德拉韦综合征给西班牙照料者带来的社会和情感负担。
The social and emotional burden of Dravet syndrome on Spanish caregivers.
作者信息
Sánchez Marco Naiara, Giorgi Simona, Aibar José Ángel
机构信息
Dravet Syndrome Foundation Spain, Madrid, Spain, C/ Toledo, 46, 1°, 28005, Madrid, Spain.
出版信息
Heliyon. 2024 Jul 17;10(14):e34771. doi: 10.1016/j.heliyon.2024.e34771. eCollection 2024 Jul 30.
BACKGROUND
Dravet syndrome (DS) is a rare developmental and epileptic encephalopathy that presents with frequent and prolonged seizures resistant to treatment as well as cognitive problems such as behavioral and developmental delays. However, there is a lack of scientific literature on the impact of this condition on caregivers and the family unit.
OBJECTIVES
To find out the social and emotional impact of DS on the family unit, to provide a comprehensive understanding of the disease's effects on both the family and caregivers.
MATERIALS AND METHODS
A tailored online survey was administered to Spanish DS families, collecting data on the employment, financial, emotional, and social status of patients and caregivers.
RESULTS
A total of 112 Spanish caregivers participated in the study. The mean age of the 112 parents was 46.61 years, and 77.68 % of them were mothers. The majority of caregivers had to quit their jobs or reduce their working hours to take care of their child with DS, being the most of them mothers. Most of the caregivers felt that they were not well-informed by healthcare professionals (HCPs) and the Spanish National Health System (NHS). Despite access to resources, families often face financial strain and challenges in obtaining sufficient support, highlighting the need for enhanced social, economic, and psychological backing. In addition, both sentimental and social relationships were negatively impacted in the vast majority of respondents.
CONCLUSIONS
The study advocates for policy reforms, integrated social services, community programs, and multidisciplinary efforts to improve the quality of life and social integration for those affected by DS.
背景
德雷维特综合征(DS)是一种罕见的发育性癫痫性脑病,表现为频繁且持续时间长的难治性癫痫发作以及行为和发育迟缓等认知问题。然而,关于这种疾病对照顾者和家庭单位影响的科学文献匮乏。
目的
了解DS对家庭单位的社会和情感影响,全面认识该疾病对家庭和照顾者的影响。
材料与方法
对西班牙的DS家庭进行了一项定制的在线调查,收集患者和照顾者的就业、财务、情感和社会状况数据。
结果
共有112名西班牙照顾者参与了该研究。112名家长的平均年龄为46.61岁,其中77.68%为母亲。大多数照顾者不得不辞职或减少工作时间来照顾患有DS的孩子,其中大多数是母亲。大多数照顾者认为医疗保健专业人员(HCPs)和西班牙国家卫生系统(NHS)提供的信息不足。尽管有资源可用,但家庭在获得足够支持方面经常面临经济压力和挑战,这凸显了加强社会、经济和心理支持的必要性。此外,绝大多数受访者的情感和社会关系都受到了负面影响。
结论
该研究倡导进行政策改革、整合社会服务、开展社区项目以及采取多学科措施,以提高受DS影响者的生活质量和社会融合度。