跨理论模型下危害分析和关键控制点预防性护理对癫痫患儿发作次数及生活质量的影响  

Effect of Hazard Analysis and Critical Control Point Preventive Nursing under the Trans-theoretical Model on Seizure Frequency and Quality of Life of Children with Epilepsy

作　　者：赵传静 李德伟 ZHAO Chuanjing;LI Dewei(Department of Medical Nursing,Jinan Children's Welfare Home,Jinan 250113,China;不详)

机构地区：[1]济南市儿童福利院医疗护理部,山东济南250113

出　　处：《中国医学创新》2024年第13期88-92,共5页Medical Innovation of China

摘　　要：目的:研究跨理论模型(TTM)下危害分析和关键控制点(HACCP)预防性护理对癫痫患儿发作次数及生活质量的影响。方法:选取济南市儿童福利院2021年1月—2023年1月收治的120例癫痫患儿作为研究对象,按随机数字表法将其分为两组,每组60例。对照组给予常规护理,观察组在其基础上行TTM下HACCP的预防性护理。两组均护理3个月。比较两组患儿癫痫发作次数、儿童焦虑情绪障碍筛查表(SCARED)、儿童抑郁障碍量表(DSRSC)、儿童生活质量量表(PedsQL)和治疗依从性的差异。结果:两组干预前1个月、干预后1个月、干预后3个月时间点的癫痫发作次数的时间效应、组间效应、交互效应差异均有统计学意义(F=62.350、10.720、3.828,P<0.05),观察组干预后1个月、干预后3个月的发作次数均少于对照组(P<0.05);干预前两组SCARED、DSRSC、PedsQL量表评分比较差异均无统计学意义(P>0.05),干预后观察组SCARED和DSRSC量表评分均低于对照组,PedsQL量表评分高于对照组,差异均有统计学意义(P<0.05);观察组治疗依从率高于对照组,差异有统计学意义(P<0.05)。结论:TTM下HACCP的预防性护理能够减少癫痫患儿的发作次数,提高患儿的治疗依从性和生活质量,并且改善患儿内心不良的心理状态。Objective:To investigate the effect of hazard analysis and critical control point(HACCP)preventive nursing under the trans-theoretical model(TTM)on seizure frequency and quality of life of children with epilepsy.Method:A total of 120 children with epilepsy who were admitted to Jinan Children's Welfare Home from January 2021 to January 2023 were selected as the research subjects,and randomly divided into two groups,with 60 cases in each group.The control group received routine nursing,while the observation group received HACCP preventive nursing under TTM on the basis of routine nursing.Both groups were nursed for 3 months.The two groups were compared in terms of seizure frequency,the screen for child anxiety related emotional disorders(SCARED)score,depression self rating scale for children(DSRSC)score,pediatric quality of life inventory scales(PedsQL)score and treatment compliance.Result:The seizure frequencies in the two groups at 1 month before intervention,1 month after intervention and 3 months after intervention showed statistically significant differences in terms of time effect,inter-group effect,and interaction effect(F=62.350,10.720,3.828,P<0.05).Seizure frequencies in the observation group at 1 month and 3 months after intervention were less than those in the control group(P<0.05).Before intervention,the SCARED scores,DSRSC scores,and PedsQL scores of the two groups were no significant differences(P>0.05).After intervention,the SCARED score and DSRSC score of the observation group were lower than those of the control group,and the PedsQL score was higher than that of the control group(P<0.05).The treatment compliance rate in the observation group was higher than that in the control group(P<0.05).Conclusion:HACCP preventive nursing under TTM can reduce seizure frequency in children with epilepsy,improve their treatment compliance,life quality,and adverse psychological states.

关 键 词：癫痫患儿 跨理论模型 危害分析和关键控制点 预防性护理 发作次数 生活质量 

分 类 号：R473.74[医药卫生—护理学]