延续性护理在难治性癫痫患儿生酮饮食治疗中的应用效果  

Effect of continuous nursing on ketogenic diet in children with refractory epilepsy

作　　者：康颖杰 KANG Yingjie(3^(rd)and 4^(th)Department of Pediatrics of Zhumadian Central Hospital,Zhumadian 463000 Henan,China)

机构地区：[1]驻马店市中心医院儿内三科,河南驻马店463000 [2]驻马店市中心医院儿内四科,河南驻马店463000

出　　处：《中国民康医学》2023年第13期187-189,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察延续性护理在难治性癫痫患儿生酮饮食治疗中的应用效果。方法:选取2019年3月至2021年4月该院收治的66例难治性癫痫患儿进行前瞻性研究,按照抽签法将其分为对照组与观察组各33例。对照组实施常规护理,观察组在对照组基础上实施延续性护理,两组均护理至出院后3个月。比较两组护理前后生命质量[癫痫儿童生活质量量表(QOLCE-55)]评分、生酮饮食依从率、患儿家长护理满意度和不良事件发生率。结果:护理后,两组QOLCE-55评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组生酮饮食依从率为81.82%(27/33),高于对照组的57.58%(19/33),差异有统计学意义(P<0.05);观察组患儿家长护理满意度为96.97%(32/33),高于对照组的75.76%(25/33),差异有统计学意义(P<0.05);两组不良事件发生率比较,差异无统计学意义(P>0.05)。结论:延续性护理应用于难治性癫痫患儿生酮饮食治疗中可提高患儿生命质量、生酮饮食依从率以及患儿家长护理满意度,效果优于常规护理。Objective:To observe the effect of continuous nursing on ketogenic diet in children with refractory epilepsy.Methods:A prospective study was conducted on 66 children with intractable epilepsy admitted to the hospital from March 2019 to April 2021.They were divided into control group and observation group according to the lottery method,33 cases in each.The control group received routine nursing,while the observation group received continuous nursing on the basis of that of the control group.Both groups were treated until 3 months after discharge.The quality of life[quality of life scale for epileptic children(QOLCE-55)]score,the ketogenic diet compliance rate,the nursing satisfaction,and the incidence of adverse events were compared between the two groups before and after the nursing.Results:After the nursing,the QOLCE-55 scores of the two groups were higher than those before the nursing,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).The ketogenic diet compliance rate of the observation group was 81.82%(27/33),which was higher than 57.58%(19/33)of the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was 96.97%(32/33),which was higher than 75.76%(25/33)of the control group,and the difference was statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse events between the two groups(P>0.05).Conclusions:The continuous nursing in the children with intractable epilepsy can improve the quality of life,and the ketogenic diet compliance of children,and the nursing satisfaction of children'parents.Moreover,it is superior to the routine nursing.

关 键 词：延续性护理 难治性癫痫 儿童 生命质量 生酮饮食 护理满意度 不良事件 

分 类 号：R473.72[医药卫生—护理学]