基于抽屉管理模式的预防性干预方案的构建及对癫痛患者症状改善的作用研究

Construction of Preventive Intervention Scheme Based on Drawer Management Model and Study on Improvement of Symptoms of Epilepsy Patients

目的研究基于抽屉管理模式的预防性干预方案的构建及对癫痛患者症状改善的作用。方法本研究采用前瞻性研究方法,以我院2020年11月-2021年11月诊断并进行治疗的癫痫患者75例作为研究对象(研究组),按照随机分组原则,按照患者的入院编号,将以上患者随机分为研究组以及对照组,研究组患者35例,对照组40例,研究组患者采取基于抽屉管理模式的预防性干预方案,对照组患者采取常规护理措施,两组患者均干预2周。比较两组患者的干预效果、癫痫发作次数和持续时间、生活质量、护理满意度之间的差异。结果相比对照组(77.50%)而言,研究组患者(96.88%)的治疗总有效率显著升高(χ^(2)=5.581,P=0.046);经过干预后,研究组患者的癫痫发作次数和持续时间显著改善,且研究组患者的癫痫发作次数(t=9.867,P=0.000)和持续时间(t=7.327,P=0.000)显著低于对照组;两组患者的认知功能、躯体功能、社会功能、情绪功能、总分均显著升高,且研究组患者的认知功能(t=11.250,P=0.000)、躯体功能(t=9.267,P=0.000)、社会功能(t=6.654,P=0.000)、情绪功能(t=25.505,P=0.000)、总分(t=23.930,P=0.000)显著高于对照组(P<0.05);研究组患者的可交往性(t=14.994,P=0.000)、专业能力(t=12.616,P=0.000)、对患者的关注(t=11.010,P=0.000)、护理可及性(t=14.777,P=0.000)、护理质量(t=16.009,P=0.000)显著升高。结论基于抽屉管理模式的预防性干预方案对癫痛患者症状改善具有显著的临床意义,建议临床推广。

Objective To study the construction of preventive intervention scheme based on drawer management model and its effect on the improvement of symptoms of epilepsy patients.Methods This study adopted a prospective study method.75 cases of epilepsy patients diagnosed and treated in our hospital from November 2020 to November 2021 were taken as study subjects(study group).According to the principle of randomization and the admission number of patients,the above patients were randomly divided into study group and control group,with 35 cases in the study group and 40 cases in the control group.Patients in the study group were given preventive intervention based on drawer management mode,while patients in the control group were given routine nursing measures.Both groups were given intervention for 2 weeks.The differences between intervention effects,number and duration of seizures,quality of life,and satisfaction with care were compared between the two groups.Results Compared with the control group(77.50%),the total effective rate of the study group(96.88%)was significantly higher(χ^(2)=5.581,P=0.046).After intervention,the number and duration of seizures in the study group were significantly improved,and the number of seizures(t=9.867,P=0.000)and duration(t=7.327,P=0.000)in the study group were significantly lower than those in the control group.The cognitive function,physical function,social function,emotional function and total score of patients in both groups were significantly increased,and the cognitive function(t=11.250,P=0.000),physical function(t=9.267,P=0.000),social function(t=6.654,P=0.000),emotional function(t=25.505,P=0.000),total score(t=23.930,P=0.000)were significantly higher than those in control group(P<0.05).Study group patient accessibility(t=14.994,P=0.000),professional competence(t=12.616,P=0.000),attention to patients(t=11.010,P=0.000),care accessibility(t=14.777,P=0.000),quality of care(t=16.009,P=0.000)was significantly increased.Conclusion The preventive intervention scheme based on drawer management model has significant clinical significance in improving the symptoms of epilepsy patients.