认知行为疗法对学龄期癫痫患儿负性情绪及服药依从性的影响

Effects of cognitive behavior therapy on negative emotion and medication compliance in school-age children with epilepsy

目的探讨认知行为疗法对学龄期癫痫患儿负性情绪、服药依从性的影响。方法采用便利抽样法,选择2017年5月—2018年6月住院治疗的学龄期癫痫患儿68例为研究对象。按照时间顺序以2017年5—11月收治的患儿为对照组,2017年12月—2018年6月收治的患儿为干预组,每组各34例。对照组患儿给予常规护理措施,干预组患儿在此基础上采用认知行为疗法。分别在干预前、干预后2个月采用儿童焦虑性情绪障碍筛查量表(SCARED)、儿童抑郁障碍自评量表(DSRSC)、服药依从性问卷对患儿进行评估。结果干预后干预组患儿SCARED、DSRSC得分均低于对照组,差异有统计学意义(P<0.05);服药依从性得分高于对照组,差异有统计学意义(P<0.05)。结论认知行为疗法能改善学龄期癫痫患儿的负性情绪,提高患儿服药依从性。

Objective To explore the effects of cognitive behavior therapy (CBT) on negative emotion and medication compliance in school-age children with epilepsy. Methods Totally 68 school-age children with epilepsy hospitalized from May 2017 to June 2018 were selected by convenient sampling. The children admitted between May and November 2017 were included into the control group (n=34), and the children admitted from December 2017 to June 2018 were included into the intervention group (n=34). Patients in the control group received conventional nursing care, while patients in the intervention group received CBT on this basis. The Screen for Child Anxiety Related Emotional Disorders (SCARED), Depression Self-Rating Scale for Children (DSRSC) and Medication Compliance Questionnaire were used to evaluate the children before and 2 months after intervention. Results The SCARED and DSRSC scores of the intervention group were lower than those of the control group, and there was statistically significant difference between the two groups (P<0.05). The Medication Compliance Questionnaire score of the intervention group was higher than that of the control group, and there was statistically significant difference between the two groups (P<0.05). Conclusions CBT can improve the negative emotion and medication compliance of school-age children with epilepsy.