Effect of nursing intervention based on the empowerment theory model on self-management and quality of life in patients with secondary epilepsy
Objective To evaluate the effect of nursing intervention based on the empowerment theory model on self-management capability and quality of life in patients with secondary epilepsy.Methods This study was a randomized controlled trial.A total of 84 patients with secondary epilepsy admitted to Xianyang Central Hospital from June 2021 to June 2023 were divided into two groups according to the random number table method,with 42 cases in each group.In the reference group,there were 28 males and 14 females,aged 32-64(41.63±5.37)years,and the types of seizures included simple partial seizures in 21 cases,complex partial seizures in 12 cases,and generalized seizures in 9 cases.In the experimental group,there were 23 males and 19 females,aged 36-66(41.06±5.24)years,and the types of seizures included simple partial seizures in 23 cases,complex partial seizures in 11 cases,and generalized seizures in 8 cases.The reference group received routine nursing measures,the experimental group received nursing intervention based on the empowerment theory model,and both groups were intervened for 3 months.The self-management ability[Epilepsy Self-Management Scale(ESMS)],neurological function improvement[National Institutes of Health Stroke Scale(NIHSS)],disease uncertainty[Mishel Uncertainty in Illness Scale(MUIS)],and quality of life[Chinese version of the Quality of Life in Epilepsy Inventory-31(QOLIE-31)]were observed and compared between the two groups before and after intervention,and the occurrence of secondary epilepsy within 3 months in the two groups was also evaluated.Statistical methods used were t test and x2 test.Results After intervention,the scores of ESMS and QOLIE-31 in the experimental group were higher than those in the reference group[(155.21±19.87)points vs.(121.17±17.63)points,(73.14±8.32)points vs.(62.29±7.38)points],with statistically significant differences(t=8.31 and 6.32,both P＜0.05);the scores of NIHSS and MUIS in the experimental groups were lower than those in the reference group[(21.07±3.08)points vs.(25.81±3.36)points,(62.48±7.51)points vs.(72.04±7.36)points],with statistically significant differences(t=6.74 and 5.89,both P＜0.05).The incidence of secondary epilepsy seizures within 3 months in the experimental group was lower than that in the reference group[11.90％(5/42)vs.38.10％(16/42)],with a statistically significant difference(x2=7.68,P＜0.05).Conclusion The nursing intervention based on the empowerment theory model can effectively enhance the self-management in patients with secondary epilepsy,improve the quality of life,reduce the disease recurrence,and has a positive impact on improving neurological function.
Secondary epilepsyEmpowerment theoryNursingSelf-managementQuality of life
万方数据
维普
