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.	陳穎利, 吳靜, 朱曉輝. 整體護理對小兒腦損傷繼發癲癇患兒復發率的影響. 貴州醫藥, 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.	張艷玲. 健康教育對小兒癲癇患者生活能力和康復效果的影響觀察. 貴州醫藥, 2021, 45(2): 326-328.
5.	魏雪, 張春俠, 蔡盈, 等. "互聯網+"醫院-家庭-學校照護模式在學齡期癲癇患兒中的應用效果. 中華現代護理雜志, 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.	劉艷, 孫雯敏, 何國軍, 等. 心理彈性在癲癇患者病恥感與生活質量間的中介作用. 解放軍護理雜志, 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.	寇建華, 杜亞松, 夏黎明等. 兒童長處和困難問卷(父母版)上海常模的信度和效度. 上海精神醫學, 2005, 17(1): 25-28.
12.	C?té 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. 賦能心理護理干預在癲癇患兒直接照顧者中的應用. 中華現代護理雜志, 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. 跨理論模型的信息化延續護理對癲癇患者服藥依從性的影響. 廣西醫學, 2021, 43(11): 1397-1400,1409.
17.	Pf?fflin 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, 周進芳. 癲癇患兒延續性護理服務需求研究進展. 中華現代護理雜志, 2021, 27(28): 3908-3911.
19.	曲云霄, 郭晶. 認知與行為護理模式對難治癲癇患兒生活質量及家屬滿意度的影響. 現代中西醫結合雜志, 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.	郭靜波. 以家庭為中心的健康教育對癲癇兒童不良情緒的影響——《護理健康教育》. 中國輻射衛生, 2022, 31(6): 后插1.

1. 陳穎利, 吳靜, 朱曉輝. 整體護理對小兒腦損傷繼發癲癇患兒復發率的影響. 貴州醫藥, 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. 張艷玲. 健康教育對小兒癲癇患者生活能力和康復效果的影響觀察. 貴州醫藥, 2021, 45(2): 326-328.
5. 魏雪, 張春俠, 蔡盈, 等. "互聯網+"醫院-家庭-學校照護模式在學齡期癲癇患兒中的應用效果. 中華現代護理雜志, 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. 劉艷, 孫雯敏, 何國軍, 等. 心理彈性在癲癇患者病恥感與生活質量間的中介作用. 解放軍護理雜志, 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. 寇建華, 杜亞松, 夏黎明等. 兒童長處和困難問卷(父母版)上海常模的信度和效度. 上海精神醫學, 2005, 17(1): 25-28.
12. C?té 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. 賦能心理護理干預在癲癇患兒直接照顧者中的應用. 中華現代護理雜志, 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. 跨理論模型的信息化延續護理對癲癇患者服藥依從性的影響. 廣西醫學, 2021, 43(11): 1397-1400,1409.
17. Pf?fflin 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, 周進芳. 癲癇患兒延續性護理服務需求研究進展. 中華現代護理雜志, 2021, 27(28): 3908-3911.
19. 曲云霄, 郭晶. 認知與行為護理模式對難治癲癇患兒生活質量及家屬滿意度的影響. 現代中西醫結合雜志, 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. 郭靜波. 以家庭為中心的健康教育對癲癇兒童不良情緒的影響——《護理健康教育》. 中國輻射衛生, 2022, 31(6): 后插1.

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

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