Research Department, Young Epilepsy, Lingfield, Surrey, RH7 6PW, UK; UCL Great Ormond Street Institute of Child Health (ICH), 30 Guilford Street London WC1N 1EH UK.
Research Department, Young Epilepsy, Lingfield, Surrey, RH7 6PW, UK.
Seizure. 2021 Feb;85:111-114. doi: 10.1016/j.seizure.2020.12.024. Epub 2021 Jan 8.
To garner the views of young people with epilepsy and caregivers regarding the impact of COVID-19 and subsequent restrictions in the UK.
An online survey was used to explore the views of young people with epilepsy (n = 71) and caregivers (n = 130) in June 2020. It included questions on the impact of the pandemic and associated restrictions on the child's epilepsy and on child and parental wellbeing.
One in three young people and 29 % of caregivers reported that the young person's seizures had increased during the pandemic (only 10 % of young people and 8% of caregivers reported a decrease). Half of young people reported that they were more reluctant to go to hospital. Thirty-one percent of young people and 20 % of parents reported difficulties getting epilepsy medication whilst a significant minority of young people (18 %) and caregivers (25 %) reported that the young person had investigations/assessments cancelled by their hospital. The majority of young people reported their sleep (72 %), mood (64 %) and levels of physical activity (53 %) had deteriorated. Caregivers experienced increases in stress (55 %) and anxiety (52 %). Epilepsy nurses were seen as the most helpful support CONCLUSIONS: Results indicate that the pandemic and associated restrictions have had a negative impact on young people with epilepsy. Perceived increases in seizures, reluctance to go to hospital and cancelled investigations are likely to impact on epilepsy management. The wider psychosocial impact is also likely to be significant with increases in child and caregiver mental health problems in an already vulnerable group.
了解英国青少年癫痫患者及其照顾者对 COVID-19 及其后续限制的看法。
2020 年 6 月,我们使用在线调查来探索癫痫青少年(n=71)和照顾者(n=130)的意见。它包括了关于大流行及其相关限制对儿童癫痫以及儿童和父母健康的影响的问题。
三分之一的青少年和 29%的照顾者报告说,在大流行期间,青少年的癫痫发作增加了(只有 10%的青少年和 8%的照顾者报告癫痫发作减少)。一半的青少年报告说他们更不愿意去医院。31%的青少年和 20%的父母报告说难以获得癫痫药物,而少数青少年(18%)和照顾者(25%)报告说,他们的医院取消了对青少年的检查/评估。大多数青少年报告说他们的睡眠(72%)、情绪(64%)和身体活动水平(53%)恶化了。照顾者的压力(55%)和焦虑(52%)增加。癫痫护士被视为最有帮助的支持。
结果表明,大流行和相关限制对青少年癫痫患者产生了负面影响。癫痫发作增加、不愿去医院和取消检查可能会影响癫痫管理。在已经脆弱的群体中,儿童和照顾者心理健康问题的增加也可能产生重大的广泛的心理社会影响。