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| Effect of a Family-Involved Individualized Nursing Plan on Convulsions in Children |
| ZHANG Doudou, TIAN Fei, CUI Yufeng |
| Department of Pediatric Neurology, Luoyang Maternity and Child Health Care Hospital, Luoyang Henan 471000 |
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Abstract 【Objective】To investigate the application of a family-involved individualized nursing plan in pediatric convulsions. 【Methods】A total of 100 children with convulsions admitted to Luoyang Maternity and Child Health Care Hospital from January 2023 to April 2025 were enrolled. They were divided into the control group (receiving routine nursing) and the observation group (receiving a family-involved individualized nursing plan in addition to routine nursing) using a random number table method, with 50 children in each group. The frequency and severity of convulsions, nursing adherence, quality of life [Pediatric Quality of Life Inventory Version 4.0 Generic Core Scales (PedsQL 4.0)], and recurrence rate of convulsions were compared between the two groups before intervention and 3 months after intervention. 【Results】After 3 months of intervention, the frequency and severity scores of convulsions in the observation group were lower than those in the control group, and the differences were statistically significant (all P<0.05). The nursing adherence scores in both groups were higher than those before intervention, while the nursing adherence scores in the observation group was higher than that in the control group, with statistically significant differences (all P<0.05). The scores of physical functioning, social functioning, emotional functioning, and role functioning in both groups were higher than those before intervention, and the above dimension scores in the observation group were higher than those in the control group, with statistically significant differences (P<0.05). After 3 months of intervention, the recurrence rate of convulsions in the observation group was significantly lower than that in the control group, and the difference was statistically significant (P<0.05). 【Conclusion】The family-involved individualized nursing plan has a favorable application effect in pediatric convulsions, which improves children's quality of life and nursing adherence.
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Received: 10 August 2025
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[1] 中华医学会儿科学分会神经学组. 热性惊厥诊断治疗与管理专家共识(2016)[J]. 中华儿科杂志, 2016, 54(10): 723-727.
[2] 顾晓燕,俞珍,华建芳,等. 程序化路径护理在急诊过渡病房小儿高热惊厥中的应用[J]. 国际护理学杂志,2023,42(16):3007-3010.
[3] Kunthamas M, Jaipaeng W, Klaisuban T, et al. The effect of parental involvement intervention on quality of life and health outcomes among children and adolescents with chronic illness: a systematic review and meta-analysis[J]. Eur J Pediatr, 2025, 184(12): 733.
[4] 李鸽, 付毅. 个性化护理应用于高热惊厥患儿的效果观察[J]. 罕少疾病杂志, 2020, 27(2): 81-82.
[5] 倪雪娟, 鱼英, 龚丽欢. 家庭式延续性护理在小儿急性高热惊厥干预中的应用[J]. 齐鲁护理杂志, 2019, 25(5):100-102.
[6] 王天有, 申昆玲, 沈颖, 等. 诸福棠实用儿科学[M]. 9版. 北京: 人民卫生出版社, 2022.
[7] 卢奕云, 郝元涛, 静进, 等. 儿童生存质量测定量表PedsQL4.0中文版的信度和效度分析[J]. 中山大学学报(医学科学版), 2008, 29(3): 328-331.
[8] 杨梅,魏良铜,徐怡雪. 早期预警评估下分级降温护理对热性惊厥患儿的康复效果[J]. 中国医药导报,2023,20(18):139-142,155.
[9] 陈蔚萱,梁兰梅,欧阳知明. 细致化护理对急性热性惊厥患儿预后及家属满意度的影响[J]. 齐鲁护理杂志,2023,29(23):178-181.
[10] 戴艳, 刘双云, 张丽. 家属参与式护理对癫痫患儿医护遵从性、患儿及家属心理状态的影响[J]. 当代护士(中旬刊), 2021, 28(2):54-57.
[11] Williford D N, Guilfoyle S M, Modi A C. Demystifying a family-based epilepsy adherence problem-solving intervention: exploring adherence barriers and solutions[J]. Clin Pract Pediatr Psychol, 2023, 11(1): 66-73.
[12] 纪曰玲,焦磊. 链式抢救流程管理在小儿惊厥急诊护理中的应用及对新生儿炎症反应发生的影响[J]. 国际护理学杂志,2021,40(2):339-342.
[13] 宋玉英. 细致化护理干预在小儿急性高热惊厥中的应用效果观察[J]. 中国药物与临床,2021,21(9):1637-1639. |
| [1] |
. [J]. JOURNAL OF CLINICAL RESEARCH, 2026, 43(8): 1403-1406. |
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2026, Vol. 43 
