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Construction and application of in-hospital emergency nursing plan for children with epileptic seizures
Haiqin Wang1, Yaqi Luo1, Cong Jiang1
1Wuhan children's Hospital, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, Hubei, China.
Insights
An emergency nursing plan for pediatric epileptic seizures improved response times and reduced adverse events. This specialized plan enhanced nurses' recognition of seizures, leading to better patient outcomes in a hospital setting.
Area of Science:
- Pediatric Neurology
- Emergency Nursing
- Clinical Practice Guidelines
Background:
- Epileptic seizures in children require prompt and effective emergency nursing interventions.
- Standardized protocols are crucial for managing pediatric seizures in hospital settings.
Purpose of the Study:
- To develop and evaluate the effectiveness of an in-hospital emergency nursing plan for pediatric epileptic seizures.
- To assess the clinical application and impact of the new nursing plan.
Main Methods:
- A pre- and post-evaluation study was conducted in an epilepsy monitoring unit (EMU) of a children's specialized hospital.
- The study involved comparing outcomes between an experimental group using the new nursing plan and a control group.
Main Results:
- The experimental group demonstrated significantly shorter response times to seizures (p < 0.001).
- Nurses in the experimental group showed higher recognition rates of both clinical and electrical seizures (p < 0.001).
- Adverse events, including limb trauma and aspiration, were significantly reduced in the experimental group (p = 0.020; p = 0.011).
Conclusions:
- The developed in-hospital emergency nursing plan is effective in managing pediatric epileptic seizures.
- Implementation of the plan reduces adverse events and shortens response times during seizure events in children.
Objectives:
The aim of this study was to develop an in-hospital emergency nursing plan for children with epileptic seizures and evaluate its clinical application effectiveness.
Methods:
From March 2023 to December 2024, a pre - and post evaluation study was conducted at the epilepsy monitoring unit (EMU) of a tertiary Grade A children's specialized hospital in China.
Results:
The response time to seizures in the experimental group was shorter than that in the control group (p < 0.001), and the proportion of nurses in the experimental group who recognized both clinical and electrical seizures was higher than that in the control group (p < 0.001); The incidence of adverse events in the experimental group was lower than that in the control group, with reduced rates of limb trauma and aspiration (p = 0.020; p = 0.011). The incidence of children with seizure frequency of 4-8 episodes was lower in the experimental group than in the control group (p = 0.021; p = 0.035; p = 0. 160). The seizure frequency was 1-3 episodes, with no statistically significant difference in incidence between the two groups. (p = 0.573; p = 0. 161).
Conclusion:
The application of in-hospital emergency nursing plan for children with epileptic seizures can reduce the occurrence of adverse events, shorten the response time to seizure events.
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