丁德琴 罗熔莉 黄彩虹

摘要目的：探究剝夺睡眠脑电图检查时健康教育对患儿依从性的影响，从而提高小儿癫痫脑电图检查的成功率。方法：选取2018年1月至2019年1月厦门大学附属妇女儿童医院接受脑电图检查的患儿140例作为研究对象，采用摸球法随机分为观察组和对照组，每组70例。2组患儿均实施剥夺睡眠脑电图检查，观察组辅以健康教育，对照组采用常规指导措施干预。检查工作完成后，观察2组患儿依从性，并分析影响依从性的客观因素。结果：观察组检查依从性为9428%，高于对照组的7142%，2组比较，差异有统计学意义（P<005）。分析结果指出，能够影响患儿及其监护人依从性的影响因素包括：对剥夺睡眠重要性的认知水平、对检查过程的了解程度、过去是否存在剥夺睡眠脑电图史等，部分监护人受疾病病史过长及反复发作等特点而出现不依从行为，患儿自身对癫痫症状存在不同程度适应性，在一定程度上受到智力发育的影响。结论：健康教育在提高患儿剥夺睡眠脑电图检查依从性中的作用显著，有效实施健康教育可提高其依从性，确保检查工作顺利实施，具有较高临床推广价值。

关键词健康教育;剥夺睡眠脑电图;依从性

The Role of Health Education in Improving The Compliance of Sleep Deprivation Electroencephalograph in Children

DING Deqin，LUO Rongli，HUANG Caihong，Xie Liping

（Affiliated women′s and children′s hospital of xiamen university，Xiamen 361000，China）

AbstractObjective：To explore the effect of health education on children′s compliance during sleep deprivation electroencephalography（eeg），so as to improve the success rate of eeg in children with epilepsyMethods：A total of 140 children who underwent electroencephalogram examination in the affiliated women′s and children′s hospital of Xiamen university from January 2018 to January 2019 were selected as research objectsThey were randomly divided into the observation group and the control group by ball touching method，with 70 cases in each groupThe children in the two groups were given sleep deprivation electroencephalogram，the observation group was supplemented by health education，and the control group was given routine guidanceAfter the inspection，the compliance of children in the two groups was observed，and the objective factors affecting the compliance were analyzedResults：The inspection compliance of the observation group was 9428%，higher than that of the control group（7142%）The difference between the two groups was statistically significant（P<005）The results of the analysis pointed out that can affect children and its influencing factors include：the guardian adherence to the importance of sleep deprivation cognitive level，the degree of understanding of the inspection process，past history，etc，the existence of sleep deprivation eeg part guardian by disease is too long and repeated attacks from behavioral characteristics and appear don′t，of epilepsy symptoms of the patients had different degree of adaptability，to a certain extent，affected by mental developmentConclusion：Health education plays a significant role in improving the compliance of children with sleep deprivation eeg examinationThe effective implementation of health education can improve the compliance and ensure the smooth implementation of the examination，which has high clinical promotion value.

KeywordsHealth education; Sleepdeprived eeg; Compliance

中图分类号：R7421;R33863文献标识码：Adoi：10.3969/j.issn.2095-7130.2020.06.035

癫痫是儿童最常见的神经系统疾病，主要由大脑神经元异常放电所致。我国癫痫整体患病率为4‰～7‰，其中60%患者起源于小儿时期。长期、频繁发作会导致进一步脑损伤，甚至出现持久性神经精神障碍。脑电图检查是临床癫痫患儿主要诊断措施，常规检查阳性率较低，仅有50%，而剥夺睡眠脑电图检查可提高检查阳性率，以满足临床诊断需求。而在实际诊断中，患儿受诸多因素影响存在不依从现象，从而影响检查结果。本院围绕提高患儿剥夺睡眠脑电图检查依从性开展研究，就70例患儿在剥夺睡眠脑电图检查中采用健康教育干预，现将结果报道如下。

1资料与方法

11一般资料选取2018年1月至2019年1月厦门大学附属妇女儿童医院接受脑电图检查的患儿140例作为研究对象，采用摸球法随机分为观察组和对照组，每组70例。……