Impacts of Seizure Care Simulation Intervention on Mothers’ of Epileptic Children Efficiency, Believes, Anxiety and Seizure Care

Walaa Ahmad Hamaad¹ and Wafaa Hassan Hassan Alseraty^2,

¹Medical Surgical Nursing, Faculty of Nursing, El -Menofya University, Egypt

²Pediatric Nursing, Faculty of Nursing, Tanta University, Egypt

Cite this paper

Walaa Ahmad Hamaad and Wafaa Hassan Hassan Alseraty. Impacts of Seizure Care Simulation Intervention on Mothers’ of Epileptic Children Efficiency, Believes, Anxiety and Seizure Care. American Journal of Nursing Research. 2019; 7(3):293-300. doi: 10.12691/AJNR-7-3-9

Abstract

Background; Epilepsy is one of the most common neurological disorders among children. Lack of knowledge about safe care among mothers whom are the first care providers will affect children life and mother self efficiency. Aim of the study; to assess impacts of seizure care simulation intervention on mothers’ of epileptic children efficiency, believes anxiety and seizure care. Design: Quasi experimental research design was used. Sample & setting; 73 mothers admitted with their epileptic children in neurology & pediatric departments from June - July 2018 at Menofyia university hospital /Shibeen El Kom and accept to participate in the study were included. Intervention was given to them into 5 sessions post test was conducted after one month post hospital discharge. Results; 70% of mothers aged 20-40 years and 78% of them their epileptic children were male. Regarding subjects knowledge; 60% of them had correct answer post the intervention related to definition of epilepsy, 70% causes of epilepsy and 80% of them know correctly pre seizure manifestation, also about two thirds of them post one month from the intervention had correct answer regarding care pre seizure attacks, care during seizure and correct care post seizure attacks with significant difference were found pre and post one month from intervention. Regarding maternal self efficiency level nearly all mothers post one month from the intervention very sure that; they can know if their child has seizure attack before it happen and can manage seizure effectively. Maternal believes about epileptic children abilities were improved post one month from intervention. There was significant difference in maternal seizure management practice pre and post one month from intervention also maternal anxiety was decrease post one month from intervention. Conclusion: Seizure care simulation intervention produces significant improvement in maternal knowledge, change their attitude and improve their care practice which decrease maternal anxiety and raise their self efficiency. Recommendation: Mothers of epileptic children need special preparation through well planned educational intervention which support them to practice effective physical &psychological care and maintain their physical and psychological safety, well being and decrease their anxiety level regarding their children health and all family members wellbeing.

Keywords

seizure care simulation intervention, epilepsy, self efficiency and anxiety

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]	Carl, S., (2006). Epilepsy; A review of selected clinical syndromes and advances in basic science. Journal of Cerebral Blood Flow & Metabolism; 26: 983-1004.
[2]	Gidal, E, & Garnett, W., (2005). Epilepsy In: Dipiro T, Talbert L, Yee C, Matzke R, Wells G, Posey M, eds. Pharmacotherapy: a pathophysiologic approach. USA: McGraw-Hill Companies Inc, 6th ed. 2005: 1023-46.
[3]	Al Rajeh, S., Awada, A., Bademosi, O., and Ogunniyi, A., (2001). The prevalence of epilepsy and other seizure disorders in an Arab population: a community-based study, Seizure, 10: 410-414.
[4]	Almutairi, A., Ansari, T., Sami, W., and Baz, S., (2016). Public knowledge and attitudes toward epilepsy in Majmaah. J. Neurosci. Rural Pract., 7: 499-503.
[5]	Shehata, G., (2016). A Review of Epilepsy Stigma in Egypt, Acta Psychopathol. 2016, 2:13.
[6]	Al-Zubaidi, M., Alsudairy, N., Alzubaidi, B., Joharji, R., Al Qurashi, S., Alsadi, K., Abulela, A., (2017). Assessment of Knowledge and Attitude and Practice of Parents towards Epilepsy among Children in Jeddah City, The Egyptian Journal of Hospital Medicine, Vol. 69 (6), Page 2685-2689.
[7]	Guerrini, R., (2006). Epilepsy in children. Lancet, 367(9509), (06)68: 182-8.
[8]	The National Society for Epilepsy. (2009). What is epilepsy?: http://www.epilepsynse.org.kk/ about epilepsy/what is epilepsy.
[9]	McNamara, O., (2001). Drugs effective in the therapy of the epilepsies. In: Hardman G, Limbird E, Goodman A, 10th ed. Goodman and Gilman's the pharmacological basis of therapeutics, New York: McGraw-Hill Companies Inc, 521-48.
[10]	Stafstrom,C., & Carmant., (2015). Seizures and Epilepsy: An Overview for Neuroscientists, Cold Spring Harb Perspect Med; 5(6): a 022426.
[11]	Reynolds, H., (2000). WHO Global Campaign against Epilepsy: bringing epilepsy ‘out of the shadows’,” Epilepsy and Behavior, vol. 1, no. 4, pp. S3-S8.
[12]	Dell, J., Wheless, W., and Cloyd, J., (2007). The personal and financial impact of repetitive or prolonged seizures on the patient and family,” Journal of Child Neurology, vol. 22, no. 5, supplement: 61S-70S.
[13]	Rodenburg, R., Stams, J., Meijer, M., Aldenkamp, P., & Deković M., (2005). Psychopathology in children with epilepsy: a meta-analysis. Journal of pediatric psychology, 30(6), 453-68.
[14]	McDermott S., Mani S., & Krishnaswami S., (2009). A population based analysis of specific behavior problems associated with childhood seizures. Journal of Epilepsy, 8, 110-8.
[15]	Shinnar, S., & Pellock, M., (2002). Update on the epidemiology and prognosis of pediatric epilepsy. Journal of Child Neurology, 17(1): S4-S17.
[16]	Litt, B., (2001). Engineering Devices to Treat Epilepsy: A Clinical Perspective, 23rd Annual International Conference of the IEEE Engineering in Medicine and Biology Society, volume 4: 4124-4128.
[17]	Sung, C., Muller,R., Ditchman, N., Phillips, B., Chan, F., (2013). Positive Coping, Self- efficiency, and Self-Esteem as Mediators Between Seizure Severity and Life Satisfaction in Epilepsy. Rehabil Res Policy Educ.; 27(3): 154-70.
[18]	Wagner ,L., Smith, G., Ferguson, P., (2012). Self-efficiency for seizure management and youth depressive symptoms: caregiver and youth perspectives. Seizure. 21(5): 334-9.
[19]	Mohamed, M., Hassan, M., & Mohamed, M., (2018). Effect of Epilepsy on The Quality of Life of Children and Their Family Caregivers, IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-ISSN: 2320-1959.p- ISSN: 2320–1940 Volume 7, Issue 5 Ver. V. (Sep.-Oct .2018): 55-63.
[20]	Ferro,A., Speechley, N., (2009). Depressive symptoms among mothers of children with epilepsy: a review of prevalence, associated factors, and impact on children. Epilepsia; 50: 2344-54.
[21]	Kessler,C., Chiu, T., Demler, O., et. al., (2005). Prevalence, severity, and comorbidity of 12 month DSMIV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 2; 62: 617-27.
[22]	McLean,P., Asnaani, A., Litz, T., (2011). Gender differences in anxiety disorders: prevalence, course of illness, comorbidity and burden of illness. J Psychiatr, A systematic review, official journal of the international league against epilepsy, Volume 57, Issue4: 529-537.
[23]	Malakooti, M., McBride, M., Mobley, B., Joshua, L. Goldstein, J., Adler, M., McGaghie, W., (2015). Mastery of Status Epilepticus; Management via Simulation-Based Learning for Pediatrics Residents, Journal of Graduate Medical Education: 181-186.
[24]	McDonald C, Haberman D, Brown N. Self-efficacy: Empowering parents of children with cystic fibrosis. J Cyst Fibros. 2013; 12: 538-43.
[25]	Murphy, N., Christian, B., Caplin, D., et al., (2006). The health of caregivers for children with disabilities: Caregivers perspectives. Child Care Health Dev.; 33: 180-7.
[26]	Dunst, C., & Dempsey, I., (2007). Family-professional partnerships and parenting competence, confidence, and enjoyment, Int J Disabil, 54: 305-18.
[27]	Taylor, J. (1953). "A personality scale of manifest anxiety". The Journal of Abnormal and Social Psychology, 48(2), 285-290.
[28]	Connor, P., Lorr, M., & Stafford, W., (1956). Some patterns of manifest anxiety, Journal of Clinical Psychology, 12(2), 160-163.
[29]	Long, L., Reeves, L., Moore, L., Roach, J., & Pickering, T., (2000). An assessment of epilepsy patients’ knowledge of their disorder, Epilepsia, 41, 727-731.
[30]	Shore, C., Buelow, J., Austin, J., & Johnson, C., (2010). Continuing Psychosocial Care Needs in Children with New-Onset Epilepsy and Their Parents, J Neurosci Nurs., J Neurosci Nurs., 41(5): 244-250.
[31]	Sigalet, E., Cheng, A., Donnon, T., Koot, D., Chatfield, J., Robinson T., Catena, H., Grant, V., (2014). A simulation-based intervention teaching seizure management to caregivers: A randomized controlled pilot study, Paediatr Child Health.; 19(7): 373-8.
[32]	Gholami, S., Reyhani, T., Beiraghi, M., Vashani, H., (2016). Effect of a Supportive Educational Program on Self-Efficacy of Mothers with Epileptic Children, Article 5, Volume 6, Issue 2,: 49-56.
[33]	Mc Donald, C., Haberman, D., & Brown, N., (2014). Self-efficacy: Empowering parents of children with cystic fibrosis., J Cyst Fibros., 12: 538-43.
[34]	Murphy, N., Christian, B., Caplin, D., et al., (2014). The health of caregivers for children with disabilities: Caregivers perspectives, child Care Health Dev. 2014; 33: 180-187.
[35]	Shields, L., Zhou, H., &Pratt, J., (2012(. Family-centered care for hospitalized children aged 0–12 years, Cochrane Database of Systematic Reviews. 2012; (10): CD004811.
[36]	Mc Gaghie, W., Issenberg, B., & Cohen, E., (2011). Does simulation-based medical education with deliberate practice yield better results than traditional clinical education? A meta-analytic comparative review of the evidence. Acad Med, 86: 706-11.
[37]	Barsuk, J., Cohen, E., Feinglass, J., et al., (2009). Use of simulation-based education to reduce catheter-related bloodstream infections. Arch Intern Med. 2009; 169: 1420-1423.
[38]	Henok, A., & Lamaro, T., (2017). Knowledge about and attitude towards epilepsy among menit community, Southwest Ethiopia. Ethiop J Health Sci; 27: 47-58.
[39]	Alaqeel A, Sabbagh A. Epilepsy: what do Saudi’s living in Riyadh know? Seizure 2013; 22: 205e209.
[40]	Alsobky, F., (2011). Effect of Educational Intervention on Improvement of Quality of Life for Children with Epilepsy, Student School Health Insurance in Benha.
[41]	Hagemanna, A., Pfäfflin, M., Fridtjof, N., & Theodor, M., (2016). The efficacy of an educational program for parents of children with epilepsy: Results of a controlled multicenter evaluation study, Epilepsy & Behavior, Volume 64, Part A, November, 143-151.
[42]	Reed, M., (2013). Parental Caregivers' Description of Caring for Children with Intractable Epilepsy, PARENTAL CAREGIVERS‘ DESCRIPTION OF CARING FOR CHILDREN WITH INTRACTABLE EPILEPSY, Doctor of Philosophy, Persistent link: http://hdl.handle.net/2345/3153, Boston College University Libraries
[43]	Dogahe, S., Pasha, A., Chehrzad, M., & Roshan, Z. (2018). The effect of education based on the Health Belief Model in mothers about behaviors that prevent febrile seizure in children, international journal of biomedicine and public health, Article 5, Volume 1, Issue 1: 23-29.
[44]	Hazaveyee MS, Shamsi M. The effect of education based on Health Belief Model (HBM) in mothers about behavior of prevention from febrile convulsion in children. Scientific Journal of Hamadan Nursing & Midwifery Faculty. 2013; 21(2): 37-47.
[45]	Sajjadi, M., & Mohsen, S., (2013). he Effect of Education Based on Health Belief Model (HBM) in Mothers about Behavior of Prevention from Febrile Convulsion in Children, in World Journal of Medical Sciences 9(1): 30-35.
[46]	Austin, K., Kakacek, R., Carr, D., (2010). Impact of training program on school nurses’ confidence level in managing and supporting students with epilepsy and seizures. The Journal of School Nursing. 26(6): 420-230.
[47]	Harris, P., Snell, L., Talbot, M, et al., (2010). Competency-based medical education: Implications for undergraduate programs. Med Teach. 2010; 32: 646-650.
[48]	Lewis, M., Hatton, C., Salas, I., Barbara Leake, B., Nelly Chiofalo, N., (1991). Impact of the Children's Epilepsy Program on Parents, Volume, 32, Issue 3, Pages 365-374.