaire for children with epilepsy and FaMM scores in the two groups were higher than those before intervention(P<0.05),and higher in the observation group than those in the control group(P<0.01,P<0.05).The QOLCE-16 scores such as cognition,emotions,social communications,body function dimensions in the two groups were higher than those before intervention and higher in the observation group than those in the control group(P<0.01,P<0.05).The medication adherence rate was higher in the observation group than that in the control group(P<0.05),and the frequency of epileptic seizures was lower in the observation group than that in the control group at the same time point(P<0.01).Conclusion:Early warning intervention based on HACCP can help to improve the epilepsy cognition level of caregivers of preschool children with epilepsy,prompt them to carry out family disease management,improve the quality of life of childr

关 键 词：危害分析和关键控制点 学龄前患儿 癫痫 家庭疾病管理能力 发作次数 

分 类 号：R473.72[医药卫生—护理学]