Kampra Matina, Tzerakis Nikolaos, Lund Holm Thomsen Louise, Katsarou Efstathia, Voudris Konstantinos, D Mastroyianni Sotiria, Mouskou Stella, Drossou Kyriaki S, Siatouni Anna, Gatzonis Stylianos
Ministry of Health, 40-42C Amarisias Artemidos st., PC 151 24 Marousi, Greece.
Department of Neurosurgery, University Hospital of North Midlands NHS Trust, United Kingdom.
Epilepsy Behav. 2017 Jun;71(Pt A):94-103. doi: 10.1016/j.yebeh.2017.04.034. Epub 2017 May 28.
This qualitative study explored the challenges that Greek parents/caregivers of children with controlled epilepsy (CwE) face regarding the disorder.
Interviews were conducted based on open-ended questions guided by a review of the literature. A total of 91 parents/caregivers were recruited by neurologists at the neurology clinics of two Athens public hospitals. A hermeneutic phenomenological approach was used to explore parent/caregiver experiences. The data were grouped and analyzed through a textual interpretation.
Two key challenges were identified for parents of CwE: the disclosure of epilepsy and the absence of adequate information about coping with epilepsy. Parents in Greece were hesitant to reveal their child's epilepsy to school staff and their wider social milieu. Also, although satisfied with the patient-centered approach they experienced with their hospital doctor, parents/caregivers found that they needed more education about the existing sources of psychosocial and emotional support to cope with their child's epilepsy personally and as a family. Finally, the parents/caregivers who let their child know about the epilepsy and discussed the implications with the child found that parent-child communication improved.
This study provides valuable insight into the impact of epilepsy on parents of CwE, which might help hospital and school staff support families with greater understanding, sensitivity, and skill. The findings suggest that Greek authorities should staff hospitals and schools with experts and more systematically advertise sources of information about epilepsy and ways to cope with it.
本定性研究探讨了希腊癫痫得到控制的儿童(CwE)的父母/照顾者在该疾病方面所面临的挑战。
根据文献综述引导的开放式问题进行访谈。雅典两家公立医院神经科诊所的神经科医生共招募了91名父母/照顾者。采用诠释现象学方法探索父母/照顾者的经历。通过文本解读对数据进行分组和分析。
确定了CwE父母面临的两个关键挑战:癫痫病情的披露以及缺乏应对癫痫的充分信息。希腊的父母不愿向学校工作人员和更广泛的社交圈子透露孩子的癫痫病情。此外,尽管父母/照顾者对医院医生以患者为中心的治疗方法感到满意,但他们发现自己需要更多关于现有的心理社会和情感支持资源的教育,以便个人和作为家庭应对孩子的癫痫。最后,那些让孩子了解癫痫病情并与孩子讨论其影响的父母/照顾者发现亲子沟通得到了改善。
本研究为癫痫对CwE父母的影响提供了有价值的见解,这可能有助于医院和学校工作人员以更大的理解、敏感性和技能支持家庭。研究结果表明,希腊当局应为医院和学校配备专家,并更系统地宣传有关癫痫的信息来源及应对方法。