成人癫痫中心癫痫发作行动计划的评估
Evaluation of a Seizure Action Plan in an Adult Epilepsy Center.
作者信息
Long Lucretia, Reynolds Staci S, Lewis Lisa S, Webb Michelle A, Epley Crystal, Maturu Sarita
机构信息
The Ohio State University Wexner Medical Center (LL, CE, SM), Columbus; Duke University (RSS, LSL, MAW), Durham, NC.
出版信息
Neurol Clin Pract. 2024 Jun;14(3):e200275. doi: 10.1212/CPJ.0000000000200275. Epub 2024 Apr 4.
BACKGROUND
Seizure action plans (SAPs) provide valuable information for patients to manage seizure emergencies, but are underutilized in adult epilepsy centers. The purpose of this project was to implement a structured SAP for adult patients with epilepsy.
METHODS
A pre/postimplementation design was used. Provider SAP utilization rates were analyzed over a 16-week period. A pre and postimplementation survey assessed participant perceived impact of the SAP on knowledge and comfort associated with managing seizure emergencies. Provider barriers and facilitators were also assessed.
RESULTS
Average provider SAP utilization rate was 51.45%. A total of 204 participants completed the surveys, which showed a significant increase in knowledge and comfort for all items, < 0.001. At postsurvey analysis, 98% of participants felt that all patients with epilepsy should have a SAP regardless of seizure burden.
DISCUSSION
Implementing a structured SAP increased provider utilization and patient and care partner knowledge and comfort of managing seizure emergencies.
背景
癫痫发作行动计划（SAPs）为患者应对癫痫紧急情况提供了有价值的信息，但在成人癫痫中心的使用并不充分。本项目的目的是为成年癫痫患者实施结构化的癫痫发作行动计划。
方法
采用实施前/实施后设计。在16周的时间内分析医疗服务提供者对癫痫发作行动计划的使用率。实施前和实施后的调查评估了参与者对癫痫发作行动计划在管理癫痫紧急情况相关知识和舒适度方面的感知影响。还评估了医疗服务提供者面临的障碍和促进因素。
结果
医疗服务提供者对癫痫发作行动计划的平均使用率为51.45%。共有204名参与者完成了调查，结果显示所有项目的知识和舒适度都有显著提高，P<0.001。在调查后分析中，98%的参与者认为所有癫痫患者都应该有癫痫发作行动计划，无论发作负担如何。
讨论
实施结构化的癫痫发作行动计划提高了医疗服务提供者的使用率以及患者和护理伙伴在管理癫痫紧急情况方面的知识和舒适度。
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