Efficacy of Wechat combined with continuing nursing on ketogenic diet children, parents and medical staff_Journal of Epilepsy

Authors：

HUANG Cui ,  WANG Juan

Department of Neurology, Children’s Hospital of Chongqing Medical University, Chongqing 400014, China;

Corresponding author：

WANG Juan, Email: wangjuannn@126.com

Keywords：

Wechat; Continuing nursing; Mood; Quality of life; Ketogenic diet

DOI：

10.7507/2096-0247.202211005

Video：

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Objective To evaluate the efficacy of Wechat combined with continuing nursing on the quality of life of epilepsy children with ketogenic diet, parents' mood and the time commitment of medical staff. Methods Data were collected from 140 children with intractable epilepsy with ketogenic diet admitted to the Department of Neurology, Children's Hospital Affiliated to Chongqing Medical University from November 2014 to June 2022, including 116 males and 24 females, with an average age of (8.42±2.44) years. The random sampling method was divided into control group (continuing nursing) 71 cases, intervention group (Wechat combined with continuing nursing) 69 cases. The quality of life of the children (QOLCE-16) in the two groups was compared before discharge and 3 months after discharge, as well as parental anxiety (SAS), depression (SDS), and the amount of time medical staff spent with both groups. Results There was no difference in the quality of life and parental emotion between the two groups before intervention. After 3 months, the quality of life of the two groups was significantly improved [(43.59±10.00) vs. (40.14±10.44), P<0.05], and the QOLCE-16 score of the intervention group was higher than that of the control group (P<0.05). The parental mood SAS and SDS in both groups were significantly improved [(37.19±2.90) vs. (50.85±3.76), (40.14±3.52) vs. (49.29±3.37), P<0.01], and the SAS and SDS scores of anxiety and depression of parents in the intervention group were lower than that of the control group (P<0.01). Medical staff spent more time on intervention group [(136.17±7.43) vs. (65.55±7.48), P<0.01]. Conclusion Continuing nursing can improve the quality of life of children with ketogenic diet and the negative emotions of their parents. The combination of Wechat and continuing nursing can further strengthen this positive effect, and requires more time of medical staff.

Citation： HUANG Cui, WANG Juan. Efficacy of Wechat combined with continuing nursing on ketogenic diet children, parents and medical staff. Journal of Epilepsy, 2023, 9(1): 11-15. doi: 10.7507/2096-0247.202211005 Copy

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9.	Aijuan W, Nan L, Xue F. PDCA circulation combined with continuing nursing guided by wechat on improving the nursing value of patients with gynecological inflammatory diseases during out-of-hospital treatment. Food Science and Technology, 2021, 41(3): 737-742.
10.	张旭芬, 宴玉奎. 微信随访护理在改善成人癫痫患者不良情绪及家属照顾能力中的应用. 中华全科医学, 2018, 16(11): 1943-1945.
11.	杨艳红, 曹民娟, 崔秀琴. 基于微信APP的追踪护理管理在癫痫患者中的应用. 循证护理, 2022, 8(10): 1393-1396.
12.	唐平, 陆群峰, 杨利灵, 等. 癫痫儿童健康相关生活质量特异性量表的汉化及信效度检验. 中华现代护理杂志, 2021, 27(29): 3954-3958.

1. Chen Z, Brodie MJ, Liew D, et al. Treatment outcomes in patients with newly diagnosed epilepsy treated with established and new antiepileptic drugs: a 30-year longitudinal cohort study. JAMA Neurol, 2018, 75: 279-286.
2. Dazhi C, Xinyang M, Haiyan W, et al. Dyscalculia and dyslexia in Chinese children with idiopathic epilepsy: different patterns of prevalence, comorbidity, and gender differences. Epilepsia Open, 2022, 7: 160-169.
3. Chung AM, Eiland LS. Use of second-generation antiepileptic drugs in the pediatric population. Paediatr Drugs, 2008, 10: 217-254.
4. Aycan U, Ayse K, Pakize K, et al. Evaluation of quality of life and psychiatric aspects of children with epilepsy and their families using self-assessment questionnaires. Turk Arch Pediatr, 2022, 57(3): 282-289.
5. Huiyuan Zhu, Dexi Bi, etc. Ketogenic diet for human diseases: the underlying mechanisms and potential for clinical implementations. Signal Transduction and Targeted Therapy, 2022, 7: 11.
6. 郑鸽. 护理干预对82例小儿难治性癫痫坚持生酮饮食治疗的临床影响. 首都食品与医药, 2018, 25(21): 139.
7. Huibrie P, Meagan W, Christine MB. Pediatric and adult epileptologist perspectives and experiences of pediatric to adult epilepsy care transition: "Saying goodbye and opening a door". Epilepsy & Behav, 2021, 120: 107981.
8. Shane WG, Mark AF, Kathy NS. Development and assessment of the quality of life in childhood epilepsy questionnaire (QOLCE-16). Epilepsia, 2018, 59(2): 668-678.
9. Aijuan W, Nan L, Xue F. PDCA circulation combined with continuing nursing guided by wechat on improving the nursing value of patients with gynecological inflammatory diseases during out-of-hospital treatment. Food Science and Technology, 2021, 41(3): 737-742.
10. 张旭芬, 宴玉奎. 微信随访护理在改善成人癫痫患者不良情绪及家属照顾能力中的应用. 中华全科医学, 2018, 16(11): 1943-1945.
11. 杨艳红, 曹民娟, 崔秀琴. 基于微信APP的追踪护理管理在癫痫患者中的应用. 循证护理, 2022, 8(10): 1393-1396.
12. 唐平, 陆群峰, 杨利灵, 等. 癫痫儿童健康相关生活质量特异性量表的汉化及信效度检验. 中华现代护理杂志, 2021, 27(29): 3954-3958.

Journal of Epilepsy

Efficacy of Wechat combined with continuing nursing on ketogenic diet children, parents and medical staff

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