首页|叙事护理对癫痫患者心理韧性、治疗依从性及生活质量的影响

叙事护理对癫痫患者心理韧性、治疗依从性及生活质量的影响

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目的 探讨癫痫患者采用叙事护理对心理韧性、治疗依从性及生活质量的影响。方法 选取 2021 年 2 月至2022 年 4 月期间在新乡医学院第二附属医院接受治疗的癫痫患者共计 104 例,根据随机数字表法分为干预组(n=52,叙事护理)与对照组(n=52,常规护理),对两组心理韧性、治疗依从性及生活质量进行比较。结果 两组入院时心理弹性量表(CD-RISC)评分(力量性、乐观性、坚韧性)比较,差异无统计学意义(P>0。05);两组出院 1 个月后的CD-RISC评分均有所提高,且干预组高于对照组,差异有统计学意义(P<0。05)。干预组治疗依从性率(98。08%)高于对照组(82。69%),差异有统计学意义(P<0。05)。两组入院时癫痫患者生活质量评定量表(QOLIE-31)评分(情绪健康、发作担忧、精力/疲乏、认知功能、药物影响、社会功能、综合生活质量、总体健康水平)比较,差异无统计学意义(P>0。05);两组出院 1 个月后评分提高,且干预组高于对照组,差异有统计学意义(P<0。05)。结论 叙事护理应用于癫痫患者干预中,可促进心理韧性改善,促进治疗依从性、生活质量提高。
Effects of Narrative Nursing on Mental Toughness,Treatment Compliance,and Quality of Life in Patients with Epilepsy
Objective To investigate the effects of narrative nursing on mental toughness,treatment compliance,and quality of life in patients with epilepsy.Methods A total of 104 patients with epilepsy who received treatment in the Second Affiliated Hospital of Xinxiang Medical College from February 2021 to April 2022 were selected and divided into the intervention group(n=52,narrative care)and the control group(n=52,routine care)according to random number table method.The psychological toughness,treatment compliance,and quality of life of the two groups were compared.Results There was no significant difference in the scores of the connor-davidson resilience scale(CD-RISC)(strength,optimism,and tenacity)between the two groups(P>0.05).The CD-RISC scores of both groups were improved 1 month after discharge,and the intervention group was higher than the control group,the difference was statistically significant(P<0.05).The treatment compliance rate of the intervention group(98.08%)was higher than that of the control group(82.69%),and the difference was statistically significant(P<0.05).There was no significant difference in quality of life in epilepsy-31(QOLIE-31)scores(emotional health,seizure anxiety,energy/fatigue,cognitive function,drug influence,social function,comprehensive quality of life,and general health level)between the two groups at admission(P>0.05).One month after discharge,the scores of the two groups were improved,and the intervention group was higher than the control group,the difference was statistically significant(P<0.05).Conclusion The application of narrative nursing in the intervention of epilepsy patients can promote the improvement of mental toughness,treatment compliance,and quality of life.

narrative nursingepilepsymental toughnesstreatment compliancequality of life

路志敏、时婷婷

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新乡医学院第二附属医院 神经内一科,河南 新乡 453000

叙事护理 癫痫 心理韧性 治疗依从性 生活质量

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(2)
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