基于知信行理論的干預對小兒癲癇患兒認知功能、睡眠質量的影響

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Impacts of Knowledge-belief-action Theory-based Intervention on Cognitive Function and Sleep Quality in Children with Epilepsy

HUANG Shuixiu

（Children's Hospital ofFudan University at Xiamen，Xiamen 361oO6，China）

AbstractObjective：Toexploretheefectsofknowledge-belief-action theory-basedinterventiononcognitivefunctionandsleep qualityichildrenwithepilepsy.Methods：Atotalof94childrenwithepilepsyadmitedtotheNeurologyandEdocrinologyDepartmentofChildren'sHospitalofFudan Universityat XiamenfromJanuary2O22 toJanuaryO24 wereselectedasthestudysubjects.Theywererandomlydivided intoacontrolgroupandanobservationgroup，with 47casesineach group.Thecontrolgroup receivedbasicnursing，whiletheobservationgroupreceivedknowledge-belief-actiontheory-based intervention.TheChildren's SleepDisordersScale（SDSC）wasused toevaluate thedegreeofimprovement insleepquality.Sleeptime，sleepdepth，andawakeningstimes duringslepweremonitoredthroughpolysomnographythroughoutthenight.TheMontrealCognitiveAssessmentScale （MoCA）wasused toevaluate thecognitivefunctionof thetwogroupsofpatients.Results：Afterintervention，the SDSC scores of theobservationgroup wereevaluated.Theobservationgroup hadlongerslep timethanthecontrol group，andtheawakenings timesduringsleepweresignificantlylowerthanthoseofthecontrolgroup.Thediferencesbetweenthetwogroups werestatistically significant（ P<0.05 ）. The sleep depth scores and MoCA scores of the observation group were significantly higher than those of the control group，and the differences between the two groups were statistically significant（ P<0.05 ）. Conclusion ： Implementing knowledge-belief-actiontheory-basedinterventioninpediatricepilepsycanpromoteslepqualityrecoveryandimprovecognitive function.

KeywordsPediatric epilepsy；Theoryof Knowledge-belief-action； Nursing; Sleepquality； Sleep structure;Cognitivefunction;Children； Sleep disorders

中圖分類號：R742.1;R338.63 文獻標識碼：A doi：10.3969/j. issn. 2095 -7130.2025.02.043

小兒癲癇是一種慢性神經系統(tǒng)疾病，其臨床表現多樣，常見的癥狀包括突發(fā)性意識喪失、口吐白沫、肢體抽搐等，這些癥狀對患兒的身心健康造成了影響。（剩余4878字）