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目的健康赋权理论能经多种方式使患者获得对疾病的掌控感,可激发与增强其自我管理的主观能动性,本研究探讨健康教育中的健康赋权理论对癫痫临床护理的应用价值。方法选取2015年1月至2017年2月吉林大学第一医院神经内科收治的104例癫痫患者,根据随机数字表法分为观察组和对照组,每组52例。对照组实施常规护理,观察组在对照组的护理基础上予以健康赋权理论为指导的健康教育。比较两组护理后6个月的生活质量[美国癫痫患者生活质量量表(QOLIE-31)]和出院后3、6个月癫痫再发作情况。结果观察组生活质量各项评分和总评分均高于对照组,差异有统计学意义(P<0.05);对照组和观察组出院后3个月的癫痫再发作率分别为5.77%、3.85%,组间比较差异无统计学意义(P>0.05);出院后6个月,观察组癫痫再发作率为38.46%,低于对照组的67.38%,差异有统计学意义(P<0.05)。结论以健康赋权理论为指导的健康教育在癫痫临床护理中效果显著,能有效降低癫痫再发作率,提高生活质量。
The purpose of health empowerment theory can make patients have a sense of control over the disease in many ways, which can stimulate and enhance the subjective initiative of self-management. This study explores the application value of health empowerment theory in health education to epilepsy clinical nursing. Methods From January 2015 to February 2017, 104 cases of epilepsy patients admitted to the Department of Neurology, the First Hospital of Jilin University were divided into observation group and control group according to the random number table method, with 52 cases in each group. The control group underwent routine care, and the observation group was given health education guided by the theory of health empowerment based on the control group’s care. Quality of life at 6 months after care (QOLIE-31) and re-seizures at 3 and 6 months after discharge were compared between the two groups. Results The scores of the quality of life in the observation group and the total score were higher than those in the control group (P <0.05). The rate of reoccurrence of epilepsy in the control group and observation group at 3 months after discharge was 5.77% and 3.85% . There was no significant difference between the two groups (P> 0.05). Six months after discharge, the rate of recurrent seizures in the observation group was 38.46%, which was lower than 67.38% in the control group (P <0.05). Conclusion The health education guided by the theory of health empowerment is effective in clinical nursing of epilepsy. It can effectively reduce the rate of re-seizure and improve the quality of life.