基于跨理论模型的行为训练在癫痫患儿康复中的临床应用

摘要/Abstract

摘要： 目的通过单盲设计探讨基于跨理论模型(TTM)的行为训练在癫痫患儿康复中的临床应用。方法 2021年1月至2022年12月新乡医学院第一附属医院小儿内科收治的癫痫患儿95例，随机分为观察组48例和对照组47例。对照组给予包括用药管理、健康生活方式、人际交往等常规健康行为训练。观察组在对照组基础上开展基于TTM的行为训练干预，对比两组患儿康复总有效率，情绪状态(儿童焦虑性情绪障碍量表、儿童抑郁障碍自评量表评分),自尊水平(自尊量表评分),适应行为(独立功能因子、认知功能因子、社会/自制因子)。结果观察组康复总有效率为91.67%(44/48),高于对照组76.60%(36/47),差异有统计学意义(P<0.05)。干预后两组儿童焦虑性情绪障碍量表、儿童抑郁障碍自评量表评分明显低于干预前，且观察组低于对照组；自尊量表评分明显高于干预前，且观察组高于对照组，差异有统计学意义(P均<0.05)。干预后两组适应行为评分明显高于干预前，且观察组高于对照组(P均<0.05)。结论基于TTM的行为训练在癫痫患儿康复中应用效果显著，有效改善患儿情绪状态，提升患儿自尊水平及社会适应行为。

关键词: 癫痫, 跨理论模型, 自尊, 适应行为, 情绪状态, 健康行为

Abstract: ObjectiveTo explore the clinical application of behavior training based on trans-theoretical model (TTM) in the rehabilitation of children with epilepsy through single-blind design.MethodsA total of 95 children with epilepsy admitted to the pediatric Department of the First Affiliated Hospital of Xinxiang Medical College from January 2021 to December 2022 were randomly divided into observation group (48 cases) and control group (47 cases). The control group was given routine health behavior training including medication management, healthy lifestyle and interpersonal communication. The observation group received behavioral training intervention based on TTM in addition to the treatment for control group; compare the total effective rate of rehabilitation, emotional state (children's anxiety mood disorder scale score and children's depression disorder self-rating scale score), self-esteem level (self-esteem scale score), adaptive behavior (independent functional factors, cognitive functional factors and social/self-control factors) of the two groups.ResultsThe total effective rate of rehabilitation in the observation group was 91.67% (44/48), higher than that in the control group (76.60%, 36/47), and the difference was statistically significant (P<0.05). After intervention, the scores of the anxiety mood disorder scale and the self-rating scale of depressive disorder in children in the two groups were significantly lower than those before intervention, and the observation group was lower than the control group; the score of self-esteem scale was significantly higher than that before intervention, and the observation group was higher than the control group, and the difference was statistically significant (P<0.05). The adaptive behavior scores of the two groups after intervention were significantly higher than those before intervention, and the observation group was higher than the control group (P<0.05).ConclusionBehavioral training based on TTM is effective in the rehabilitation of children with epilepsy, which can effectively improve their emotional state, self-esteem level and social adaptive behavior.

Key words:

Epilepsy, Trans-theoretical model, Self-esteem, Adaptive behavior, Emotional state

朱慧, 成举森, 张满, . 基于跨理论模型的行为训练在癫痫患儿康复中的临床应用[J]. 中国中西医结合儿科学, 2023, 15(6): 544-548.

ZHU Hui, CHENG Jusen, ZHANG Man.. Clinical application of behavior training based on cross-theoretical model in the rehabilitation of children with epilepsy[J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2023, 15(6): 544-548.

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基于跨理论模型的行为训练在癫痫患儿康复中的临床应用

Clinical application of behavior training based on cross-theoretical model in the rehabilitation of children with epilepsy

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