目的: 探讨基于“信息-动机-行为技巧”（information-motivation-behavioral skills,IMB）模型与思维导图相结合的护理干预对癫痫患儿家属疾病认知及心境状态的影响。方法: 纳入2024年3月至2024年12月绵阳市中心医院收治的152例癫痫患儿家属进行分析,按照随机数字表法分为观察组（n=76）和对照组（n=76）。对照组予以常规护理干预,观察组在常规护理基础上联合IMB模型与思维导图相结合的护理干预。比较两组患儿家属干预前后的抑郁自评量表（self-rating depression scale,SDS）及焦虑自评量表（self-rating anxiety scale,SAS）、癫痫知识和态度问卷、照顾者负担量表（caregiver burden scale,CBI）和Herth 希望量表（Herth hope scale,HHI）评分;比较两组患儿干预前后的癫痫发作次数与外伤次数以及患儿家属对医护人员的满意度。结果: 两组患儿家属干预后的SDS、SAS评分较干预前均降低,且观察组低于对照组;两组干预后的癫痫知识和态度问卷评分较干预前均升高,且观察组高于对照组。两组患儿家属干预后CBI评分较干预前均降低,且观察组低于对照组;两组干预后的HHI评分较干预前均升高,且观察组高于对照组。两组患儿干预后的癫痫发作次数与外伤次数均较干预前降低,且观察组低于对照组。干预期间的护理满意度比较,观察组较对照组显著更高。结论: 较于常规健康教育,基于IMB模型与思维导图相结合的护理干预更能显著提升癫痫患儿家属对疾病的认知程度,并改善焦虑、抑郁等负面情绪,进而提升患儿家属生活质量。
Abstract
Objective To explore the effects of nursing intervention based on information-motivation-behavioral skills (IMB) model combined with mind mapping on disease cognition and mood state of family members of children with epilepsy. Methods A total of 152 family members of children with epilepsy admitted to Mianyang Central Hospital from March 2024 to December 2024 were included for analysis and divided into the observation group (n=76) and the control group (n=76) according to the random number table method. The control group was given conventional nursing intervention, while the observation group received nursing intervention based on this combination of the IMB model and mind mapping. The scores of the self-rating depression and anxiety scale (SDS, SAS), epilepsy knowledge and attitude questionnaire, caregiver burden scale (CBI), and Herth hope scale (HHI) of the family members of the two groups of children before and after the intervention were compared; Compare the number of epileptic seizures and the number of traumas of the two groups of children before and after the intervention, as well as the satisfaction of the children's families with the medical staff. Results The SDS and SAS scores of the families of the two groups of children after the intervention were both lower than those before the intervention, and the scores of the observation group were lower than those of the control group. The scores of epilepsy knowledge and attitude questionnaires in both groups after the intervention were increased compared with those before the intervention, and the scores in the observation group were higher than those in the control group. The CBI scores of the family members of the two groups of children decreased after the intervention compared with those before the intervention, and the score of the observation group was lower than that of the control group. The HHI scores of both groups after the intervention were increased compared with those before the intervention, and the score of the observation group was higher than that of the control group. The number of epileptic seizures and the number of traumas in both groups of children after the intervention were lower than those before the intervention, and the observation group was lower than the control group. During the intervention period, the comparison of nursing satisfaction in the observation group was significantly higher than in the control group. Conclusion Compared with conventional health education, nursing intervention based on the combination of IMB model and mind mapping can significantly improve family members' cognition of the disease and improve negative emotions such as anxiety and depression, thus improving the quality of life of family members of children with epilepsy.
关键词
心境状态 /
癫痫 /
IMB模型 /
患儿家属 /
思维导图 /
疾病认知
Key words
mood state /
epilepsy /
information-motivation-behavioral skills model /
family members of the child /
mind mapping /
disease cognition
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基金
四川省科技厅计划项目 “‘安全童行、守护童心’——防范幼儿意外伤害知多少?”（2024JDKP0033）
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