Nemati Hamid, Mahdavi Khanouki Zahra, Ghasempour Mohammad, Amirifar Ahmad Ali, Alaei Karahroudi Fatemeh, Gholami Maryam
Shiraz Neuroscience Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Instructor, Department of Nursing and Midwifery, Islamic Azad University, Kerman Branch, Kerman, Iran.
Iran J Child Neurol. 2021 Fall;15(4):55-65. doi: 10.22037/ijcn.v15i4.30119.
Epilepsy is a chronic disease of the nervous system, which remarkably affects children's performance and behaviors. Epileptic children are at greater risk of cognitive and behavioral disorders compared to healthy children. In this regard, a variety of factors associated with this disease may affect the patients' families.
MATERIALS & METHODS: The present study was a randomized controlled clinical trial, which aimed to evaluate the effect of family empowerment on the quality of life in epileptic children referred to the concerned centers (the Bessat Clinic affiliated to the Kerman University of Medical Sciences and Shiraz's Imam Reza Clinic). The participants, who were 80 parents with epileptic children meeting the inclusion criteria, were assigned into two experimental and control groups. In this study, the Quality of Life in Childhood Epilepsy Questionnaire (QOLCE) was used to collect the required data from the parents.
The studied children's age ranged from 4-8 years. These results revealed a statistically significant difference between the two groups regarding the level of changes in all dimensions, indicating that the experimental group's mean score of quality of life in different dimensions increased ( <0.05 in all dimensions).
The implementation of the family-centered care plan by care providers, based on patient-family support relationships, the detection of their strengths and weaknesses, prioritization of the provided services, and effective interaction with the health team would increase the family and staff's satisfaction, reduce the costs, and improve the outcome of the disease.
癫痫是一种慢性神经系统疾病,显著影响儿童的表现和行为。与健康儿童相比,癫痫儿童患认知和行为障碍的风险更高。在这方面,与该疾病相关的多种因素可能会影响患者家庭。
本研究为随机对照临床试验,旨在评估家庭赋权对转诊至相关中心(克尔曼医科大学附属贝萨特诊所和设拉子伊玛目礼萨诊所)的癫痫儿童生活质量的影响。80名符合纳入标准的癫痫儿童家长参与研究,被分为实验组和对照组。本研究采用儿童癫痫生活质量问卷(QOLCE)从家长处收集所需数据。
研究儿童年龄在4至8岁之间。这些结果显示,两组在所有维度的变化水平上存在统计学显著差异,表明实验组在不同维度的生活质量平均得分有所提高(所有维度均<0.05)。
护理人员实施以家庭为中心的护理计划,基于患者与家庭的支持关系,发现其优势与不足,对所提供服务进行优先级排序,并与医疗团队进行有效互动,将提高家庭和工作人员的满意度,降低成本,并改善疾病治疗效果。