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| Application of personalized continuous nursing model in clinical care of children with epilepsy and improvement of care-givers' load |
| HOU Min, ZHANG Hongyan, BIAN Yan, SHEN Jiayi, MA Yan |
| Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China |
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Abstract Objective To analyze the effect of applying personalized continuous nursing model in clinical care of children with epilepsy and the improvement of caregivers load. Methods Ninety children with epilepsy treated in Xinhua Hospital, Shanghai Jiao Tong University School of Medicine from August 2018 to March 2020 were randomly divided into two groups. The control group (n=45) was given routine care and the intervention group (n=45) was given personalized continuing care based on information-motivation-behavioral skills model (IMB). The psychological status and quality of life of the children before and after intervention were evaluated. The burden levels of caregivers before and after intervention were assessed. The relevant indicators of the children and their families after discharge were investigated, and the nursing satisfaction of the two groups was counted. Results The Hamilton anxiety scale (HAMA) and Hamilton depression scale (HAMD) scores of the intervention group were significantly lower than those of the control group after intervention (P<0.05). The scores of quality of life in each dimension of the intervention group were significantly higher than those of the control group (P<0.05). Personal burden, burden of responsibility, and Zarit caregiver burden interview (ZBI) total score of the intervention group were significantly lower than those of the control group after intervention (P<0.05). The health knowledge awareness rate and medical order compliance rate of the intervention group were significantly higher than those of the control group, while the recurrence rate was significantly lower than that of the control group (P<0.05). Compared with the control group, the total satisfaction rate of nursing care was significantly higher in intervention group (P<0.05). Conclusion The application of personalized continuous care model in clinical care of children with epilepsy can effectively reduce the recurrence rate, improve the compliance of medical orders, improve the psychological state of children, improve the quality of life, and reduce the burden of caregivers. The nursing satisfaction is high.
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