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中华脑科疾病与康复杂志(电子版) ›› 2022, Vol. 12 ›› Issue (03) : 162 -166. doi: 10.3877/cma.j.issn.2095-123X.2022.03.008

临床研究

自身免疫性脑炎患儿视频脑电图监测期间基于共享信息系统的协同干预模式的作用分析
沈伶俐1, 刘晓鸣1,(), 李玮玮1, 夏露1, 周强1   
  1. 1. 221006 徐州市儿童医院神经内二科
  • 收稿日期:2022-02-18 出版日期:2022-06-15
  • 通信作者: 刘晓鸣
  • 基金资助:
    江苏省妇幼健康科研项目(F201355)

Effect analysis of collaborative intervention mode based on shared information system during video electroencephalogram monitoring in children with autoimmune encephalitis

Lingli Shen1, Xiaoming Liu1,(), Weiwei Li1, Lu Xia1, Qiang Zhou1   

  1. 1. The 2Department of Neurology, Xuzhou Children’s Hospital, Xuzhou 221006, China
  • Received:2022-02-18 Published:2022-06-15
  • Corresponding author: Xiaoming Liu
引用本文:

沈伶俐, 刘晓鸣, 李玮玮, 夏露, 周强. 自身免疫性脑炎患儿视频脑电图监测期间基于共享信息系统的协同干预模式的作用分析[J/OL]. 中华脑科疾病与康复杂志(电子版), 2022, 12(03): 162-166.

Lingli Shen, Xiaoming Liu, Weiwei Li, Lu Xia, Qiang Zhou. Effect analysis of collaborative intervention mode based on shared information system during video electroencephalogram monitoring in children with autoimmune encephalitis[J/OL]. Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition), 2022, 12(03): 162-166.

目的

分析自身免疫性脑炎患儿视频脑电图监测期间基于共享信息系统的协同干预模式的作用。

方法

选取徐州市儿童医院神经内二科自2018年1月至2020年10月收治的拟实施视频脑电图监测的80例自身免疫性脑炎患儿为研究对象,采取随机数字表法分为研究组与对照组,每组40例。对照组在视频脑电图监测期间实施常规干预模式,研究组在此期间实施基于共享信息系统的协同干预模式。对比2组患儿监测时间和干预前后紧张、恐惧情绪的变化情况,监测期间电极松动、导联脱落和监测后皮肤红肿、皮肤破溃的发生率,以及家属对干预模式的满意度。

结果

研究组与对照组监测时间对比差异无统计学意义(P>0.05)。2组患儿干预后紧张、恐惧情绪评分均较干预前下降,且研究组干预后紧张、恐惧情绪评分均低于对照组,差异具有统计学意义(P<0.05)。研究组监测期间电极松动、导联脱落和监测后皮肤红肿、皮肤破溃的发生率均低于对照组,差异具有统计学意义(P<0.05)。2组患儿家属对干预模式的满意度分布差异显著,研究组家属对干预模式的总满意率高于对照组,差异具有统计学意义(P<0.05)。

结论

在自身免疫性脑炎患儿视频脑电图监测期间实施基于共享信息系统的协同干预模式不仅可缓解患儿紧张、恐惧情绪,还可减少各种不良事件,提高患儿家属满意度。

Objective

To analyze the effect of collaborative intervention mode based on shared information system during video electroencephalogram monitoring in children with autoimmune encephalitis.

Methods

Eighty cases of children with autoimmune encephalitis in the 2nd Department of Neurology of Xuzhou Children’s Hospital from January 2018 to October 2020 were selected and randomly divided into study group and control group, with 40 cases in each group. The control group was given routine intervention mode during video electroencephalogram monitoring, while the research group was given collaborative intervention mode based on shared information system during this period. The monitoring time, changes of tension, fear emotions before and after intervention, incidences of electrode loosening and lead shedding during the monitoring period, incidences of skin swelling and skin ulceration after monitoring and the satisfaction of the family members with the intervention mode were compared between the two groups.

Results

There was no significant difference in the monitoring time between the study group and the control group (P>0.05). After intervention, the tension, fear scores of the two groups were lower than those before intervention (P<0.05), and the tension, fear scores of the study group were lower than those of the control group after intervention (P<0.05). The incidences of electrode loosening and lead shedding during the monitoring period in the study group, and the incidences of skin redness and skin breakage after monitoring in the study group were lower than those in the control group (P<0.05). There was a significant difference in the distribution of family members’ satisfaction with the intervention mode between the two groups (P<0.05). The total satisfaction rate of family members in the study group was higher than that in the control group (P<0.05).

Conclusion

The cooperative intervention mode based on shared information system can not only relieve the tension and fear of children, but also reduce various adverse events and improve the satisfaction of the children’s families.

表1 2组患儿监测时间和干预前后紧张、恐惧情绪改变情况对比(Mean±SD)
表2 2组患儿不良事件发生率对比[例(%)]
表3 2组患儿家属对干预模式的满意度对比[例(%)]
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