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COVID-19 期间癫痫患儿父母的疾病相关恐惧对其子女癫痫自我效能感的影响。

The effect of illness-related fears of parents of children with epilepsy during the COVID-19 period on their children's seizure self-efficacy.

机构信息

Alanya Alaaddin Keykubat University Faculty of Health Science, Pediatric Nursing Department, Alanya, Turkey.

Dokuz Eylul University Faculty of Nursing, Pediatric Nursing Department, Izmir, Turkey.

出版信息

Arch Pediatr. 2024 Jul;31(5):326-332. doi: 10.1016/j.arcped.2024.02.008. Epub 2024 Jun 9.

Abstract

BACKGROUND

Seizure-related self-efficacy is the belief individuals have that they can perform the necessary actions to cope effectively with their seizures. Determining, developing, strengthening, and maintaining the perception of self-efficacy in children with epilepsy facilitates the child's disease management and their ability to cope with it. This study aimed to assess the impact of epilepsy-related parental fears during the COVID-19 period on the seizure self-efficacy of their children.

METHODS

A total of 321 children with epilepsy and their parents participated in this descriptive, correlational, and cross-sectional study. Data were collected through the Descriptive Information Form, the Seizure Self-Efficacy Scale for Children (SSES-C), and the Epilepsy-Related Fears in Parents Questionnaire (EFPQ). Descriptive statistics, including frequency, percentage, and mean scores, were used to analyze the characteristics of the children and their parents. The Shapiro-Wilk test was utilized to assess the normality of the scale data. Pearson correlation analysis examined the relationship between parents' epilepsy-related fears and their children's seizure self-efficacy, while multiple regression analysis determined the effect of parental fears on children's seizure self-efficacy.

RESULTS

The mean age of children included in the study was 12.65±2.37 years. Analysis revealed a strong and significant negative correlation between parents' epilepsy-related fears during the COVID-19 period and the seizure self-efficacy of their children. In the model created with regression analysis, The mean scores of parents on the short-term fears of parents about epilepsy of the EFPQ explained 85 % of children's seizure self-efficacy. The mean scores of parents on the long-term fears of parents about epilepsy of the EFPQ explained 85 % of children's seizure self-efficacy. It was determined that all of these variables together explained 85 % of the seizure self-efficacy of children with epilepsy.

CONCLUSION

The findings of the study underscore the importance of addressing parents' fears regarding epilepsy, emphasizing the need for healthcare professionals to be aware of and provide support for these concerns. Future studies should focus on interventions to enhance the seizure self-efficacy of children with epilepsy.

摘要

背景

与癫痫发作相关的自我效能感是指个体相信自己能够采取必要的行动来有效地应对癫痫发作。确定、发展、增强和维持癫痫患儿的自我效能感有助于他们管理疾病并应对疾病。本研究旨在评估 COVID-19 期间与癫痫相关的父母恐惧对其子女癫痫发作自我效能感的影响。

方法

共有 321 名癫痫患儿及其父母参与了这项描述性、相关性和横断面研究。通过描述性信息表、儿童癫痫发作自我效能量表(SSES-C)和父母癫痫相关恐惧问卷(EFPQ)收集数据。使用频率、百分比和平均值来分析儿童及其父母的特征。使用 Shapiro-Wilk 检验评估量表数据的正态性。Pearson 相关分析检验了父母与癫痫相关的恐惧与子女癫痫发作自我效能感之间的关系,而多元回归分析则确定了父母恐惧对子女癫痫发作自我效能感的影响。

结果

研究中纳入的儿童平均年龄为 12.65±2.37 岁。分析显示,COVID-19 期间父母与癫痫相关的恐惧与子女癫痫发作自我效能感之间存在强烈而显著的负相关。在回归分析创建的模型中,EFPQ 中父母对癫痫的短期恐惧的平均得分解释了儿童癫痫发作自我效能感的 85%。EFPQ 中父母对癫痫的长期恐惧的平均得分解释了儿童癫痫发作自我效能感的 85%。确定这些变量共同解释了癫痫患儿癫痫发作自我效能感的 85%。

结论

研究结果强调了关注父母对癫痫的恐惧的重要性,强调医疗保健专业人员需要意识到这些担忧并为其提供支持。未来的研究应关注增强癫痫患儿癫痫发作自我效能感的干预措施。

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