Santilli Nancy, Dewar Sandra, Guerra Cynthia, Misra Sunita N, Rabinowicz Adrian L, Carrazana Enrique
Human Care Systems, 720-84 State St, Boston, MA 02109, United States.
Department of Neurology, Virginia Commonwealth University School of Medicine, 1101 E Marshall St, Richmond, VA 23298-0599, United States.
Epilepsy Behav Rep. 2023 Apr 27;22:100604. doi: 10.1016/j.ebr.2023.100604. eCollection 2023.
School nurses play a crucial role in the prompt, appropriate response to epilepsy-related seizure emergencies among students in the school setting. Two intranasal benzodiazepine rescue therapies are now approved and offer potential benefits of being easy to use and socially acceptable. In July 2021, a survey was sent to 49,314 US school nurses to assess knowledge, perceptions, and practice with seizure rescue therapy. Responses were received from 866 (1.8% response rate). Of respondents, 45.7% had used rectal diazepam gel; 9.3%, midazolam nasal spray; and 6.0%, diazepam nasal spray. The majority (58.7%) had not delegated authority to administer rescue therapy, with state/local regulations and lack of willingness of school personnel being the most common barriers to delegation (37.7% and 20.1%, respectively). Additional training of nurses and school staff and progress on delegation policies may help optimize appropriate use of intranasal rescue therapy for seizures and enhance care of students with epilepsy in schools.
学校护士在学校环境中对学生癫痫相关发作紧急情况做出迅速、恰当的反应方面发挥着关键作用。目前有两种鼻内苯二氮䓬类急救疗法已获批准，它们具有易于使用和社会接受度高的潜在优势。2021年7月，一项调查被发送给49314名美国学校护士，以评估他们对发作急救疗法的知识、认知和实践情况。收到了866份回复（回复率为1.8%）。在受访者中，45.7%使用过直肠地西泮凝胶；9.3%使用过咪达唑仑鼻喷雾剂；6.0%使用过地西泮鼻喷雾剂。大多数（58.7%）没有下放急救疗法的给药权限，州/地方法规和学校工作人员不愿意是下放权限最常见的障碍（分别为37.7%和20.1%）。对护士和学校工作人员进行额外培训以及在授权政策方面取得进展，可能有助于优化鼻内癫痫急救疗法的合理使用，并加强学校中癫痫学生的护理。
