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.
Key words
mood state /
epilepsy /
information-motivation-behavioral skills model /
family members of the child /
mind mapping /
disease cognition
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] 齐曼霖, 刘一鸣, 卞兰峥. 儿童难治性癫痫临床特征与MRI变化的相关性分析[J]. 中国CT和MRI杂志, 2023, 21(09): 13-15.
[2] MAMMAS IN, SPANDIDOS DA.The challenge of paediatric epilepsy nursing: An interview with Mrs. Jenny O'Brien, paediatric epilepsy nursing specialist at the Wirral University Teaching Hospital, UK[J]. Exp Ther Med, 2020, 20(6): 295.
[3] LIAO J, XIAO HY, LI XQ, et al.A Social Group-Based Information-Motivation-Behavior Skill Intervention to Promote Acceptability and Adoption of Wearable Activity Trackers Among Middle-Aged and Older Adults: Cluster Randomized Controlled Trial[J]. JMIR Mhealth Uhealth, 2020, 8(4): e14969.
[4] LIN M, CHEN T, FAN G.Current status and influential factors associated with adherence to self-monitoring of blood glucose with type 2 diabetes mellitus patients in grassroots communities: a cross-sectional survey based on information-motivation-behavior skills model in China[J]. Front Endocrinol (Lausanne), 2023, 14: 1111565.
[5] 李丽莉, 刘叶, 徐蕾. 思维导图式指导模式在乳腺癌患者植入上臂静脉输液港护理中的应用[J]. 中国医科大学学报, 2021, 50(02): 180-183.
[6] RINEY K, BOGACZ A, SOMERVILLE E, et al.International League Against Epilepsy classification and definition of epilepsy syndromes with onset at a variable age: position statement by the ILAE Task Force on Nosology and Definitions[J]. Epilepsia, 2022, 63(6): 1443-1474.
[7] YUE T, LI Q, WANG R, et al.Comparison of Hospital Anxiety and Depression Scale (HADS) and Zung Self-Rating Anxiety/Depression Scale (SAS/SDS) in Evaluating Anxiety and Depression in Patients with Psoriatic Arthritis[J]. Dermatology, 2020, 236(2): 170-178.
[8] 中国抗癫痫协会. 临床诊疗指南. 癫痫病分册[M]. 北京: 人民卫生出版社, 2015: 1.
[9] SHAFIEZADEH A, HERAVI-KARIMOOI M, MIRZAEE A, et al.Psychometric characteristics of the Iranian Caregiver Burden Inventory (CBI) in caregivers of elderly patients with Alzheimer[J]. Health Qual Life Outcomes, 2020, 18(1): 255.
[10] NAYERI ND, GOUDARZIAN AH, HERTH K, et al.Construct validity of the Herth Hope Index: A systematic review[J]. Int J Health Sci (Qassim), 2020, 14(5): 50-57.
[11] TARTIBZADEH G, FEIZOLLAHZADEH H, SHABANLOEI R, Mwamba B.Epilepsy risk awareness and background factors in patients with epilepsy and family caregivers[J]. Epilepsy Res, 2023, 193: 107146.
[12] 彭杨杨, 刘怀磊, 张含之, 等. 基于医患多方访谈的心身疾病认知和就医行为特点分析[J]. 中国全科医学, 2024, 27(13): 1630-1637+1644.
[13] MAMMAS IN, SPANDIDOS DA.The challenge of paediatric epilepsy nursing: An interview with Mrs. Jenny O'Brien, paediatric epilepsy nursing specialist at the Wirral University Teaching Hospital, UK[J]. Exp Ther Med, 2020, 20(6): 295.
[14] 郑佳颖, 张静, 李鹏, 等. 基于信息-动机-行为技巧的护理干预对早产儿父亲支持母乳喂养自我效能的影响[J]. 中华护理杂志, 2023, 58(12): 1427-1434.
[15] 赵雅娜, 谢仙萍, 栗洁婷, 等. 互联网+IMB模型在缺血性脑卒中病人主要照顾者护理中的应用[J]. 护理研究, 2021, 35(22): 4114-4118.
[16] 程金歌, 丁瑞娟, 冯蓓莉, 等. 思维导图健康教育模式对肠造口患儿家属疾病认知水平、心理健康及家庭造口照护能力的影响[J]. 中国健康心理学杂志, 2021, 29(12): 1804-1809.
[17] 李萌, 纪凡, 王惠娟, 等. 癫痫患儿围手术期主要照顾者心理韧性管理方案的构建与应用[J]. 中国护理管理, 2024, 24(12): 1846-1851.
[18] XU H, WANG J.An information-motivation-behavioral skills model-based intervention for patients with epilepsy[J]. Epilepsy Behav, 2023, 147: 109408.
[19] 王彦利, 孙娟, 张文. 思维导图模式健康宣教对癫痫患儿家属心境状态、应对方式的影响[J]. 中国健康心理学杂志, 2022, 30(03): 357-361.
[20] 张莎莎, 张芳, 孙丽华, 等. 癫痫患儿照顾者心理弹性与照顾负担的关系: 链式中介作用及其性别差异[J]. 军事护理, 2025, 42(08): 50-54.
[21] RAYNER G, PIETERS J, BROOMFIELD G, et al.The “make or break” impact of family dynamics on psychological outcomes in focal epilepsy[J]. Epilepsia, 2023, 64(7): 1873-1886.
PDF(1699 KB)
