社区护理干预对癫痫患者疾病不确定感及治疗的影响

Effects of community nursing intervention on uncertainty in illness and treatment of patients with epilepsy disease

目的探讨社区护理干预对癫痫患者疾病不确定感及治疗的影响。方法将112例出院癫痫患者随机均分为研究组和对照组各56例，研究组进行社区护理干预，对照组未施加任何影响。1年后采用住院患者疾病不确定感量表（MUIS）、癫痫疗效标准及自制治疗依从性标准于随访结束时进行效果评价。结果干预前研究组和对照组疾病不确定感评分比较差异无统计学意义（t=0．89，P〉0．05）；干预后研究组的疾病不确定感明显低于对照组，差异具有统计学意义（t=11．12，P〈0．01）；随访结束研究组患者的服药依从性、药物自我管理能力、对药物的满意程度、症状监控形式及治疗效果均明显优于对照组，差异有统计学意义（x2分别为22．07、60．00、16．57、24．75、23．83，P〈0．01）。结论社区护理干预能明显提高癫痫患者的治疗依从性，减少疾病的反复，降低患者疾病不确定感的水平。

Objective To explore the effects of community nursing intervention on uncertainty in illness and treatment of patients with epilepsy disease. Methods 112 discharged epilepsy patients were divided into research group（ n = 56） and control group randomly （n = 56）. Research group was treated with community nursing intervention, and control group was treated with routine nursing care. Effects were evaluated by scales of illness uncertainty （ MUIS）, Epilepsy clinical standards, and self-made treatment eomphanee standards one year after discharge. Results Scores of illness uncertainty before intervention between the two groups were not different （ t = 0. 89 ,P 〉 0. 05 ） ; scores of illness uncertainty in research group were lower than control group after intervention,and the differences have reached the statistical significance （t = 11.12,P 〈0.01 ）. Treatment compliance, selfmanage ability of medicine and satisfactory on pills and clinical effects in research group were better than those in control group （x2 =22.07,60.00,16.57,24.75,23.83;P〈0.01）. Conclusions Community nursing intervention could increase the treatment compliance of epilepsy patient, decrease the recurrence of disease and the illness uncertainty.