Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA.
Nationwide Children's Hospital, 700 Childrens Drive, Columbus, OH 43205, USA.
Epilepsy Behav. 2023 Jul;144:109232. doi: 10.1016/j.yebeh.2023.109232. Epub 2023 May 15.
Self-management education programs have been highly successful in preparing people to manage medical conditions with recurring events. A detailed curriculum for epilepsy patients, and their caretakers, is lacking. Here we assess what is available for patients who have disorders with recurring events and offer an approach to developing a potential self-care curriculum for patients with seizures and their caregivers. Among the anticipated components are a baseline efficacy assessment and training tailored to increasing self-efficacy, medication compliance, and stress management. Those at risk of status epilepticus will also need guidance in preparing a personalized seizure action plan and training in how to decide when rescue medication is appropriate and how to administer the therapy. Peers, as well as professionals, could teach and provide support. To our knowledge, no such programs are currently available in English. We encourage their creation, dissemination, and widespread use.
自我管理教育计划在帮助人们应对具有反复发作事件的医疗状况方面取得了巨大成功。但目前缺乏针对癫痫患者及其照顾者的详细课程。本文评估了针对反复发作性疾病患者的现有资源,并提出了一种针对癫痫发作患者及其护理人员的潜在自我护理课程的开发方法。预期的组成部分包括基线疗效评估和专门针对提高自我效能、药物依从性和压力管理的培训。有癫痫持续状态风险的患者还需要指导,以制定个性化的癫痫发作行动计划,并培训如何判断何时使用急救药物以及如何进行治疗。同行以及专业人员也可以提供教学和支持。据我们所知,目前尚无此类英语课程。我们鼓励创建、传播和广泛使用此类课程。