[1]郝　洁,田小军,吴湘涛,等.任务反馈式游戏活动联合心理行为干预在细菌性脑膜炎后癫痫患儿中的应用效果[J].新乡医学院学报,2021,38(2):184-188.[doi:10.7683/xxyxyxb.2021.02.019]
　HAO Jie,TIAN Xiaojun,WU Xiangtao,et al.Application effect of task-feedback game activities combined with psychological behavior intervention in children with epilepsy after bacterial meningitis[J].Journal of Xinxiang Medical University,2021,38(2):184-188.[doi:10.7683/xxyxyxb.2021.02.019]
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任务反馈式游戏活动联合心理行为干预在细菌性脑膜炎后癫痫患儿中的应用效果
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
38
期数:
2021年2
页码:
184-188
栏目:
护理研究
出版日期:
2021-02-05

文章信息/Info

Title:
Application effect of task-feedback game activities combined with psychological behavior intervention in children with epilepsy after bacterial meningitis
作者:
郝　洁1; 田小军2; 吴湘涛3; 李树军3; 王志远3; 杨达胜3; 杨卫红4
（1.新乡医学院第一附属医院质控中心，河南　卫辉　453100；2.新乡医学院第一附属医院神经内科，河南　卫辉　453100；3.新乡医学院第一附属医院儿科，河南　卫辉　453100；4.新乡医学院第一附属医院护理部，河南　卫辉　453100）
Author(s):
HAO Jie1; TIAN Xiaojun2; WU Xiangtao3; LI Shujun3; WANG Zhiyuan3; YANG Dasheng3; YANG Weihong4
（1.Department of Quality Control Center,the First Affiliated Hospital of Xinxiang Medical University,Weihui 453100,Henan Province,China2.Department of Neurology,the First Affiliated Hospital of Xinxiang Medical University,Weihui 453100,Henan Province,China3.Department of Pediatrics,the First Affiliated Hospital of Xinxiang Medical University,Weihui 453100,Henan Province,China4.Department of Nursing,the First Affiliated Hospital of Xinxiang Medical University,Weihui 453100,Henan Province)
关键词:
细菌性脑膜炎; 癫痫; 任务反馈式游戏活动; 儿童少年生活质量量表; 自我概念水平
Keywords:
bacterial meningitisepilepsytask-feedback game activitiesquality of life scale for children and adolescentsself-concept level
分类号:
R473.72
DOI:
10.7683/xxyxyxb.2021.02.019
文献标志码:
A
摘要:
目的　探讨任务反馈式游戏活动联合心理行为护理干预在细菌性脑膜炎后癫痫患儿中的应用效果。方法　选择2017年5月至2019年4月新乡医学院第一附属医院门诊收治的细菌性脑膜炎后癫痫患儿94例，根据建档时间不同分为观察组和对照组，每组47例。2组患儿均规范口服丙戊酸钠缓释片或左乙拉西坦片抗癫痫治疗。对照组患儿给予常规护理干预，观察组患儿在常规护理基础上实施任务反馈式游戏活动联合心理行为护理干预。于护理前、护理干预3个月后，采用儿童自我概念量表（CSCS）评估2组患儿自我概念水平，儿童适应行为量表（SAB）评估2组患儿适应行为，儿童少年生活质量量表（QLSCA）评估2组患儿生活质量。结果　护理干预前，2组患儿行为、学业成绩、受欢迎程度、智力、外表和品质、满足度和快乐感评分比较差异无统计学意义（P＞0.05）。护理干预3个月后，2组患儿行为、学业成绩、受欢迎程度高于护理干预前（P＜0.05），智力、外表和品质、满足度和快乐感评分与护理前比较差异无统计学意义（P＞0.05）；观察组患儿行为、学业成绩、受欢迎程度高于对照组（P＜0.05），2组患儿智力、外表和品质、满足度和快乐感评分比较差异无统计学意义（P＞0.05）。护理干预前，2组患儿SAB、QLSCA评分比较差异无统计学意义（P＞0.05）。护理干预3个月后，2组患儿SAB、QLSCA评分高于护理前（P＜0.05）；观察组患儿SAB、QLSCA评分高于对照组（P＜0.05）。观察组患儿SAB评分＞115分及85～114分人数较护理前明显增加，增加比例高于对照组（P＜0.05）；70～84分及＜70分人数较护理前下降，下降比例明显高于对照组（P＜0.05）。结论　任务反馈式游戏活动联合心理行为护理干预应用于细菌性脑膜炎后癫痫患儿，可提高自我概念水平，增强适应能力，提高生活质量。
Abstract:
Objective　To explore the application effect of task-feedback game activities combined with psychological behavior nursing intervention in children with epilepsy after bacterial meningitis.Methods　　Ninety-four children with epilepsy after bacterial meningitis admitted to the First Affiliated Hospital of Xinxiang Medical University from May 2017 to April 2019 were selected as study subjects,and they were divided into the observation group and control group according to the inputting time,with 47 cases in each group.The children in the two groups were treated with antiepileptic therapy by oral administration of sodium valproate sustained release tablets or leveethracetam tablets.The children in the control group received routine nursing intervention,the children in the observation group received task-feedback game activities combined with psychological behavior nursing intervention on the basis of routine nursing intervention.Before nursing interrention and after 3 months of nursing intervention,children′s self-concept scale (CSCS) and children′s adaptive behavior scale (SAB) were used to evaluate the self-concept level and adaptive behavior of children in the two groupsquality of life scale for children and adolescents (QLSCA) was used to assess the quality of life of children in the two groups.Results　Before nursing intervention,there was no statistical difference in the scores of behavior,academic performance,Popularity,intelligence,appearance and quality,satisfaction and happiness between the two groups (P＞0.05).After 3 months of nursing intervention,the scores of behavior,academic performance,Popularity of children in the two groups were significantly higher than those before nursing intervention (P<0.05)the scores="" of="" intelligence,appearance="" and="" quality,satisfaction="" happiness="" in="" the="" two="" groups="" had="" no="" statistical="" difference="" compared="" with="" those="" before="" nursing="" intervention="" (P＞0.05)the scores of behavior,academic performance,Popularity of children in the observation group were significantly higher than those those in the control group (P<0.05)there was="" no="" statistical="" difference="" in="" the="" scores="" of="" intelligence,appearance="" and="" quality,satisfaction="" happiness="" between="" two="" groups="" (P＞0.05).Before nursing intervention,there was no statistical difference in SAB and QLSCA scores between the two groups (P＞0.05).After 3 months of nursing intervention,the SAB and QLSCA scores in the two groups were significantly higher than those before nursing intervention (P<0.05),the sab="" and="" qlsca="" scores="" in="" the="" observation="" group="" were="" significantly="" higher="" than="" those="" control="" (P<0.05).the number="" of="" children="" with="" sab="" score="">115 points and 85-114 points in the observation group increased significantly compared with that before nursing inter vention,and the increasing proportion was higher than that in the control group(P<0.05)the number="" of="" children="" with="" sab="" score="" 70-84="" points="" and="">< 70 points in the observation group decreased compared with that before nursing intervention,and the decreasing proportion was significantly higher than that in the control group(P<0.05).>Conclusion　The application of task-feedback game activities combined with psychological behavior nursing intervention in children with epilepsy after bacterial meningitis can improve the level of self-concept,enhance the adaptability,improve the quality of life.

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更新日期/Last Update: 2021-02-05