王靳君　姚兰　王莹　杨蕊

[摘要] 目的 研究护理结局分类在原发性癫痫患者自我管理状况评价中的应用效果。 方法 本次研究选取的研究对象为2015年8月～2016年8月期间在我院治疗的原发性癫痫患者40例，应用第3版《护理结局分类》中“癫痫发作控制”结局评价自我管理情况，并实施整体护理干预。比较干预前后原发性癫痫患者的自我管理状况。结果 不同性别、年龄、文化程度和区域的原发性癫痫患者干预前后的自我管理状况比较，差异有统计学意义（P<0.05），原发性癫痫患者干预前后疾病知识、治疗和用药依从性、自我管理状况总分比较，差异有统计学意义（P<0.05）。 结论 应用护理结局分类和护理干预在评价原发性癫痫患者自我管理状况中具有较高的价值。

[关键词] 原发性癫痫；自我管理状况；护理结局分类；评价

[中图分类号] R473.74 [文献标识码] B [文章编号] 1673-9701（2017）06-0154-03

[Abstract] Objective To study the effect of nursing outcomes classification in the evaluation of self-management status of patients with primary epilepsy. Methods A total of 40 patients with primary epilepsy who were treated in our hospital from August 2015 to August 2016 were selected as study subjects. Self-management condition was evaluated by application of the "seizure control" outcome in the third edition of Nursing Outcomes Classification， and the overall nursing intervention was implemented. The self-management status of patients with primary epilepsy before and after intervention were compared. Results There were significant differences in self-management among different sex， age， educational level and regional primary epilepsy patients before and after intervention （P<0.05）. And there were significant differences in total scores of disease knowledge， treatment and medication compliance and self-management status of primary epilepsy patients between before intervention and after intervention （P<0.05）. Conclusion In the evaluation of self-management status of patients with primary epilepsy， the application of nursing outcomes classification and nursing intervention has a high value.

[Key words] Primary epilepsy； Self-management status； Nursing outcome classification； Evaluation

癲痫是常见的神经系统疾病[1]，相关研究报道癫痫发病率在0.6%～1.1%之间，具有反复发作的特点，严重影响患者的身心健康和社会生活质量[2]。对癫痫患者的自我管理水平进行评价，并配合相应的护理干预措施，有利于其治疗效果和生活质量的提高。护理结局分类为护理措施产生的护理敏感性患者结果提供了标准化的术语和度量尺度[3]，有助于护理效果的评价，可促进患者心理、生理以及社会适应能力的提高[4]，通过评价原发性癫痫患者干预前后的自我管理状况，有助于临床治疗及护理方案的选择，本研究特将原发性癫痫患者40例作为此次研究对象，现将结果报道如下。

1资料与方法

1.1临床资料

选取2015年8月～2016年8月期间我院收治的40例原发性癫痫患者作为研究对象。男24例，女16例，年龄23～66（42.43±3.47）岁。病程1～20年，平均（12.26±5.74）年。

纳入标准：①经脑电图显示及患者表现确诊为原发性癫痫的患者；……