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延续性护理联合赋能理论模式护理在老年继发性癫痫中的应用效果

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目的:探讨延续性护理联合赋能理论模式护理在老年继发性癫痫患者中的应用效果.方法:选取 2018 年10 月~2023 年 7 月东南大学附属中大医院收治的 82 例老年继发性癫痫患者为观察对象,采用随机数字表法分为对照组(41 例,采取赋能理论模式)、观察组(41 例,采取赋能理论模式联合延续性护理).比较两组护理前后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分,对比两组患者护理前后生活质量综合评定问卷评分,记录两组发作频率以及并发症发作频率.结果:观察组护理后SAS评分、SDS评分分别为(38.62±6.23)分、(39.82±7.07)分,对照组分别为(42.01±7.37)分、(43.73±7.46)分,差异具有统计学意义(P=0.027,P=0.017);护理后观察组生活质量评分为(353±7.23)分、对照组评分为(350±6.10)分,对比差异具有统计学意义(P<0.05);观察组发作次数为(1.00±1.03)低于对照组的(1.50±1.00),差异具有统计学意义(P<0.05);观察组并发症发作率(4.88%)低于对照组(19.51%),差异具有统计学意义(P<0.05).结论:延续性护理联合赋能理论模式护理可改善老年继发性癫痫患者生活质量,降低发作次数,降低并发症(跌倒、窒息、认知障碍、记忆障碍等)发生风险.
Application effect of continuous nursing combined with the theoretical model of empowerment in elderly pa-tients with secondary epilepsy
Objective To explore the effect of continuous nursing combined with the theoretical model of empowerment in elderly patients with secondary epilepsy.Method A total of 82 elderly patients with secondary epilepsy admitted to the hospital from October 2018 to July 2023 were selected as observation objects,and were divided into control group(41 cases,conventional nursing mode com-bined with the theoretical model of empowerment)and observation group(41 cases,conventional nursing mode,theoretical model of empowerment,continuous nursing)by random number table method.The scores of self-rating Anxiety Scale(SAS)and self-rating Depression Scale(SDS)before and after care were compared between the two groups,and the scores of comprehensive quality of life assessment questionnaire before and after care were compared between the two groups,and the frequency of attacks and complications were recorded between the two groups.Results The SAS scores and SDS scores were(38.62±6.23)points and(39.82±7.07)points in the observation group,and(42.01±7.37)points and(43.73±7.46)points in the control group,respectively,and the differences were statistically significant(P=0.027,P=0.017).After nursing,the quality of life scores of the observation group and the control group were(353±7.23)points and(350±6.10)points,and the difference was statistically significant(P<0.05).The number of at-tacks in the observation group was(1.00±1.03)lower than that in the control group(1.50±1.00),and the difference was statistical-ly significant(P<0.05).The incidence of complications in observation group(4.88%)was lower than that in control group(19.51%),and the difference was statistically significant(P<0.05).Conclusion Continuous nursing combined with the theoretical mode of enabling nursing can improve the quality of life of elderly patients with secondary epilepsy,reduce the number of seizures,and reduce the risk of complications(fall,asphyxia,cognitive impairment,memory impairment,etc.).

Continuous nursingEnabling theoretical model nursingSenile secondary epilepsyApplication effect

李佳倩

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东南大学附属中大医院神经内科,江苏 南京 210009

延续性护理 赋能理论模式护理 老年继发性癫痫 应用效果

2024

吉林医学
吉林省人民医院

吉林医学

影响因子:0.926
ISSN:1004-0412
年,卷(期):2024.45(10)