基于跨理论模型干预对癫痫患儿自尊水平的影响

Effect of intervention on self-esteem level in children with epilepsy based on cross theoretical model

目的：探讨跨理论模型（TTM）在癫痫患儿自尊水平干预中的效果。方法将65例癫痫患儿按随机数字表法分为干预组34例和对照组31例。2组均给予系统的抗癫痫药物治疗和护理，运用变化阶段量表和自尊量表（SES）对其进行基线评估，干预组根据评估结果制订个体化的TTM干预措施，对照组给予一般的健康教育和心理护理，为期6个月。分别在患儿出院时、干预后6个月对2组患儿进行跟进评估，分析患儿干预前后变化阶段的分布情况及自尊得分的变化。结果干预前2组患儿在意向阶段、准备阶段、行动阶段、保持阶段的自尊得分比较，差异无统计学意义（P>0.05）；干预6个月后，上述各变化阶段的自尊得分，干预组分别为（22.61±2.88）、（22.78±1.56）、（24.03±1.50）、（24.39±1.60）分，对照组分别为（21.15±2.44）、（21.39±2.21）、（22.26±2.33）、（22.01±2.31）分，2组比较差异具有统计学意义（t=1.12~3.38，均P<0.01），2组由前意向阶段向保持阶段转变的患儿例数均增多，干预组优于对照组，差异有统计学意义（χ2=15.00， P<0.01）。结论运用TTM为指导的干预，能提高癫痫患儿自尊水平，利于康复。

Objective To investigate the effect of (the transtheoretical model of change,TTM) on the level of self-esteem in children with epilepsy (EP). Methods 65 cases of EP were divided into intervention group with 31 cases and control group with 34 cases by random number table. The two groups were treated with anti EP drug treatment and nursing, the use of the change stage and the Self- Esteem Scale (SES) for the baseline assessment, the intervention group according to the assessment results to develop individual TTM intervention measures, the control group received general health education and psychological care, for a period of 6 months. Two groups of patients were followed up for 6 months after hospital discharge, and the distribution of the changes in the changes of the patients and the change of self-esteem scores were analyzed. Results Before the intervention, two groups in the intention stage, preparation stage, operation stage and maintenance stage self-esteem score comparison, the difference was not statistically significant (P>0.05);6 months after the intervention, the change of phase of self-esteem, the intervention group respectively were (22.61+2.88) points, (22.78+1.56) points, (24.03+1.5) points, (24.39+1.60) points, in the control group were (21.15+2.44) points, (21.39+2.21) points, (22.26+2.33) points, (22.01+2.31) points, with significant differences between the two groups (t=1.12-3.38, P<0.01). Two groups from the former intention phase to maintain the stage of change in the number of children were increased, the intervention group was better than the control group, the difference was statistically significant (χ2=15.00, P<0.01). Conclusions Using TTM as the guidance can improve the self-esteem of children with EP.