有或无倾斜训练的自我护理建议对血管迷走性晕厥儿童及青少年生活质量的影响：一项随机临床试验
The Impact of Self-Care Recommendations with and without Tilt-Training on Quality of Life in Children and Adolescents with Vasovagal Syncope: A Randomized Clinical Trial.
作者信息
Ahmadi Alireza, Sabri Mohammad Reza, Navabi Zohreh Sadat, Dehghan Bahar, Taheri Marzieh, Mahdavi Chehre
机构信息
Pediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
出版信息
Iran J Nurs Midwifery Res. 2024 Jul 2;29(3):358-367. doi: 10.4103/ijnmr.ijnmr_137_23. eCollection 2024 May-Jun.
BACKGROUND
Syncope is among the most common paroxysmal disorders in children and adolescents. Vasovagal syncope is the most common syncope in children and adolescents. The aim of this study was to evaluate the impact of self-care recommendations with and without tilt training on the Quality of Life (QoL) of children and adolescents with syncope.
MATERIALS AND METHODS
This randomized controlled clinical trial was conducted in Isfahan, Iran, from April 2017 to June 2021 and included 120 patients with syncope. Eligible children and adolescents (aged 6-18 years) who met inclusion criteria were recruited by the simple sampling method and then assigned randomly into two groups. The intervention group (n = 60) received routine self-care recommendations such as dietary advice, behaviors to prevent syncope, and counter-pressure maneuvers along with tilt training, while the control group (n = 60) received self-care recommendations without tilt training. The education training included two face-to-face sessions, each of which lasted for 45-60 min. Then, both groups were followed up by telephone (once a month) for six months. A researcher-made self-care questionnaire and Pediatric Quality of Life Inventory (PedsQL™ 4.0) were completed for both groups before and after the intervention. Data were analyzed using descriptive and inferential statistical methods.
RESULTS
The Wilcoxon test results showed a significant difference in the mean scores of physical functioning, emotional functioning, social functioning, school functioning, psychosocial functioning, understanding of health, and total QoL in the intervention and control groups before and after the intervention ( < 0.05). Also, the paired -test results showed a significant difference in the mean scores of self-care domains and total self-care in the intervention and control groups before and after the intervention ( < 0.05).
CONCLUSIONS
Self-care recommendations with and without tilt training can improve QoL in children and adolescents with syncope.
背景
晕厥是儿童和青少年中最常见的阵发性疾病之一。血管迷走性晕厥是儿童和青少年中最常见的晕厥类型。本研究的目的是评估有或无倾斜训练的自我护理建议对晕厥儿童和青少年生活质量（QoL）的影响。
材料与方法
本随机对照临床试验于2017年4月至2021年6月在伊朗伊斯法罕进行，纳入120例晕厥患者。符合纳入标准的6至18岁儿童和青少年通过简单抽样法招募，然后随机分为两组。干预组（n = 60）接受常规自我护理建议，如饮食建议、预防晕厥的行为和反压动作以及倾斜训练，而对照组（n = 60）接受无倾斜训练的自我护理建议。教育培训包括两次面对面课程，每次持续45 - 60分钟。然后，两组均通过电话随访（每月一次）六个月。在干预前后，两组均完成了研究者编制的自我护理问卷和儿童生活质量量表（PedsQL™ 4.0）。使用描述性和推断性统计方法分析数据。
结果
Wilcoxon检验结果显示，干预组和对照组在干预前后的身体功能、情绪功能、社会功能、学校功能、心理社会功能、健康理解和总生活质量的平均得分存在显著差异（< 0.05）。此外，配对检验结果显示，干预组和对照组在干预前后的自我护理领域平均得分和总自我护理得分存在显著差异（< 0.05）。
结论
有或无倾斜训练的自我护理建议均可改善晕厥儿童和青少年的生活质量。
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