儿童继发性癫痫护理中预防性护理干预的应用效果研究  

Research on The Application Effect of Preventive Nursing Intervention in The Care of Secondary Epilepsy in Children

作　　者：张艺 ZHANG Yi(Department of Neurology,Xiamen Children’s Hospital,Xiamen 361000,China)

机构地区：[1]厦门市儿童医院神经内科,厦门361000

出　　处：《中国医药指南》2024年第35期96-98,共3页Guide of China Medicine

摘　　要：目的本研究针对儿童继发性癫痫预防性护理干预措施实施,以降低儿童继发性癫痫发作频率和严重程度。方法选取2021年1月至2023年1月厦门市儿童医院神经内科所收治的儿童继发性癫痫患者68例。采用随机数字法将研究对象均分为观察组和对照组,每组34例,对照组予以常规护理,观察组在常规护理基础上施加预防性护理。比较两组护理干预有效情况、癫痫发作次数、护理满意度、运动功能(FMA)和生活能力[Barthel指数(BI)]。结果干预后,观察组护理干预总有效率为94.12%,高于对照组的79.14%(P<0.05)。干预后,两组癫痫发作次数较干预前都有所减少,观察组少于对照组(P<0.05)。观察组护理满意度评分为(94.7±3.3)分,高于对照组的(86.1±3.6)分(P<0.05)。干预后,对照组FMA评分及BI评分均高于观察组(P<0.05)。结论儿童继发性癫痫护理中,预防性护理干预措施能提高护理干预总有效率,降低癫痫发作次数。说明预防性护理干预在儿童继发性癫痫管理中具有重要的应用价值,为儿童继发性癫痫的护理实践提供了科学依据。Objective This study aimed to implement preventive nursing interventions for children with secondary epilepsy to reduce the frequency and severity of epileptic seizures.Methods A total of 68 children with secondary epilepsy admitted to the Neurology Department of Xiamen Children’s Hospital from January 2021 to January 2023 were selected.The subjects were randomly divided into a control group and an observation group,each with 34 cases.The control group received routine nursing,while the observation group received preventive nursing in addition to routine care.The effectiveness of nursing interventions,the number of epileptic seizures,and nursing satisfaction were compared between the two groups.Results After the intervention,the total effective rate of nursing intervention in the observation group was 94.12%,which was higher than the control group’s 79.14%(P<0.05).Six months after the intervention,the number of epileptic seizures in both groups decreased compared to before the intervention,with the observation group having fewer seizures than the control group(P<0.05).The nursing satisfaction score in the observation group was(94.7±3.3)points,higher than the control group’s(86.1±3.6)points(P<0.05).After the intervention,both the FMA scores and BI scores in the control group were higher than those in the observation group(P<0.05).Conclusions Preventive nursing interventions in the care of children with secondary epilepsy can improve the total effective rate of nursing intervention and reduce the number of epileptic seizures.This indicates that preventive nursing intervention has significant application value in the management of children with secondary epilepsy,providing a scientific basis for the nursing practice of children with secondary epilepsy.

关 键 词：继发性癫痫 预防性护理 干预效果 护理满意度 

分 类 号：R742.1[医药卫生—神经病学与精神病学] R473.72[医药卫生—临床医学]