基于跨理论模型干预对癫痫患儿不良情绪及康复效果的评价

Evaluation of the effect of trans-theoretical model intervention on the bad mood and rehabilitation of children patients with epilepsy

目的探讨癫痫患儿实施基于跨理论模型的干预对其不良情绪与康复效果的影响。方法于2021年2月—2022年2月在医院接受治疗的癫痫患儿中选取90例,按照组间基本特征具有可比性为原则,分为对照组和观察组,各45例。予以对照组常规护理,观察组在常规护理基础上展开基于跨理论模型的干预方式护理。采用儿童焦虑性情绪障碍量表(SCARED)、儿童抑郁障碍自评量表(DSRSC)评价两组情绪状态,采用儿童生活质量量表(PedsQL)评价两组患儿生活质量,采用Morisky服药依从性量表(MMAS)评价两组患儿治疗依从性,观察两组患儿康复效果。结果干预后观察组SCARED、DSRSC评分低于对照组,组间比较差异具有统计学意义(P<0.05);观察组治疗依从率为95.56%,高于对照组的80.00%,组间比较差异具有统计学意义(P<0.05);观察组康复总有效率是93.33%,高于对照组的77.78%,组间比较差异具有统计学意义(P<0.05);干预后观察组PedsQL各维度评分均高于对照组,组间比较差异具有统计学意义(P<0.05)。结论癫痫患儿实施基于跨理论模型的干预可有效缓解其不良情绪,并提升其治疗依从性及康复效果,进一步改善生活质量。

Objective To explore the effect of trans-theoretical model intervention on the bad mood and rehabilitation of children patients with epilepsy.Methods From February 2021 to February 2022,90 children with epilepsy who received treatment in hospital were selected and divided into the control group and the observation group according to the principle of comparability of basic characteristics between groups,with 45 cases in each group.The control group was given routine nursing,and the observation group was given intervention nursing based on the trans-theoretical model on the basis of routine nursing.The screen for child anxiety related emotional disorders(SCARED)and self-rating scale for depressive disorder in childhood(DSRSC)were used to evaluate the emotional state of the two groups,the pediatric quality of life inventory measurement models(PedsQL)was used to evaluate the quality of life of the two groups of children,Morisky medication adherence scale(MMAS)was used to evaluate the treatment compliance of the two groups of children,and the rehabilitation effect of the two groups of children was observed.Results After the intervention,the scores of SCARED and DSRSC in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).The treatment compliance rate in the observation group was 95.56%,which was higher than the 80.00% in the control group,and the difference between the groups was statistically significant(P<0.05).The total effective rate of rehabilitation in the observation group was 93.33%,which was higher than the 77.78% in the control group,and the difference between the groups was statistically significant(P<0.05).After the intervention,the each dimension scores of PedsQL in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The intervention based on the trans-theoretical model can effectively alleviate the bad mood of epileptic children,improve their treatment compliance and rehabilitation effect,and further improve their quality of life.