Ostendorf Adam P, Gedela Satyanarayana
Department of Pediatrics, Nationwide Children's Hospital, The Ohio State University, Columbus, OH.
Department of Pediatrics, Nationwide Children's Hospital, The Ohio State University, Columbus, OH.
Semin Pediatr Neurol. 2017 Nov;24(4):340-347. doi: 10.1016/j.spen.2017.10.007. Epub 2017 Oct 7.
The effect of epilepsy extends beyond those with the diagnosis and impacts families, communities and society. Caregiver and sibling quality of life is often negatively affected by frequent seizures, comorbid behavioral and sleep disorders and stigma surrounding the diagnosis. Furthermore, the negative effects can be magnified by individual coping styles and resources available to families of those with epilepsy. Beyond the family and immediate caregivers, epilepsy affects local communities by drawing additional resources from education systems. The direct costs of caring for an individual with epilepsy and the indirect costs associated with decreased productivity place financial strain on individuals and health care systems throughout the world. This review details factors affecting family and caregiver quality of life and provides several approaches through which health care providers may address these concerns. Furthermore, we examine the financial effect of epilepsy on society and review emerging strategies to lessen health care use for individuals with epilepsy.
癫痫的影响不仅限于确诊患者,还会波及家庭、社区和社会。频繁发作、并发行为和睡眠障碍以及围绕该诊断的污名化,常常会对照顾者和兄弟姐妹的生活质量产生负面影响。此外,这些负面影响会因个体应对方式以及癫痫患者家庭可利用的资源而被放大。除了家庭和直接照顾者,癫痫还会通过占用教育系统的额外资源影响当地社区。照顾癫痫患者的直接成本以及与生产力下降相关的间接成本,给世界各地的个人和医疗保健系统带来了经济压力。本综述详细阐述了影响家庭和照顾者生活质量的因素,并提供了几种医疗保健提供者可用来解决这些问题的方法。此外,我们研究了癫痫对社会的经济影响,并回顾了减少癫痫患者医疗保健使用的新兴策略。