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find Author "田小琴" 2 results
  • Summary of the best evidence for self-management of adolescent children with epilepsy

    ObjectiveThis article aims to comprehensively retrieve and summarize the best evidence for the self-management of epilepsy in adolescents, so as to provide a reference for clinical medical staff and relevant decision makers. MethodsWe systematically searched Cochrane, Global Guidelines Collaboration (GIN), Scottish Interhospital Guidelines Network (SIGN), Joanna Briggs Institute (JBI), NICE, RANO (Nurses' Association of Ontario, Canada), UpToDate, BMJ, Medical Maitong, PubMed, International League Against Epilepsy, China National Knowledge Infrastructure, Wanfang Database and other databases and websites. All kinds of literature related to the self-management of epilepsy in adolescents were collected from the establishment of the database to April 18, 2023, including clinical decision-making, clinical guidelines,. Evidence summary, expert consensus, systematic review, etc. Four researchers were invited to evaluate the quality of the retrieved guidelines, and two researchers independently screened and evaluated the quality of the remaining literature. According to the opinions of professionals, data extraction and analysis were performed on the literature that met the inclusion criteria. ResultsA total of 9 articles were included, including 3 clinical guidelines, 3 expert consensus and 3 systematic reviews. We summarized the evidence in the literature in the following 8 aspects: Self-management initiation timing, monitoring management, psychological management, innovative self-management mode, information and support, medication management, daily life management and follow-up management. We identified 34 best pieces of evidence. ConclusionsThis article provides health care providers with the best evidence for the self-management of adolescents with epilepsy, guiding them to provide self-management education and counseling for adolescents with epilepsy through evidence-based methods, helping them to improve self-management ability, reduce seizures, reduce health services and healthcare costs, and improve quality of life.

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  • 一例BSR模式下孤独症谱系障碍儿童饮食行为干预的个案护理

    目的 总结1例孤独症三基干预法,简称BSR模式(Behavioral therapy、 structured education、 relationship-focused intervention)下孤独症谱系障碍儿童饮食行为问题的护理经验。方法 本例孤独症谱系障碍患儿饮食行为干预的护理要点为前期行为观察,查找饮食行为原因;基于BSR模式制定个性化的干预方案;开展家长自我关爱教育;重视健康宣教。结果 经积极的干预与护理,患儿饮食行为问题得到改善,家长心理状态良好,干预依从性好,顺利出院。结论 BSR模式下的干预措施,不仅可以有效改善孤独症儿童的饮食行为问题,同时也可以提高他们的行为技能建立、维持和泛化的能力,并且提高了家长的教养能力。因此,该方法在实践中具有重要的应用价值。

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