营养指导联合预防护理在小儿癫痫意外预防中作用观察

doi:10.3969/j.issn.1000-8535.2024.06.016

广州医药 ›› 2024, Vol. 55 ›› Issue (6): 667-672.DOI: 10.3969/j.issn.1000-8535.2024.06.016

营养指导联合预防护理在小儿癫痫意外预防中作用观察

朱海贝¹, 王莉², 谷琳¹, 李文斌¹, 席音³, 乔静⁴

1 焦作市妇幼保健院儿科二区（河南焦作 454000）
2 焦作市妇幼保健院护理部（河南焦作 454000）
3 焦作市妇幼保健院儿童康复科（河南焦作 454000）
4 焦作市妇幼保健院儿科一区（河南焦作 454000）

收稿日期:2023-11-29 出版日期:2024-06-20 发布日期:2024-07-31

Observation on the role of nutritional guidance combined with preventive nursing in the prevention of epilepsy accidents in children

ZHU Haibei¹, WANG Li², GU Lin¹, LI Wenbin¹, XI Yin³, QIAO Jing⁴

1 Pediatric District 2,Jiaozuo Maternal and Child Health Care Hospital,Jiaozuo 454000,China
2 Nursing Department,Jiaozuo Maternal and Child Health Care Hospital,Jiaozuo 454000,China
3 Children’s Rehabilitation Department,Jiaozuo Maternal and Child Health Care Hospital,Jiaozuo 454000,China
4 Pediatric District 1,Jiaozuo Maternal and Child Health Care Hospital,Jiaozuo 454000,China

Received:2023-11-29 Online:2024-06-20 Published:2024-07-31

摘要/Abstract

摘要： 目的观察营养指导联合预防护理在小儿癫痫意外预防中作用。方法抽取焦作市妇幼保健院2021年1月—2023年1月收治的116例小儿癫痫患儿,按照护理方法分为两组,每组各58例。对照组行常规护理,联合组患儿在常规护理基础上给予营养指导联合预防护理干预,对比两组家属满意度、患儿依从率、蒙特利尔认知评估量表（MoCA）评分。结果经过护理干预,联合组家属满意率98.28%,依从率96.55%,比对照组87.93%、82.76%高（P<0.05）;住院至出院居家三个月内,相较于对照组,联合组患儿外伤发生次数、发病持续时间、癫痫发作次数较少（P<0.05）;护理后,联合组MoCA评分高于对照组（P<0.05）。结论在小儿癫痫意外预防中联合应用营养指导和预防护理可改善患儿遵医行为,优化小儿癫痫意外预防效果,减少患儿外伤、癫痫发生次数,缩短患儿发病持续时间,提升患儿生活质量和家属满意度。

关键词: 预防作用, 小儿癫痫意外, 营养指导

Abstract: Objective To observe the effect of nutritional guidance combined with preventive nursing on the prevention of epilepsy accidents in children．Methods A total of 116 cases of pediatric epilepsy admitted in Jiaozuo Maternal and Child Health Care Hospital from January 2021 to January 2023 were selected．They were divided into two groups according to the nursing method,with 58 cases in each group．The control group was given usual care,while the combined group was given nutritional guidance combined preventive nursing intervention．The satisfaction,the compliance rate and MoCA score were compared between two groups．Results After nursing intervention,the satisfaction rate of the combined group was 98.28%,and the compliance rate of the combined group was 96.55%,which were higher than 87.93% and 82.76% in the control group（P<0.05）．Within three months from hospitalization to discharge,compared with the control group,number of injuries,duration and frequency of seizures were less in the combined group（P<0.05）．After nursing,the MoCA score of the combined group was higher than that of the control group（P<0.05）．Conclusions The combined application of nutritional guidance and preventive nursing in the prevention of pediatric epileptic accidents can improve the compliance behavior of children,optimize the prevention effect of pediatric epileptic accidents,reduce the incidence of trauma and epilepsy in children,shorten the duration of illness,and improve the quality of life of children and family satisfaction．

Key words: preventive effect, pediatric epilepsy accidents, nutritional guidance

朱海贝, 王莉, 谷琳, 李文斌, 席音, 乔静. 营养指导联合预防护理在小儿癫痫意外预防中作用观察[J]. 广州医药, 2024, 55(6): 667-672.

ZHU Haibei, WANG Li, GU Lin, LI Wenbin, XI Yin, QIAO Jing. Observation on the role of nutritional guidance combined with preventive nursing in the prevention of epilepsy accidents in children[J]. Guangzhou Medical Journal, 2024, 55(6): 667-672.

参考文献

[1] 夏燕. 癫痫患者护理中综合护理干预模式的应用价值[J].中国药物与临床,2019,19(23):4219-4220.
[2] PATIL S B,KURWALE N S,JAGTAP S A,et al.Clinical profile and outcomes of epilepsy surgery in children from a tertiary epilepsy care center in India[J].Eur J Paediatr Neurol,2022(38):13-19.
[3] 林诗映,韦倩娜.丙戊酸与托吡酯治疗小儿癫痫的疗效观察及对患儿免疫功能脑电图放电情况的影响[J].中国药物与临床,2019,19(19):3377-3379.
[4] LEWIS A K,TAYLOR N F,CARNEY P W,et al.What is the effect of delays in access to specialist epilepsy care on patient outcomes?A systematic review and meta-analysis[J].Epilepsy Behav,2021,122(3):108192.
[5] 谢丽芬,祝文金.循证护理在小儿癫痫护理中的应用效果及对睡眠质量的影响[J].世界睡眠医学杂志,2022,9(12):2366-2368.
[6] 陈小燕,吴春风,郑可娟.健康教育干预对小儿癫痫患者护理满意度及疾病知晓率的影响[J].中国现代医生,2021,59(19):179-182.
[7] CHAWLA A,SINGH G,SHARMA S,et al.Mortality implications and factors associated with nonengagement in a public epilepsy care initiative in a transient population[J].Epilepsy Behav,2020,112(Suppl.1):107438.
[8] 张洋,周孟玲.丙戊酸钠治疗学龄期全身强直阵挛发作性癫痫儿童的效果及对认知功能的影响[J].天津医药,2018,46(7):733-737.
[9] MIYAMOTO M,MIYAMOTO T.Montreal cognitive assessment predicts the short-term risk of lewy body disease in isolated REM sleep behavior disorder with reduced MIBG scintigraphy[J].Mov Disord Clin Pract,2023,10(1):32-41.
[10] SEETHARAM R,NOORAINE J,MHATRE R,et al.Mild malformation of cortical development with oligodendroglial hyperplasia and epilepsy(MOGHE):A widespread disease with an apparently focal epilepsy[J].Epileptic Disord,2021,23(2):407-411.
[11] 康萌,杨欣伟.癫痫患儿常见神经精神共患病的临床特点及发病危险因素研究进展[J].山东医药,2022,62(36):97-101.
[12] ISMAIL R S,KISHK N A,RIZK H I,et al.Nutritional intake and its impact on patients with epilepsy:an analytical cross-sectional study[J].Nutr Neurosci,2022,25(9):1813-1822.
[13] PATIL S B,KURWALE N S,JAGTAP S A,et al.Clinical profile and outcomes of epilepsy surgery in children from a tertiary epilepsy care center in India[J].Eur J Paediatr Neurol,2022(38):13-19.
[14] 林碧芳,刘丽芳,翁冰贵.优质护理联合常规护理对胎盘早剥患者的护理效果[J].中国卫生标准管理,2018,9(17):176-178.
[15] 王庆. 综合护理在小儿癫痫患者中的应用研究[J].山西医药杂志,2022,51(8):952-956
[16] 李丽雪,黄水秀.多学科协作护理模式在小儿癫痫护理中的应用[J].中外医疗,2023,42(11):157-161.
[17] 韦秀娟. 小儿癫痫的临床治疗与护理干预措施探讨[J].河北医学,2014(10):1742-1744.
[18] 王佳婷,周芳,蔡盈,等.癫痫患儿照顾者知识现状与教育需求的调查分析[J].中国实用护理杂志,2023,39(16):1235-1242.
[19] 黄新瑞,赵佳,张琳.系统护理干预在持续静脉泵入咪达唑仑治疗小儿癫痫持续状态中的临床应用效果探析[J].首都食品与医药,2019,26(17):117.
[20] 戴艳,刘双云,张丽.家属参与式护理对癫痫患儿医护遵从性、患儿及家属心理状态的影响[J].当代护士(中旬刊),2021,28(2):54-57.
[21] 刘芳.优质护理干预模式在小儿癫痫患者护理中的应用效果探讨[J].中国农村卫生,2020,12(24):51,59.
[22] 温晓华,陈河盛,谢爱群.集束化护理对癫痫患者健康宣教及服药依从性的效果分析[J].福建医药杂志,2020,42(6):142-143.
[23] 陈阅薇,易雅琳,张丽.延续性护理对癫痫患儿生活质量及家长满意度的影响[J].当代护士(下旬刊),2020,27(9):85-88.
[24] 吴素华. 优质护理干预模式在癫痫患儿中的应用及对睡眠的改善效果[J].世界睡眠医学杂志,2020,7(8):1380-1381.
[25] 张金华. 优质护理在藏药然纳桑培等联合瓜蒌桂枝汤、三氟拉嗪治疗小儿抽搐中的应用效果[J].中国民族医药杂志,2021,27(2):68-70.
[26] 段志文,聂丹丹,兰婷.癫痫患者疾病进展恐惧水平及其相关影响因素分析[J].广州医药,2023,54(11):91-94.

营养指导联合预防护理在小儿癫痫意外预防中作用观察

Observation on the role of nutritional guidance combined with preventive nursing in the prevention of epilepsy accidents in children

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 1

编辑推荐

Metrics

本文评价