Study on the application of family-school-hospital in the continuous care of children with epilepsy_Journal of Epilepsy

Authors：

QIN Kaiqin ^1,2 ,  ZHU Lihong ³ , ZHANG Linhui ¹

1. Department of Pediatric Neurology, Children's Hospital Affiliated to Jiangnan University, Wuxi 214002, China;
2. Wuxi School of Medicine, Jiangnan University, Wuxi 214122, China;
3. Dean's Office of Hospital, Children’s Hospital Affiliated to Jiangnan University, Wuxi 214002, China;

Corresponding author：

ZHU Lihong, Email: zlhyfb@126.com

Keywords：

Family-school-hospital; Epilepsy; Continuous care; Medication compliance; Negative emotions; Quality of life

DOI：

10.7507/2096-0247.202406013

Video：

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Objective To explore the effect of family-school-hospital application in continuous nursing care for children with epilepsy. Methods 120 children with epilepsy admitted to Children's Hospital Affiliated to Jiangnan University from January 2021 to October 2022 were randomly divided into two groups, each with 60 cases. The control group received routine care, while the experimental group received family-school-hospital continuous care. Compare the awareness of epilepsy knowledge, disease control effectiveness, medication compliance, negative emotions, physical and mental status, and quality of life before and after nursing between the families of two groups of children with epilepsy. Results After 2 months of nursing care, the scores of family members' knowledge of epilepsy in the experimental group were higher than the control group (P<0.05). The effect of disease control in the experimental group was better the control group (P<0.05). The drug compliance of the experimental group was higher than the control group (P<0.05). The quality of life score in the intervention group was higher than the control group (P<0.05). Conclusion The application of family-school-hospital in the continuous care of children with epilepsy can improve their family members' awareness of epilepsy knowledge, effectively control the disease, improve medication compliance, improve negative emotions and physical and mental conditions, and thus improve the quality of life of children.

Citation： QIN Kaiqin, ZHU Lihong, ZHANG Linhui. Study on the application of family-school-hospital in the continuous care of children with epilepsy. Journal of Epilepsy, 2024, 10(5): 440-445. doi: 10.7507/2096-0247.202406013 Copy

1.	陈颖利, 吴静, 朱晓辉. 整体护理对小儿脑损伤继发癫痫患儿复发率的影响. 贵州医药, 2020, 44(12): 1984-1985.
2.	Jia LB, Tang L, Cai Y. Comparison of nursing methods of pediatric epilepsy. J Biol Regul Homeost Agents, 2018, 32(4): 869-874.
3.	Leppik IE, Birnbaum AK, Svensden K, et al. New onset (incidence) of epilepsy and seizures in nursing home residents. J Am Med Dir Assoc, 2022, 23(9): 1589.
4.	张艳玲. 健康教育对小儿癫痫患者生活能力和康复效果的影响观察. 贵州医药, 2021, 45(2): 326-328.
5.	魏雪, 张春侠, 蔡盈, 等. "互联网+"医院-家庭-学校照护模式在学龄期癫痫患儿中的应用效果. 中华现代护理杂志, 2022, 28(3): 334-339.
6.	Greenshields S. An introduction to nursing children and young people with epilepsy. Br J Nurs, 2019, 28(17): 1115-1117.
7.	Specchio N, Wirrell EC, Scheffer IE, et al. International League Against Epilepsy classification and definition of epilepsy syndromes with onset in childhood: position paper by the ILAE Task Force on Nosology and Definitions.Epilepsia. 2022 Jun;63(6): 1398-1442.
8.	刘艳, 孙雯敏, 何国军, 等. 心理弹性在癫痫患者病耻感与生活质量间的中介作用. 解放军护理杂志, 2021, 38(7): 29-32.
9.	Shawahna R. Using a mixed method to develop consensus-based aims, contents, intended learning outcomes, teaching, and evaluation methods for a course on epilepsy for postgraduate or continuing education in community health nursing programs. BMC Med Educ, 2021, 21(1): 572.
10.	Goodman R. The Strengths and difficulties questionnaire: a research note. Journal of Child Psychology And Psychiatry, 1997, 38(5): 581-586.
11.	寇建华, 杜亚松, 夏黎明等. 儿童长处和困难问卷(父母版)上海常模的信度和效度. 上海精神医学, 2005, 17(1): 25-28.
12.	Côté J, Beaudet L, Auger P, et al. Evaluation of a web-based virtual nursing intervention to support self-management among adults with epilepsy: a mixed-methods study.Epilepsy Behav, 2021, 114(Pt A): 107581.
13.	余祖琳, 胡素君, 潘月瑢, 等. 赋能心理护理干预在癫痫患儿直接照顾者中的应用. 中华现代护理杂志, 2021, 27(13): 1797-1801.
14.	Birnbaum AK, Leppik IE, Svensden K, et al. Prevalence of epilepsy/seizures as a comorbidity of neurologic disorders in nursing homes. Neurology, 2017, 88(8): 750-757.
15.	Brackney DE, Brooks JL. Complementary and alternative medicine: the mozart effect on childhood epilepsy-a systematic review. J Sch Nurs, 2018, 34(1): 28-37.
16.	潘全慧, 朱建英. 跨理论模型的信息化延续护理对癫痫患者服药依从性的影响. 广西医学, 2021, 43(11): 1397-1400,1409.
17.	Pfäfflin M, Schmitz B, May TW. Efficacy of the epilepsy nurse: Results of a randomized controlled study. Epilepsia, 2016, 57(7): 1190-1198.
18.	花倩, 周进芳. 癫痫患儿延续性护理服务需求研究进展. 中华现代护理杂志, 2021, 27(28): 3908-3911.
19.	曲云霄, 郭晶. 认知与行为护理模式对难治癫痫患儿生活质量及家属满意度的影响. 现代中西医结合杂志, 2022, 31(12): 1734-1737.
20.	Minwuyelet F, Mulugeta H, Tsegaye D, et al. Quality of life and associated factors among patients with epilepsy at specialized hospitals, Northwest Ethiopia, 2019. PLoS One, 2022, 17(1): e0262814.
21.	郭静波. 以家庭为中心的健康教育对癫痫儿童不良情绪的影响——《护理健康教育》. 中国辐射卫生, 2022, 31(6): 后插1.

1. 陈颖利, 吴静, 朱晓辉. 整体护理对小儿脑损伤继发癫痫患儿复发率的影响. 贵州医药, 2020, 44(12): 1984-1985.
2. Jia LB, Tang L, Cai Y. Comparison of nursing methods of pediatric epilepsy. J Biol Regul Homeost Agents, 2018, 32(4): 869-874.
3. Leppik IE, Birnbaum AK, Svensden K, et al. New onset (incidence) of epilepsy and seizures in nursing home residents. J Am Med Dir Assoc, 2022, 23(9): 1589.
4. 张艳玲. 健康教育对小儿癫痫患者生活能力和康复效果的影响观察. 贵州医药, 2021, 45(2): 326-328.
5. 魏雪, 张春侠, 蔡盈, 等. "互联网+"医院-家庭-学校照护模式在学龄期癫痫患儿中的应用效果. 中华现代护理杂志, 2022, 28(3): 334-339.
6. Greenshields S. An introduction to nursing children and young people with epilepsy. Br J Nurs, 2019, 28(17): 1115-1117.
7. Specchio N, Wirrell EC, Scheffer IE, et al. International League Against Epilepsy classification and definition of epilepsy syndromes with onset in childhood: position paper by the ILAE Task Force on Nosology and Definitions.Epilepsia. 2022 Jun;63(6): 1398-1442.
8. 刘艳, 孙雯敏, 何国军, 等. 心理弹性在癫痫患者病耻感与生活质量间的中介作用. 解放军护理杂志, 2021, 38(7): 29-32.
9. Shawahna R. Using a mixed method to develop consensus-based aims, contents, intended learning outcomes, teaching, and evaluation methods for a course on epilepsy for postgraduate or continuing education in community health nursing programs. BMC Med Educ, 2021, 21(1): 572.
10. Goodman R. The Strengths and difficulties questionnaire: a research note. Journal of Child Psychology And Psychiatry, 1997, 38(5): 581-586.
11. 寇建华, 杜亚松, 夏黎明等. 儿童长处和困难问卷(父母版)上海常模的信度和效度. 上海精神医学, 2005, 17(1): 25-28.
12. Côté J, Beaudet L, Auger P, et al. Evaluation of a web-based virtual nursing intervention to support self-management among adults with epilepsy: a mixed-methods study.Epilepsy Behav, 2021, 114(Pt A): 107581.
13. 余祖琳, 胡素君, 潘月瑢, 等. 赋能心理护理干预在癫痫患儿直接照顾者中的应用. 中华现代护理杂志, 2021, 27(13): 1797-1801.
14. Birnbaum AK, Leppik IE, Svensden K, et al. Prevalence of epilepsy/seizures as a comorbidity of neurologic disorders in nursing homes. Neurology, 2017, 88(8): 750-757.
15. Brackney DE, Brooks JL. Complementary and alternative medicine: the mozart effect on childhood epilepsy-a systematic review. J Sch Nurs, 2018, 34(1): 28-37.
16. 潘全慧, 朱建英. 跨理论模型的信息化延续护理对癫痫患者服药依从性的影响. 广西医学, 2021, 43(11): 1397-1400,1409.
17. Pfäfflin M, Schmitz B, May TW. Efficacy of the epilepsy nurse: Results of a randomized controlled study. Epilepsia, 2016, 57(7): 1190-1198.
18. 花倩, 周进芳. 癫痫患儿延续性护理服务需求研究进展. 中华现代护理杂志, 2021, 27(28): 3908-3911.
19. 曲云霄, 郭晶. 认知与行为护理模式对难治癫痫患儿生活质量及家属满意度的影响. 现代中西医结合杂志, 2022, 31(12): 1734-1737.
20. Minwuyelet F, Mulugeta H, Tsegaye D, et al. Quality of life and associated factors among patients with epilepsy at specialized hospitals, Northwest Ethiopia, 2019. PLoS One, 2022, 17(1): e0262814.
21. 郭静波. 以家庭为中心的健康教育对癫痫儿童不良情绪的影响——《护理健康教育》. 中国辐射卫生, 2022, 31(6): 后插1.

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