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癫痫手术治疗患者照顾者健康教育需求及健康教育项目效果的混合研究

A Mixed Study on the Health Education Needs of Caregivers for People Living with Epilepsy Undergoing Surgical Treatment and the Effects of a Health Education Program.

作者信息

Zeng Shuiying, Liu Hui, Wen Xiaozhen, Huang Yujing

机构信息

Department of Neurosurgery, Ganzhou People's Hospital, Ganzhou, Jiangxi, 341000, People's Republic of China.

出版信息

Neuropsychiatr Dis Treat. 2024 Oct 14;20:1957-1967. doi: 10.2147/NDT.S476003. eCollection 2024.

Abstract

OBJECTIVE

This study aims to understand and address the health education needs of family caregivers of people living with epilepsy, irrespective of the patient's age. It seeks to construct and implement a targeted health education program informed by empowerment education theory and evaluate its effectiveness.

METHODS

Through semi-structured interviews, we explored the diverse health education needs of family caregivers of people with epilepsy, identifying key themes and constructing a responsive health education plan. The program's effectiveness was assessed through a quasi-experimental study. The control group received routine health education, while the intervention group participated in an empowerment-based education program in addition to the standard protocol. We evaluated changes in caregivers' disease management capabilities, knowledge about epilepsy, and quality of life at baseline, one month, and three months post-intervention using appropriate statistical analyses to confirm significance.

RESULTS

Sixty-five family caregivers participated, with 32 in the intervention group and 33 in the control group. Guided by phenomenological research, four main themes were identified. Significant improvements in disease management, epilepsy knowledge, and quality of life were observed in the intervention group, exceeding those in the control group at both follow-up intervals (p<0.05).

CONCLUSION

An empowerment-based health education program significantly enhances caregivers' competencies across age groups in managing epilepsy, underscoring its effectiveness as an intervention model.

摘要

目的

本研究旨在了解并满足癫痫患者家庭照顾者的健康教育需求,无论患者年龄大小。本研究旨在构建并实施一项基于赋权教育理论的针对性健康教育计划,并评估其效果。

方法

通过半结构化访谈,我们探索了癫痫患者家庭照顾者多样化的健康教育需求,确定关键主题并构建了一个响应式健康教育计划。通过准实验研究评估该计划的效果。对照组接受常规健康教育,而干预组除了标准方案外还参与了基于赋权的教育计划。我们在干预后基线、1个月和3个月时,使用适当的统计分析评估照顾者疾病管理能力、癫痫知识和生活质量的变化,以确认其显著性。

结果

65名家庭照顾者参与,其中干预组32名,对照组33名。在现象学研究的指导下,确定了四个主要主题。干预组在疾病管理、癫痫知识和生活质量方面有显著改善,在两个随访期均超过对照组(p<0.05)。

结论

基于赋权的健康教育计划显著提高了各年龄组照顾者管理癫痫的能力,突显了其作为一种干预模式的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d1b/11488508/4338afd633fb/NDT-20-1957-g0001.jpg

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