The effect of family positive behavioral support on emotional and behavioral problems in preschool children with epilepsy_Journal of Epilepsy

Authors：

QIN Kaiqin ¹ ,  ZHU Lihong ²

1. Department of Pediatric Neurology, Wuxi Children's Hospital Affiliated to Jiangnan University, Wuxi 214001, China;
2. Director of Hospital Office, Wuxi Children's Hospital Affiliated to Jiangnan University, Wuxi 214001, China;

Corresponding author：

ZHU Lihong, Email: zlhyfb@126.com

Keywords：

Family ecosystem theory; Positive behavioral support; Epilepsy; Preschoolers; Emotional behavior problem

DOI：

10.7507/2096-0247.202306001

Video：

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Objective To investigate the effect of positive family behavior support on emotional and behavioral problems in preschool children with epilepsy. Methods A total of 80 preschool epileptic children and their parents who were admitted to the Department of Neurology of our hospital from October 2022 to February 2023 were selected as the research objects, and were divided into experimental group and control group with 40 cases each by random number table method. The control group received neurology routine nursing, and the experimental group received positive family behavior support intervention based on the control group. The scores of family intimacy and adaptability scale, strengths and difficulties questionnaire, medication compliance and quality of life of epilepsy children were compared before and after intervention between the two groups. Results After intervention, the scores of strength and difficulty questionnaire in experimental group were lower than those in control group (P<0.05), and the scores of family intimacy and adaptability scale, quality of life and medication compliance in experimental group were higher than those in control group (all P<0.05). Conclusion The application of positive family behavior support program can reduce the occurrence of emotional behavior problems, improve family closeness and adaptability, improve medication compliance, and improve the quality of life of preschool children with epilepsy.

Citation： QIN Kaiqin, ZHU Lihong. The effect of family positive behavioral support on emotional and behavioral problems in preschool children with epilepsy. Journal of Epilepsy, 2023, 9(5): 375-381. doi: 10.7507/2096-0247.202306001 Copy

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6.	Fiest KM, Dykeman J, Patten SB, et al. Depression in epilepsy: a systematic review and meta-analysis. Neurology, 2013, 80(6): 590-599.
7.	桑标, 席居哲. 家庭生态系统对儿童心理健康发展影响机制的研究. 心理发展与教育, 2005, 22(1): 80-86.
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16.	席洁. 认知行为疗法对学龄期癫痫患儿负性情绪及服药依从性的影响. 南京医科大学, 硕士学位论文, 2019.
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19.	刘琳, 夏梦青. 家庭正向行为支持干预在肝豆状核变性患儿情绪及行为问题改善中的应用. 中国临床护理, 2022, 14(11): 684-686+690.
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21.	Kuzmanova R, Stefanova I, Stambolieva K. Significance of noncompliance when treating patients with epilepsy. Neurol Neurochir Pol, 2018: 52(2): 215-221.
22.	李彦卿, 王庆, 程成, 等. 以家庭为中心的系统化健康教育对活动性癫痫患儿服药依从性和躯体健康状况的影响. 蚌埠医学院学报, 2021, 46(3): 396-398.
23.	闫晨歌, 贾天明, 张晓莉, 等. 癫痫患儿生存现状及相关影响因素分析. 国际儿科学杂志, 2020, 47(4): 288-293.

1. 胡亚美, 江载芳. 诸福棠实用儿科学. (第7版). 北京: 人民卫生出版社, 2002: 1850-1863.
2. Hu Yin, Shan Yi, Du Qiang, et al. Gender and socioeconomic disparities in global burden of epilepsy: an analysis of time trends from 1990 to 2017. Frontiers in neurology, 2021, 12: 643450.
3. 中华医学会儿科学分会神经学组. 儿童癫痫长程管理专家共识.中华儿科杂志, 2013, 51(9): 699-703.
4. Symonds Joseph D, Elliott Katherine S, Shetty Jay, et al. Early childhood epilepsies: epidemiology, classification, aetiology, and socio-economic determinants. Brain, 2021, 144 (9): 2879-2891.
5. Karanja Serah Wangari, Kiburi Sarah Kanana, Kang'ethe Rachael, et al. Emotional and behavioral problems in children with epilepsy attendingthe pediatric neurology clinic at a referral hospital in Kenya. Epilepsy & Behavior, 2021, 114 (Pt A): 107477.
6. Fiest KM, Dykeman J, Patten SB, et al. Depression in epilepsy: a systematic review and meta-analysis. Neurology, 2013, 80(6): 590-599.
7. 桑标, 席居哲. 家庭生态系统对儿童心理健康发展影响机制的研究. 心理发展与教育, 2005, 22(1): 80-86.
8. 蒋盈, 林珮宇, 梁真今. 家庭正向行为支持方案对儿童攻击性行为的干预研究. 宁波大学学报(教育科学版), 2020, 42(4): 124-132.
9. 张赛, 路孝琴, 杜蕾, 等. 家庭功能评价工具家庭亲密度和适应性量表的发展及其应用研究. 中国全科医学, 2010, 13(7): 725-728.
10. 费立鹏, 沈其杰, 郑延平, 等. "家庭亲密度和适应性量表"和"家庭环境量表"的初步评价-正常家庭与精神分裂症家庭成员对照研究. 中国心理卫生杂志, 1991, (5): 198-202, 238.
11. Goodman R. The strengths and difficulties questionnaire: a research note. Journal of Child Psychology and Psychiatry, 1997, 38(5): 581-586.
12. 寇建华, 杜亚松, 夏黎明, 等. 儿童长处和困难问卷(父母版)上海常模的信度和效度. 上海精神医学, 2005, 17(1): 25-28.
13. 上海市心理咨询中心译 . 儿童青少年情绪和行为治疗手册, 2012: 11.
14. 卢奕云, 郝元涛, 静进. 儿童生存质量测定量表Peds QL~(TM)的结构及应用概况. 现代预防医学, 2006, 20(5): 732-734.
15. 卢奕云, 田琪, 郝元涛, 等. 儿童生存质量测定量表PedsQL4.0中文版的信度和效度分析. 中山大学学报(医学科学版), 2008, 10(3): 328-331.
16. 席洁. 认知行为疗法对学龄期癫痫患儿负性情绪及服药依从性的影响. 南京医科大学, 硕士学位论文, 2019.
17. Shoji T, Abe T, Matsuo H, et al. Chronic kidney disease, dyslipidemia and atherosclerosis. J Atheroscler Thromb, 2012, 19(4): 299 - 315.
18. 余卫红, 潘月, 年士翠, 等. 癫痫儿童情绪行为问题现状及影响因素分析. 中国儿童保健杂志, 2023, 31(2): 210-214.
19. 刘琳, 夏梦青. 家庭正向行为支持干预在肝豆状核变性患儿情绪及行为问题改善中的应用. 中国临床护理, 2022, 14(11): 684-686+690.
20. Liu J, Liu Z, Ding H, et al. Adherence to treatment and influencing factors in a sample of Chinese epilepsy patients. Epileptic Disord, 2013, 15(3): 289-294.
21. Kuzmanova R, Stefanova I, Stambolieva K. Significance of noncompliance when treating patients with epilepsy. Neurol Neurochir Pol, 2018: 52(2): 215-221.
22. 李彦卿, 王庆, 程成, 等. 以家庭为中心的系统化健康教育对活动性癫痫患儿服药依从性和躯体健康状况的影响. 蚌埠医学院学报, 2021, 46(3): 396-398.
23. 闫晨歌, 贾天明, 张晓莉, 等. 癫痫患儿生存现状及相关影响因素分析. 国际儿科学杂志, 2020, 47(4): 288-293.

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