Application of Knowledge attitude behavior and practice health education path table in health education of physician-nurse collaboration for children with epilepsy_Journal of Epilepsy

Authors：

LIU Meili , LI Yan ,  ZHU Lihui , LIU Huayan

Department of Neurology, Hunan Children's Hospital, Changsha 410007, China;

Corresponding?author：

ZHU Lihui, Email: 877845375@qq.com

Keywords：

Knowledge attitude behavior and practice model; Epilepsy; Health education; Physician-nurse collaboration

DOI：

10.7507/2096-0247.20190057

Video：

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Objective To develop Knowledge attitude behavior and practice (KABP) health education path table, and to explore its application in health education of physician-nurse collaboration for children with epilepsy, and provide practical reference for health education of children with epilepsy.Methods A convenient sampling method was used to select 94 family units of children with epilepsy and their main caregivers from the Department of Neurology in Hunan Children’s Hospital from September 2018 to March 2019. Divided into observation group and control group, 47 cases in each group. In the control group, the health care education was carried out by the conventional method of medical personnel’s one-way input of knowledge. The observation group conducted health education through interactive participation in the path of the health education path of KABP on the basis of regular health education. Then compared the effect of the health education between the two groups.Results After the intervention, the quality of life scores of the observation group were significantly higher than the control group (P<0.01). The relevant knowledge scores of main caregivers at 1 and 3 months after discharge were significant higher than those in the control group (P=0.008, P=0.001). The medication compliance scores of children with epilepsy at 1 and 3 months after discharge were significant higher than those in the control group (P=0.010, P=0.006).Conclusions The KABP health education pathway can improve the knowledge level of caregivers, as well as the medication compliance and quality of life of children with epilepsy.

Citation： LIU Meili, LI Yan, ZHU Lihui, LIU Huayan. Application of Knowledge attitude behavior and practice health education path table in health education of physician-nurse collaboration for children with epilepsy. Journal of Epilepsy, 2019, 5(5): 356-362. doi: 10.7507/2096-0247.20190057 Copy

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16.	李沁晏, 陳麗, 祝彩華. 臨床路徑的健康教育方式在兒童癲癇規范化治療中的應用. 全科護理, 2010, 8(5): 1214-1215.
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19.	Ghannadi S, Amouzegar A, Amiri P, et al. Evaluating the effect of knowledge, attitude, and practice on self-management in type 2 diabetic patients on dialysis. J Diabetes Res, 2016, 7: 3730875.
20.	Almobarak AO, Elbadawi AA, Elmadhoun WM, et al. Knowledge attitudes and practices of sudanese women regarding the pap smear test and cervical. Asian Pac J Cancer Prev, 2016, 17(2): 625-630.
21.	吳佼佼, 馬紅梅, 廖春霞, 等. 醫護一體化工作模式在護理領域中的應用現狀. 中國醫藥導報, 2017, 14(4): 38-42.
22.	鄒玉梅, 劉紅梅, 馬福巧, 等. 網絡互動式健康教育對癲癇患兒服藥依從性的影響. 循證護理, 2018, 4(3): 258-260.
23.	劉花艷, 谷利鳳, 朱麗輝, 等. 癲癇患兒家庭管理干預的效果研究. 中華護理雜志, 2017, 52(10): 1157-1162.
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26.	毛麗芳, 胡建萍, 謝燕, 等. 醫護一體化護理對食管癌患者情緒及生存質量的影響. 川北醫學院學報, 2019, 34(2): 306-308.
27.	劉美麗, 朱麗輝. 健康教育" 知信行模式”在疾病預防保健及護理中的應用進展. 當代護士(下旬刊), 2019, 26(03): 9-12.
28.	Bove DG, Jellington MO, Lavesen M, et al. Assigned nurses and a professional relationship: a qualitative study of COPD patients' perspective on a new palliative outpatient structure named CAPTAIN. BMC Palliative Care, 2019, 18(1): 24.
29.	李興廣. 癲癇患兒命質量評價. 臨床兒科雜志, 2015, 33(11): 942-945.
30.	Arya V, Gehlawat VK, Kaushik JS, et al. Assessment of parent reported quality of life in children with epilepsy from Northern India: a cross-sectional study. J Pediar Neurosci, 2014, 9(1): 17-20.
31.	陳麗君. 淺談提高癲癇病治療依從性護理措施. 世界最新醫學信息摘要, 2016, 16(74): 207-208.
32.	余祖琳. 健康教育路徑在提高癲癇患兒服藥依從性中的應用. 安徽衛生職業技術學院學報, 2016, 15(5): 70-71.
33.	Ma C, Park SH, Shang J. Inter and intra-disciplinary collaboration and patient safety outcomes in U. S. acute care hospital units: a cross-sectional study. Int J Nurs Stud, 2018, 55(8): 1-6.

1. 沈曉明, 王衛平主編. 兒科學. 第七版. 北京: 人民衛生出版社, 2010: 390.
2. 王華. 兒童癲癇共患頭痛. 中國實用兒科雜志, 2017, 32(04): 256-262.
3. 常琳, 王小姍. 中國癲癇流行病學調查研究進展. 國際神經病學神經外科學雜志, 2012, 39(2): 161-164.
4. 劉璐, 袁珍, 朱剛. 兒童癲癇共患精神障礙研究進展. 中國實用兒科雜志, 2017, 32(4): 269-272.
5. Rosati A, De Masi S, Guerrini R. Antiepileptic drug treatment in children with epilepsy. CNS Drugs, 2015, 29(10): 847-863.
6. Dang LT, Silverstein FS. Drug treatment of seizures and epilepsy in newborns and children. Pediatr Clin North Am, 2017, 64(6): 1291-1308.
7. 王衛平主編. 兒科學第八版. 北京: 人民衛生出版社, 2013: 392.
8. 吳冬燕. 癲癇患者生活質量的研究. 復旦大學碩士學位論文, 2006: 1-69.
9. 尹妙芬, 易玉娟, 鄭小霞. 個性化延續護理在兒童癲癇中的應用探討. 哈爾濱醫學院學報, 2015, 36(33): 5116-5117.
10. 顏文, 王淑瓊, 薛琴, 等. 應用 Morisky 服藥依從性量表調查中存在的問題對策. 護理研究, 2015, 29(7): 890-891.
11. 王英杰. 針對兒童癲癇患者以家庭為中心教育干預效果的研究. 北京協和醫學院碩士學位論文, 2013: 9-85.
12. 夏泳, 姜敏. 癲癇患兒家長對癲癇的認知狀況調查及健康宣教對策研究. 醫藥雜志, 2017, 46(2): 151-154.
13. Morisky DE, Yan J, You LM, et al. Translation and validation of a Chinese version of the 8-item Morisky medication adherence scale in myocardial infarction patients. J Eval Clin Pract, 2014, 20(4): 311-317.
14. 段曉玲. 兒童生活質量普通適用核心量表 4.0 中文版在癲癇兒童的信度效度分析. 重慶醫科大學碩士學位論文, 2011: 1-31.
15. 方映玲, 王璐, 郭彤, 等. 運用知信行模式對哮喘患兒家庭進行健康教育的效果. 解放軍護理雜志, 2017, 34(11): 30-33.
16. 李沁晏, 陳麗, 祝彩華. 臨床路徑的健康教育方式在兒童癲癇規范化治療中的應用. 全科護理, 2010, 8(5): 1214-1215.
17. 汝驊. 學校健康教育" 知信行模式”理論與實踐. 北京: 中國輕工業出版社, 2011: 34.
18. 高春紅, 梅克文, 胡曉琳. 知信行模式對老年高血壓患者自護能力及疾病認知水平的影響. 中華現代護理雜志, 2017, 14(3): 1867-1871.
19. Ghannadi S, Amouzegar A, Amiri P, et al. Evaluating the effect of knowledge, attitude, and practice on self-management in type 2 diabetic patients on dialysis. J Diabetes Res, 2016, 7: 3730875.
20. Almobarak AO, Elbadawi AA, Elmadhoun WM, et al. Knowledge attitudes and practices of sudanese women regarding the pap smear test and cervical. Asian Pac J Cancer Prev, 2016, 17(2): 625-630.
21. 吳佼佼, 馬紅梅, 廖春霞, 等. 醫護一體化工作模式在護理領域中的應用現狀. 中國醫藥導報, 2017, 14(4): 38-42.
22. 鄒玉梅, 劉紅梅, 馬福巧, 等. 網絡互動式健康教育對癲癇患兒服藥依從性的影響. 循證護理, 2018, 4(3): 258-260.
23. 劉花艷, 谷利鳳, 朱麗輝, 等. 癲癇患兒家庭管理干預的效果研究. 中華護理雜志, 2017, 52(10): 1157-1162.
24. Goodwin SW, Wilk P. Emotional well-being in children with epilepsy: family factors as mediators and moderators. Epilepsia, 2017, 58(11): 1912-1919.
25. Kampra M, Tzerakis N. The challenges that parents of children with epilepsy face: a qualitative study. Epilepsy Behav, 2017, 71(Pt A): 94-103.
26. 毛麗芳, 胡建萍, 謝燕, 等. 醫護一體化護理對食管癌患者情緒及生存質量的影響. 川北醫學院學報, 2019, 34(2): 306-308.
27. 劉美麗, 朱麗輝. 健康教育" 知信行模式”在疾病預防保健及護理中的應用進展. 當代護士(下旬刊), 2019, 26(03): 9-12.
28. Bove DG, Jellington MO, Lavesen M, et al. Assigned nurses and a professional relationship: a qualitative study of COPD patients' perspective on a new palliative outpatient structure named CAPTAIN. BMC Palliative Care, 2019, 18(1): 24.
29. 李興廣. 癲癇患兒命質量評價. 臨床兒科雜志, 2015, 33(11): 942-945.
30. Arya V, Gehlawat VK, Kaushik JS, et al. Assessment of parent reported quality of life in children with epilepsy from Northern India: a cross-sectional study. J Pediar Neurosci, 2014, 9(1): 17-20.
31. 陳麗君. 淺談提高癲癇病治療依從性護理措施. 世界最新醫學信息摘要, 2016, 16(74): 207-208.
32. 余祖琳. 健康教育路徑在提高癲癇患兒服藥依從性中的應用. 安徽衛生職業技術學院學報, 2016, 15(5): 70-71.
33. Ma C, Park SH, Shang J. Inter and intra-disciplinary collaboration and patient safety outcomes in U. S. acute care hospital units: a cross-sectional study. Int J Nurs Stud, 2018, 55(8): 1-6.

Journal of Epilepsy

Application of Knowledge attitude behavior and practice health education path table in health education of physician-nurse collaboration for children with epilepsy

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