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癫痫患儿及其家长心理教育项目(FAMOSES):一项对照性试点研究结果及五年来家长满意度调查。

The psychoeducational program for children with epilepsy and their parents (FAMOSES): results of a controlled pilot study and a survey of parent satisfaction over a five-year period.

机构信息

Epilepsy Center Bethel, Bielefeld, Germany.

出版信息

Epilepsy Behav. 2012 Sep;25(1):11-6. doi: 10.1016/j.yebeh.2012.06.012. Epub 2012 Aug 9.

Abstract

Feasibility of the educational program FAMOSES (modular service package epilepsy for families) was evaluated in a controlled pilot study. Parents of children with epilepsy from epilepsy centers in Germany were allocated to either educational group (treatment group, n=55) or waiting-list group (control group, n=48). Questionnaires included epilepsy-specific scales (knowledge, coping, adaptation, anxiety, rules and limitations, seizure management, impact of epilepsy). Multivariate analysis of variance with repeated measurements indicated significant improvements in the treatment group compared to the control group (time×group interaction: p<0.01). Univariate analyses (ANOVA) confirmed improvements in knowledge (p<0.001), adaptation (p<0.01), epilepsy-related anxiety (p<0.05), and seizure management (p<0.05). Surveillance as well as seizure frequency (p<0.05) of children whose parents participated in the treatment group was reduced (p<0.05). Furthermore, parents' satisfaction with the content and interactive didactic format of the program was assessed in a survey with 852 parents over a five-year period. This survey showed an improvement over the course of time (p<0.05). Feasibility and need for the educational program were confirmed.

摘要

家庭癫痫模块服务计划(FAMOSES)教育项目的可行性已在一项对照试点研究中进行了评估。德国癫痫中心的癫痫患儿父母被分配到教育组(治疗组,n=55)或候补名单组(对照组,n=48)。调查问卷包括癫痫特异性量表(知识、应对、适应、焦虑、规则和限制、癫痫发作管理、癫痫影响)。具有重复测量的多元方差分析表明,治疗组与对照组相比有显著改善(时间×组交互作用:p<0.01)。单变量分析(ANOVA)证实了知识(p<0.001)、适应(p<0.01)、与癫痫相关的焦虑(p<0.05)和癫痫发作管理(p<0.05)方面的改善。接受治疗组父母参与的治疗的儿童的监测以及癫痫发作频率(p<0.05)均降低(p<0.05)。此外,在五年期间,对 852 名父母进行了一项调查,评估了他们对该项目内容和互动式教学形式的满意度。该调查显示,满意度随时间推移而提高(p<0.05)。教育项目的可行性和需求得到了证实。

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