基于Swanson关怀理论的关注和解释疗法在青少年癫痫患儿中的应用研究  

A study of attention and interpretation therapy based on Swanson's caring theory in children with adolescentepilepsy

作　　者：曾珊[1] 刘花艳 谭玲芳 陈阅薇 易敏 吴霞 徐丽 Zeng Shan;Liu Huayan;Tan Lingfang;Chen Yuewei;Yi Min;Wu Xia;Xu Li(Department of Neurology,the Afiliated Children's Hospital of Xiangya School of Medicine,Central South University(Hunan Children's Hospital),Changsha 410007,China;School of Nursing,Hunan University of Chinese Medicine,Changsha 410208,China)

机构地区：[1]中南大学湘雅医学院附属儿童医院(湖南省儿童医院)神经内科,长沙410007 [2]湖南中医药大学护理学院,长沙410208

出　　处：《中国实用护理杂志》2025年第9期641-650,共10页Chinese Journal of Practical Nursing

基　　金：湖南省卫生健康委2023年度国家临床重点专科重大科研专项(20230014);湖南省自然科学基金(20231160008)。

摘　　要：目的探讨基于Swanson关怀理论的关注和解释疗法在青少年癫痫患儿中的应用效果,旨在降低患儿负性情绪,提高自我管理水平。方法本研究为类实验研究。便利抽样法选取2023年3月1日至8月31日在中南大学湘雅医学院附属儿童医院(湖南省儿童医院)神经内科收治住院的青少年癫痫患儿78例为研究对象,采用随机数字表法分为对照组和干预组各39例;对照组接受正规抗癫痫治疗及常规护理,干预组在对照组的基础上采用基于Swanson关怀理论的关注和解释疗法实施干预,分别于干预前和干预后4、12周3个时段评估2组患儿抑郁-焦虑-压力量表(DASS-21)、癫痫自我管理行为量表(ESMS)及儿童生命质量普适性核心量表(PedsQLTM4.0)得分情况。结果对照组男23例,女16例,年龄(13.49±1.43)岁;干预组男24例,女15例,年龄(13.51±1.45)岁。干预后4周,干预组患儿DASS-21的抑郁、焦虑及压力分量表评分分别为(9.32±2.04)、(6.79±2.44)、(13.63±2.67)分,低于对照组的(10.43±2.27)、(8.43±2.75)、(16.05±3.32)分;千预组的ESMS及PedsQLTM4.0评分分别为(66.66±10.87)、(73.63±9.85)分,高于对照组的(60.70±10.24)、(67.27±12.33)分,差异均有统计学意义(t值为-2.47~3.49,均P<0.05)。干预后12周,干预组患儿DASS-21的抑郁、焦虑及压力分量表评分分别为(5.47±1.66)、(3.37±1.68)、(8.42±2.24)分,低于对照组的(8.03±1.98)、(6.06±2.64)、(11.28±3.21)分;千预组的ESMS和PedsQLTM4.0评分分别为(74.66±9.15)、(85.24±7.00)分,高于对照组的(65.36±10.86)、(75.67±11.39)分,差异均有统计学意义(t值为-4.33~6.03,均P<0.05)。2组患儿不同时间点ESMS、PedsQLTM4.0及DASS-21的抑郁、焦虑、压力分量表评分比较,组间、时间、交互效应差异均有统计学意义(F值为4.65~1134.03,均P<0.05)。结论基于Swanson关怀理论的关注和解释疗法能有效降低青少年癫痫患儿的负性情绪,提高患儿自我管理水平,进一步改善患儿Objective To explore the application effect of the attention and interpretation therapy based on Swanson's caring theory in adolescents with epilepsy,aiming to reduce negative emotions and improve self-management levels in children.MethodsTThis study was a quasi-experimental research.A convenience sampling method was used to select 78 adolescents with epilepsy who were admitted to the Department of Neurology,the Affiliated Children's Hospital of Xiangya School of Medicine,Central South University(Hunan Children's Hospital)from March 1 to August 31,2023.The participants were assigned into two groups,the control group(n=39)and the intervention group(n=39),using a random number table.The control group received standard anti-epileptic treatment and routine nursing care,while the intervention group received the same treatment and care with the addition of a caring team providing attention and interpretation therapy based on Swanson's caring theory.Assessments were made at three time points:before the intervention,4 weeks after the intervention,and 12 weeks after the intervention.The Depression-Anxiety-Stress Scale(DASS-21),Epilepsy Self-Management Scale(ESMS),and Pediaric Quality of Life Inventory Measurement Methods(PedsQL^(TM)4.0)were used to assess the participants'scores.Results In the control group,23 were male and 16 were female,with aged of(13.49±1.43)years.In the intervention group,24 were male and 15 were female,with aged of(13.51±1.45)years.After 4 weeks of intervention,the scores of depression,anxiety,and stress on the DASS-21 for the intervention group were(9.32±2.04),(6.79±2.44),and(13.63±2.67),respectively,which were lower than those of the control group:(10.43±2.27),(8.43±2.75)and(16.05±3.32);the scores of ESMS and PedsQLTM4.0 in the intervention group were(66.66±10.87)and(73.63±9.85),respectively,which were higher than those of the control group:(60.70±10.24)and(67.27±12.33),the differences were statistically significant(t values were-2.47 to 3.49,all P<0.05).After 12 weeks of intervention,

关 键 词：生活质量 关注和解释疗法 负性情绪 自我管理 青少年 癫痫 

分 类 号：R47[医药卫生—护理学]