護理指導對改變熱性痙攣患童主要照顧者疾病態度、認知、關注及行為成效

Improving the Attitudes, Knowledge, Concerns and Practices of Primary Caregivers of Febrile Convulsion Children: The Efficacy of Systematic Nursing Instruction

陳倩芳(Chain-Fang Chen) ； 黃美智(Mei-Chih Huang) ； 陳家玉(Jia-Yuh Chen) ； 郭碧照(Pi-Chao Kuo)

《護理暨健康照護研究》 8卷4期 (2012/12) Pp. 278-287

https://doi.org/10.6225/JNHR.08.4.278

摘要

Background: Febrile convulsion is the most common seizure disorder in children. Seizure attack symptoms can have a strong and negative psychological impact on primary caregivers. Primary caregivers of febrile convulsion children need clear information to manage seizures and reduce their anxiety.Purpose: This paper studies the comparative efficacy of systematic nursing instruction and regular nursing care on the knowledge, attitudes, concerns and practices of primary caregivers of febrile convulsion children.Methods: A experimental study enrolled a purposive sample of caregivers of febrile convulsion children admitted to a medical center pediatric ward in central Taiwan. The control group (n = 22) received regular nursing care from staff nurses. The intervention group (n = 24) received systematic nursing instruction from the researcher. Intervention group instruction followed febrile convulsion care handbook guidelines and used thorough explanations and physical demonstrations (on a model) to highlight key points and resolve problems. A parental febrile convulsion care knowledge, attitudes, concerns, and practices questionnaire measured differences between the two groups immediately prior to and after the intervention and at two-weeks following hospital discharge. SPSS/PC 18.0 analyzed data using descriptive, χ2, pair t -tests, and independent t -tests.Results: While post-intervention results found that both groups achieved significant improvements in attitudes, knowledge, concerns, and practices, we found significantly more improvement in the intervention group than the control group (p ＜ .001) on all four scales. This difference remained significant at two-weeks post-discharge (p ＜ .01).Conclusions: Systematic nursing instruction based on the febrile convulsion care handbook may be promoted at clinics to improve the self-efficacy of caregivers of febrile convulsion children.

關鍵字

熱性痙攣 ； 主要照顧者 ； 系統性護理指導

並列摘要

Background: Febrile convulsion is the most common seizure disorder in children. Seizure attack symptoms can have a strong and negative psychological impact on primary caregivers. Primary caregivers of febrile convulsion children need clear information to manage seizures and reduce their anxiety.Purpose: This paper studies the comparative efficacy of systematic nursing instruction and regular nursing care on the knowledge, attitudes, concerns and practices of primary caregivers of febrile convulsion children.Methods: A experimental study enrolled a purposive sample of caregivers of febrile convulsion children admitted to a medical center pediatric ward in central Taiwan. The control group (n = 22) received regular nursing care from staff nurses. The intervention group (n = 24) received systematic nursing instruction from the researcher. Intervention group instruction followed febrile convulsion care handbook guidelines and used thorough explanations and physical demonstrations (on a model) to highlight key points and resolve problems. A parental febrile convulsion care knowledge, attitudes, concerns, and practices questionnaire measured differences between the two groups immediately prior to and after the intervention and at two-weeks following hospital discharge. SPSS/PC 18.0 analyzed data using descriptive, χ2, pair t -tests, and independent t -tests.Results: While post-intervention results found that both groups achieved significant improvements in attitudes, knowledge, concerns, and practices, we found significantly more improvement in the intervention group than the control group (p ＜ .001) on all four scales. This difference remained significant at two-weeks post-discharge (p ＜ .01).Conclusions: Systematic nursing instruction based on the febrile convulsion care handbook may be promoted at clinics to improve the self-efficacy of caregivers of febrile convulsion children.

並列關鍵字

febrile convulsion ； primary caregiver ； systematic nursing instruction