首页|认知与行为护理联合精准动态延伸护理在神经内科难治性癫痫患者中的应用研究

认知与行为护理联合精准动态延伸护理在神经内科难治性癫痫患者中的应用研究

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目的:探讨认知与行为护理联合精准动态延伸护理在神经内科难治性癫痫患者中的应用研究.方法:选取2021年1月—2022年1月南阳市中心医院收治的102例神经内科难治性癫痫患者作为研究对象,将其随机分为实验组(51例)与常规组(51例).常规组实施精准动态延伸护理,实验组在常规组的基础上进行认知与行为护理,护理时间均为3个月.对比两组患者护理期间自我效能评价量表(GSES)、癫痫发作次数和护理前后生活质量.结果:护理后,实验组患者GSES评分均高于常规组,差异有统计学意义(t=10.152,P<0.05);实验组患者护理期间癫痫发作次数少于常规组,差异有统计学意义(t=28.346,P<0.001);护理后,实验组患者生活质量评分均高于常规组,差异有统计学意义(t=6.744,P<0.05).结论:认知与行为护理联合精准动态延伸护理能够改善神经内科难治性癫痫患者自我效能、降低癫痫发作次数,还可提高患者的生活质量.
Cognitive and Behavioral Nursing Combined with Precision Dynamic Extended Care in Neurological Patients with Refractory Epilepsy
Objective:To explore the use of cognitive and behavioral care combined with precision dynamic extended care in neurological patients with refractory epilepsy.Methods:102 patients with refractory epilepsy in the department of neurology admit-ted to the hospital from January 2021 to January 2022 were selected and randomly divided into the experimental group(51 cases)and the conventional group(51 cases).The conventional group implemented precise dynamic extended nursing care,and the experi-mental group carried out cognitive and behavioral nursing care on the basis of the conventional group,and the nursing time was 3 months in both groups.Self-efficacy evaluation scale(GSES),number of seizures and quality of life before and after care were com-pared between the two groups during the care period.Results:After care,the GSES scores of the experimental group were all higher than those of the conventional group,and the difference was statistically significant(t=10.152,P<0.05).The number of seizures during care in the experimental group was less than that in the conventional group,and the difference was statistically significant(t=28.346,P<0.001).After care,the quality of life scores of the experimental group were higher than those of the conventional group,and the difference was statistically significant(t=6.744,P<0.05).Conclusion:Cognitive and behavioral care combined with precision dynamic extended care in neurological patients with refractory epilepsy improves self-efficacy,reduces the number of sei-zures,and also improves patients'quality of life.

Cognitive and behavioral carePrecision dynamic extended careNeurologically refractory epilepsySelf-efficacySeizure countsQuality of life

郭燕君、方媛、张大鹏

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南阳市中心医院神经内科,河南 南阳 473000

认知与行为护理 精准动态延伸护理 神经内科难治性癫痫 自我效能 癫痫发作次数 生活质量

河南省医学科技攻关计划联合共建项目

LH-GJ20191459

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(3)
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