Effect of intervention on self-esteem level in children with epilepsy based on cross theoretical model

Abstract

Objective To investigate the effect of (the transtheoretical model of change,TTM) on the level of self-esteem in children with epilepsy (EP). Methods 65 cases of EP were divided into intervention group with 31 cases and control group with 34 cases by random number table. The two groups were treated with anti EP drug treatment and nursing, the use of the change stage and the Self-Esteem Scale (SES) for the baseline assessment, the intervention group according to the assessment results to develop individual TTM intervention measures, the control group received general health education and psychological care, for a period of 6 months. Two groups of patients were followed up for 6 months after hospital discharge, and the distribution of the changes in the changes of the patients and the change of self-esteem scores were analyzed. Results Before the intervention, two groups in the intention stage, preparation stage, operation stage and maintenance stage self-esteem score comparison, the difference was not statistically significant (P>0.05); 6 months after the intervention, the change of phase of self-esteem, the intervention group respectively were (22.61 + 2.88) points, (22.78 + 1.56) points, (24.03 + 1.5) points, (24.39 + 1.60) points, in the control group were (21.15 + 2.44) points, (21.39 + 2.21) points, (22.26 + 2.33) points, (22.01 + 2.31) points, with significant differences between the two groups (t=1.12-3.38, P<0.01). Two groups from the former intention phase to maintain the stage of change in the number of children were increased, the intervention group was better than the control group, the difference was statistically significant (χ2=15.00, P<0.01). Conclusions Using TTM as the guidance can improve the self-esteem of children with EP. Key words: Transtheoretical model; Children with epilepsy; Self-esteem; Intervention study