人 -环境 -作业模式联合个案延伸护理管理在学龄期癫痫患儿中的应用 [中文引用][英文引用]

目的 探讨人 - 环境 - 作业（person-environment-occupation，PEO）模式联合个案延伸护理管理对学龄期癫痫患儿临床治疗效果、适应行为及院外意外损伤的影响。方法 选取 2024 年 1 月—2025 年 1 月本院收治的学龄期癫痫患儿 100 例，根据患儿及家长意愿分为试验组和对照组，每组 50 例。对照组患儿予以药物 - 认知 - 延续干预方案，试验组患儿在对照组基础上予以 PEO 模式联合个案延伸护理管理。比较两组临床疗效以及干预前后的儿童适应行为量表评分、癫痫院外发作时意外损伤发生情况。结果 共 100 例患儿完成研究。干预后，试验组患儿治疗有效率（96.00%）高于对照组（70.00%），试验组儿童适应行为评分改善幅度优于对照组，试验组院外意外损伤发生率（2.00%）低于对照组（16.00%），两组比较，差异具有统计学意义（均 P<0.05）。结论 PEO 模式联合个案延伸护理管理可提高学龄期癫痫患儿治疗效果，降低其院外意外损伤发生情况，对改善其适应行为有益处。

Objective To investigate the effects of person-environment-occupation（PEO）model combined with the case extended care management on clinical therapeutic effects, adaptive behaviour, and out-of-hospital accidental injury in school-age children with epilepsy. Methods A total of 100 school-age children with epilepsy admitted to our hospital between January 2024 and January 2025 were selected as the study participants. The children were divided into an experimental group and a control group according to the preferences of the children and parents, with 50 children per group. Children in the control group received a protocol of medicationcognition-continuity intervention, while those in the experimental group received the PEO model combined with the case extended care management on the basis of medication-cognition-continuity intervention. Clinical efficacy, scores of children’s adaptive behaviour scale before and after intervention, and the occurrence of accidental injury during out-of-hospital seizures were compared between the two groups. Results A total of 100 school-age children with epilepsy completed the study. After intervention, it was found that the effective rate in the experimental group（96.00%）was higher than that in the control group（70.00%）. The scores of children’s adaptive behaviour scale improved more in the experimental group than those in the control group. The incidence of out-of-hospital accidental injury in the experimental group（2.00%）was lower than that in the control group（16.00%）. All the differences were statistically significant（all P<0.05）. Conclusion PEO model combined with the case extended care management can improve clinical therapeutic effects, reduce the incidence of out-of-hospital accidental injury, and improve adaptive behaviour in school-age children with epilepsy.