CAJ | 학술논문

目的探讨全程个性化护理干预对难治性癫痫患儿生酮饮食治疗依从性的影响.方法采用自行设计调查表对2010年1月至2011年5月在神经内科住院进行生酮饮食治疗的80例难治性癫痫患儿家长进行回顾性调查分析.将80例患儿依接受治疗的时间顺序,随机分为实验组和对照组各40例.对照组40例给予常规护理干预,实验组40例给予住院前、住院期间、出院后的护理干预,包括疾病健康教育、饮食的配制与管理、病情记录与不良反应的观察与处理、心理干预、家庭护理指导、电话随访等.2组患儿随访1年,比较2组患儿生酮饮食治疗依从性及治疗效果.结果 3,6,12个月后实验组患儿治疗依从性及治疗效果均明显高于同期对照组水平,差异有统计学意义.结论全程个性化护理干预可增强患儿及家长坚持治疗的信心和决心,有效改善治疗依从性,提高治疗效果.
목적 탐토전정개성화호리간예대난치성전간환인생동음식치료의종성적영향.방법 채용자행설계조사표대2010년1월지2011년5월재신경내과주원진행생동음식치료적80례난치성전간환인가장진행회고성조사분석.장80례환인의접수치료적시간순서,수궤분위실험조화대조조각40례.대조조40례급여상규호리간예,실험조40례급여주원전、주원기간、출원후적호리간예,포괄질병건강교육、음식적배제여관리、병정기록여불량반응적관찰여처리、심리간예、가정호리지도、전화수방등.2조환인수방1년,비교2조환인생동음식치료의종성급치료효과.결과 3,6,12개월후실험조환인치료의종성급치료효과균명현고우동기대조조수평,차이유통계학의의.결론 전정개성화호리간예가증강환인급가장견지치료적신심화결심,유효개선치료의종성,제고치료효과.
Objective To explore the influence of whole-course individualized nursing intervention on treatment compliance among intractable epilepsy children with ketogenic diet therapy.Methods 80 intractable epilepsy patients with ketogenic diet therapy were divided into the control group and the experimental group with 40 cases in each group.The routine nursing was given to the control group.On basis of routine nursing,whole-course individualized nursing intervention was given to the experimental group.The investigation was carried out before and after intervention in two groups by using self-designed questionnaire.The treatment compliance and therapeutic effect were compared between two groups.Results The treatment compliance and therapeutic effect were significantly alleviated in the experimental group compared with the control group in the third,sixth and twelfth months.Conclusions The whole-course individualized nursing intervention can improve the parental awareness of the disease,enhance their confidence and determination to adhere to the treatment,improve their treatment compliance,thereby improve the effect of treatment.