中重度颅脑损伤合并癫痫患者家庭护理干预的效果。
Effectiveness of Home Care Interventions in Patients with Moderate to Severe Craniocerebral Injury Combined with Epilepsy.
机构信息
Nanjing Cerebrovascular Disease Center, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, Jiangsu 210029, China.
Department of Neurosurgery, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, Jiangsu 210029, China.
出版信息
Comput Math Methods Med. 2022 Jul 7;2022:3654181. doi: 10.1155/2022/3654181. eCollection 2022.
OBJECTIVE
To investigate the effect of a home care model on coping style and quality of life of patients with postcranial surgery complicated by epilepsy.
METHODS
One hundred and forty-four patients with postcranial surgery complicated by epilepsy admitted to our hospital from July 2017 to April 2018 were selected as study subjects and randomly divided into 63 cases each in the observation group and the control group. The control group was given nursing interventions including health education, psychological intervention, medication guidance, complication prevention, and follow-up management, while the observation group was jointly given collaborative family nursing interventions. At a follow-up of 6 months, indicators such as coping style, treatment compliance, and quality of life were compared between the two groups.
RESULTS
Patients in the observation group had significantly higher problem solving, help seeking, and rationalization scores and significantly lower self-blame scores than the control group ( < 0.01); significantly higher treatment compliance than the control group ( < 0.01); and significantly higher social functioning, emotional well-being, and energy/fatigue scores than the control group ( < 0.01).
CONCLUSION
The home care model helps to promote the development of positive coping styles, improve treatment compliance, and improve the quality of life of patients after cranial surgery.
目的
探讨家庭护理模式对颅后手术并发癫痫患者应对方式和生活质量的影响。
方法
选取我院 2017 年 7 月至 2018 年 4 月收治的 144 例颅后手术并发癫痫患者作为研究对象，采用随机数字表法将其分为观察组和对照组各 63 例。对照组给予健康教育、心理干预、用药指导、并发症预防、随访管理等护理干预，观察组在此基础上联合协同家庭护理干预。随访 6 个月，比较两组患者的应对方式、治疗依从性和生活质量。
结果
观察组患者问题解决、寻求帮助、合理化评分显著高于对照组，自责评分显著低于对照组（ < 0.01）；治疗依从性显著高于对照组（ < 0.01）；社会功能、情绪健康、精力/疲劳评分显著高于对照组（ < 0.01）。
结论
家庭护理模式有助于促进积极应对方式的发展，提高治疗依从性，改善颅后手术患者的生活质量。
Zotero 插件