Huis In 't Veld Evangeline A, Braams Olga, Otte Willem M, van Rijen Peter, Braun Kees P J, Schappin Renske
Department of Pediatric Psychology and Social Work, University Medical Center Utrecht, the Netherlands.
Department of Child Neurology, University Medical Center Utrecht, the Netherlands.
Epilepsy Behav Rep. 2025 Apr 14;30:100771. doi: 10.1016/j.ebr.2025.100771. eCollection 2025 Jun.
After epilepsy surgery, it varies when children re-enter school. The aim of this study was to identify determinants for this variation. Parents of 21 school-attending children participated in semi-structured interviews during their child's hospitalization for epilepsy surgery and one year afterward (based on the standard neuropsychological post-surgical follow-up). The mean time to school re-entry was 10.7 weeks (SD = 6.3). One child did not attend school after one year, whilst the fastest child resumed school 2 weeks after surgery. We performed univariable linear regression models with bootstrapped R for all variables deemed theoretically or clinically relevant to school re-entry. We found that temporal surgery was significantly related to shorter time to school re-entry; and that longer hospitalization, and presurgical outpatient educational counseling were significantly related to longer time to school re-entry. In multivariable linear regression, these variables together predicted 57% of variance (bootstrapped) in time to school re-entry. In conclusion, our findings indicate that school re-entry varies considerably among children but can partly be explained by surgery related variables and the presence of counseling. Given the importance of school in children's daily lives, we argue that school attendance should be stimulated by increasing professionals' awareness of children's school re-entry process.
癫痫手术后，儿童重新入学的时间各不相同。本研究的目的是确定这种差异的决定因素。21名学龄儿童的家长在其孩子因癫痫手术住院期间及术后一年（基于标准的术后神经心理学随访）参与了半结构化访谈。重新入学的平均时间为10.7周（标准差=6.3）。一名儿童在术后一年未上学，而最快的儿童在术后2周就恢复了上学。我们对所有理论上或临床上与重新入学相关的变量进行了带自助抽样R的单变量线性回归模型分析。我们发现，颞叶手术与较短的重新入学时间显著相关；较长的住院时间以及术前门诊教育咨询与较长的重新入学时间显著相关。在多变量线性回归中，这些变量共同预测了重新入学时间57%的方差（自助抽样）。总之，我们的研究结果表明，儿童重新入学的情况差异很大，但部分可以由手术相关变量和咨询情况来解释。鉴于学校在儿童日常生活中的重要性，我们认为应通过提高专业人员对儿童重新入学过程的认识来促进儿童上学。
