主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2025, Vol. 25 ›› Issue (2): 277-282.doi: 10.3969/j.issn.1672-1756.2025.02.022

• 专科管理 • 上一篇    下一篇

多学科协作干预对癫痫青少年过渡期准备水平的影响

安丽巧 陈玉科 李东明 黄晓晓 李登奇   

  1. 右江民族医学院附属医院儿童重症监护病房,533000 广西壮族自治区百色市(安丽巧,李东明,黄晓晓);护理部,生命科学与临床医学研究中心(陈玉科);右江民族医学院护理学院(安丽巧,李登奇)
  • 出版日期:2025-02-15 发布日期:2025-02-15
  • 通讯作者: 陈玉科,本科,副主任护师,护理部副主任,E-mail:603833939@qq.com
  • 作者简介:安丽巧,硕士在读,主管护师
  • 基金资助:
    广西壮族自治区卫生健康委员会自筹经费科研课题(Z-L20220849)

Effects of multidisciplinary collaborative intervention on readiness level of adolescents with epilepsy for the transition to adulthood

AN Liqiao, CHEN Yuke, LI Dongming, HUANG Xiaoxiao, LI Dengqi   

  1. Pediatric Intensive Care Unit, Affiliated Hospital of Youjiang Medical University for Nationalities, Baise, Guangxi Zhuang Autonomous Region, 533000, China
  • Online:2025-02-15 Published:2025-02-15
  • Contact: E-mail:603833939@qq.com

摘要: 目的:评价多学科协作干预方案对癫痫青少年过渡期准备水平的影响,为促进临床实践提供参考。方法:采用类实验研究设计,通过便利抽样选取2023年6月—12月百色市某三级甲等医院收治的76例青少年癫痫患者作为研究对象,按照收治病区分为两组,每组38例,对照组给予常规护理,干预组在常规护理的基础上接受多学科协作干预方案。比较两组癫痫青少年过渡期准备、癫痫服药依从性、生活质量、3个月内癫痫发作频率和持续时间等。结果:干预组癫痫青少年过渡期准备问卷评分、癫痫服药依从性量表评分及青少年癫痫患者生活质量问卷评分均高于对照组,差异均具有统计学意义(P<0.05);干预组癫痫发作次数少于对照组(P<0.05),但两组癫痫发作持续时间和脑电图改善方面比较,差异无统计学意义(P>0.05)。结论:多学科协作干预方案能有效提升青少年癫痫过渡期准备水平、服药依从性及生活质量,并减少癫痫发作次数,可以为完善癫痫青少年过渡期护理管理提供借鉴。

关键词: 癫痫;青少年;多学科团队;过渡期准备;护理

Abstract: Objective: To analyze the application effects of a multidisciplinary collaborative intervention program on readiness level of adolescents with epilepsy for the transitional to adulthood, aiming to provide references for promoting clinical practice. Methods: A quasi-experimental study was conducted using convenience sampling to select 76 adolescents with epilepsy treated at a tertiary grade A hospital in Baise from June to December 2023. They were divided into two groups according to the admission ward, with 38 cases in each group. The control group received routine treatment and care, while the intervention group received a multidisciplinary collaborative intervention in addition to routine care. The scores of transition readiness, medication adherence, quality of life, frequency and duration of epileptic seizures within 3 months between the two groups were compared. Results: Scores of the Epilepsy Transition Readiness Assessment Questionnaire, Epilepsy Medication Adherence Scale, and Adolescent Epilepsy Quality of Life Questionnaire were significantly higher in the intervention group compared to the control group (all P<0.05). The intervention group had fewer seizure occurrences than the control group (P<0.05), but there were no statistically significant differences between the two groups in seizure duration and electroencephalography improvement (P>0.05). Conclusion: The multidisciplinary collaborative intervention program can effectively enhance epilepsy transition readiness, medication adherence, quality of life, and reduces seizure frequency in adolescents, providing valuable insights for supporting transitional care in clinical settings for adolescents with epilepsy.

Key words: epilepsy; adolescent; Multidisciplinary Team; transition readiness; nursing care

中图分类号:  R47;R197