延续护理干预对难治性癫痫患儿出院后生酮饮食依从性的影响

Effects of transitional care intervention on ketogenic diet compliance among refractory epilepsy children post discharge

目的探讨利用延续护理干预对难治性癫痫患儿出院生酮饮食依从性的影响。方法选取2017年1—12月在某三级甲等医院就诊的癫痫患儿80例,采用随机数字表法随机分为观察组和对照组各40例。对照组予常规治疗和护理模式,观察组在对照组的基础上实施延续护理干预,比较干预后两组患儿对生酮饮食的依从性及疗效。结果观察组实施延续护理干预3个月后,生酮饮食完全依从患儿33例,对照组25例,差异有统计学意义(χ^2=4.012,P<0.05)。干预6个月后,观察组完全缓解患儿19例,对照组4例,两组疗效比较差异有统计学意义(χ^2=16.573,P<0.05)。结论延续护理干预能够提高难治性癫痫患儿的生酮饮食依从性,对癫痫控制疗效显著,可行性较强。

Objective To explore the effects of transitional care intervention on ketogenic diet compliance among refractory epilepsy children post discharge. Methods From January to December 2017, we selected 80 epilepsy children at a Class Ⅲ Grade A hospital. All of the children were divided into observation group and control group according to the random number table, 40 cases in each group. Control group received conventional therapy and nursing. On this basis of that in control group, observation group carried out transitional care intervention. And then, we compared the ketogenic diet compliance and curative effect of children between two groups after intervention. Results After carrying out transitional care intervention three month, there were 33 and 25 cases with complete compliance of the ketogenic diet in observation group and control group respectively, with a statistical difference (χ^2=4.012, P<0.05) . Six months after intervention, there were 19 and 4 cases with complete remission in observation group and control group respectively, with a statistical difference in curative effect (χ^2=16.573, P<0.05) . Conclusions Transitional care intervention can improve ketogenic diet compliance among refractory epilepsy children and has a significant effect on the epilepsy control with strong feasibility.