文章摘要
李金花,马心锋,许翠萍,金艳.基于 KANO 模式的人文关怀护理改善症状性癫痫患者生活质量及负性情绪的研究[J].实用中西医结合临床,2023,23(12):113-116,124
基于 KANO 模式的人文关怀护理改善症状性癫痫患者生活质量及负性情绪的研究
Study on Humanistic Care Based on KANO Model to Improve the Quality of Life and Negative Emotions of Patients with Symptomatic Epilepsy
  
DOI:
中文关键词: 症状性癫痫  KANO 模式  负性情绪  生活质量
英文关键词: Symptomatic epilepsy  KANO model  Negative emotion  Quality of life
基金项目:安徽中医药大学临床科研项目(基金编号:2018SYLCY04)
作者单位
李金花,马心锋,许翠萍,金艳 安徽中医药大学神经病学研究所附属医院 
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中文摘要:
      目 的 :探 讨 基 于 卡 诺 ( KANO )模 式 的 人 文 关 怀 护 理 改 善 症 状 性 癫 痫 患 者 生 活 质 量 及 负 性 情 绪 的 护 理 效果。 方法: 选取 2021 年 2 月至 2022 年 8 月在安徽中医药大学神经病学研究所附属医院住院的症状性癫痫患者 32例,随机分为观察组与对照组,各 16 例。 对照组实施常规护理干预,观察组在对照组基础上给予基于 KANO 模式的人文关怀护理干预。 对比干预前后两组患者癫痫发作严重程度量表( NHS3 )评分、汉密顿抑郁量表( HAMD )评分、汉密顿焦虑量表( HAMA )评分及癫痫患者生活质量评定量表( QOLIE-31 中文版)评分。 结果:干预后两组 NHS3 评分均 降 低 ,且 观 察 组 低 于 对 照 组 ( P <0.05 );干 预 后 两 组 HAMA 评 分 、 HAMD 评 分 均 降 低 ,且 观 察 组 低 于 对 照 组 ( P <0.05 );干预后两组总体健康水平评分及总体生活质量评分均升高,且观察组高于对照组( P<0.05 );干预后观察组患者护理满意度优于对照组,差异有统计学意义( P<0.05 )。 结论:基于 KANO 模式的人文关怀护理干预能有效降低患者癫痫发作严重程度,缓解其负性情绪,有助于提高患者生活质量。
英文摘要:
      Objective: To explore the nursing effects of humanistic care based on KANO model on improving the quality of life and negative emotions of patients with symptomatic epilepsy. Methods: Patients with symptomatic epilepsy who were hospitalized in the Affiliated Hospital of Institute of Neurology, Anhui University of Traditional Chinese Medicine from February 2021 to August 2022 were randomly divided into observation group and control group, with 16 cases in each group. The control group was given routine nursing, while the observation group was given humanistic care based on KANO model on the basis of routine nursing. The scores of seizure severity (NHS3) scale, Hamilton depression (HAMD) scale, Hamilton anxiety (HAMA) scale and Quality of Life in Epilepsy (QOLIE-31 Chinese version ) scale were compared between the two groups before and after intervention. Results: After nursing intervention, the NHS3 scores of the two groups decreased, and the observation group was lower than the control group (P<0.05). The HAMA score and HAMD score of the two groups decreased, and the observation group was lower than the control group (P<0.05) ; the QOLIE-31 scores of the two groups increased and the observation group was higher than the control group (P<0.05). The nursing satisfaction of the observation group was better than that of the control group after the intervention, and the difference was significant (P<0.05). Conclusion: Humanistic care based on KANO model can reduce the severity of Seizure in patients and improve their negative emotions, improve the quality of life of patients with symptomatic epilepsy.
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