王婷婷

[摘要]目的 探討延续性护理干预在儿童癫痫中的临床应用效果。方法 选取2017年1月～2018年11月因癫痫在我院住院治疗的68例患儿为研究对象，按随机数字表法将其分为观察组和对照组，每组各34例。对照组给予常规出院护理指导，观察组在对照组基础上给予延续性护理干预。观察两组经过不同护理干预后，家长对儿童癫痫有关的医学知识了解程度，出院后3、6、12个月再入院率及护理满意度。结果 两组家长干预前的健康教育和满意度评分比较，差异无统计学意义（P>0.05）;电话或门诊随访3、6、12个月，观察组再住院率低于对照组、住院时间短于对照组，差异均有统计学意义（P<0.05），观察组满意度及健康教育评分高于对照组，差异均有统计学意义（P<0.05）。结论 延续性护理干预能降低癫痫患儿再住院次数，缩短住院时间，提高家长对疾病的认知程度，提高患者满意度，为院外护理、治疗提供有效措施。

[关键词]延续性护理;癫痫;儿童

[中图分类号] R473.74          [文献标识码] A          [文章编号] 1674-4721（2020）7（a）-0237-03

Clinical application effect of continuous nursing intervention in children epilepsy

WANG Ting-ting

Departmengt of Pediatrics， the First Affiliated Hospital of Bengbu Medical College， Anhui Province， Bengbu   233000， China

[Abstract] Objective To explore the clinical application effect of continuous nursing intervention in children epilepsy. Methods From January 2017 to November 2018， 68 children hospitalized in our hospital due to epilepsy were selected as the study objects. According to the random number table method， the childrens were divided into observation group and control group， 34 cases in each group. The control group was given routine discharge nursing guidance， and the observation group was given continuous nursing intervention on the basis of the control group. After different nursing intervention， the parents′ understanding of the medical knowledge related to epilepsy， the readmission rate and nursing satisfaction of the two groups were observed. Results There were no significant differences between the two groups of the scores of parents′ health education and satisfaction before intervention （P>0.05）. The patients in the observation group were followed up for 3， 6 and 12 months by telephone or outpatient. The re-hospitalization rate of the observation group was lower than those of the control group， and the length of stay was shorter than that of the control group， the differences were statistically significant （P<0.05）. The satisfaction and health education scores of the observation group were higher than those of the control group， and the differences were statistically significant （P<0.05）. Conclusion Continuous nursing intervention can reduce the number of re-hospitalization of epileptic children， shorten the length of hospitalization， improve parents′ cognition of the disease， improve patients′ satisfaction， and provide effective measures for out of hospital nursing and treatment.

[Key words] Continuous nursing; Epilepsy; Children

癫痫（epilepsy）是一种以有持久性产生癫痫发作倾向为特征的慢性脑部疾病，是儿童最常见神经系统疾病，患病率为4‰～7‰。长期、频繁发作会导致持久性神经精神障碍。现阶段癫痫的治疗仍然以药物控制为主，20%～30%患者效果不佳，进展为难治性癫痫，此部分患者癫痫复发率和死亡率明显增加[1-2]。出院后规则、不间断的应用抗癫痫药物就显得非常重要，而延续性护理干预则可指导家长出院后用药、护理、病情观察，降低癫痫的复发率，减少反复癫痫引起的持续性脑损伤。本研究为癫痫患儿制定延续性护理方案，并予以实施，现报道如下。

1资料与方法

1.1 一般资料

选取2017年1月～2018年11月因癫痫在我院住院治疗的68例患儿为研究对象。纳入标准：①患儿符合第8版《实用儿科学》[3]癫痫的诊断标准;②首次诊断在我院确诊为癫痫，自诊断后持续给予抗癫痫药物治疗;③患儿及家长自愿参加本研究，并签署知情同意书。排除……