Background: The parental role is crucial in the management of children with epilepsy before, during, and after the seizures. It is crucial to ascertain the sufficient knowledge, attitude, and proper practice of the caregivers about epilepsy; however, caregivers with high self-efficacy are more able to achieve caregiving tasks of epilepsy children at the best level.
Purpose: To assess the effect of an educational intervention on the knowledge, attitude, reported practice and self-efficacy of caregivers of children with epilepsy.
Methods: A pretest-posttest quasi-experimental design was used to carry out the study, in which a convenient sample of 60 caregivers for epilepsy children was chosen from the outpatient clinics of Al-Ahrar Zagazig Teaching Hospital. The candidates were asked to fill up a questionnaire as a pretest, and then were exposed to a tailored educational intervention about epilepsy before being reassessed again using the same questionnaire.
Results: Most of caregivers were married females, and mainly mothers. Although caregivers generally had low level of knowledge, attitudes, reported practices, and self-efficacy about epilepsy before the educational intervention, they improved significantly after the educational intervention. The educational program was a significant independent positive predictor of caregivers' scores of knowledge, attitudes, practice and self-efficacy.
Discussion: The study findings demonstrate significant improvements in the knowledge, attitude, and reported practice as well as the self-efficacy scores of caregivers of children with epilepsy following the implementation of the educational intervention, which reflects the importance of providing educational intervention to improve the knowledge, attitude, practice, and self-efficacy of epilepsy children caregivers.
Epilepsy is a chronic neurological disorder that causes spontaneous recurrence of unprovoked seizures. The incidence rate is known to be bimodal with peaks in children and older people. Older people have been found to be particularly susceptible to threats posed by the coronavirus disease 2019 (COVID-19). In this article, we discuss the vulnerability of older patients with epilepsy and the importance of comprehensive support for this population during the COVID-19 crisis. Epilepsy clinicians need to understand their situations in order to provide proper care for older patients with epilepsy.
Coronavirus disease 2019 (COVID-19) is a novel infectious disease caused by severe acute respiratory syndrome coronavirus 2. COVID-19 was initially detected in Wuhan, China in late 2019, and has rapidly spread worldwide. As the battle against COVID-19 becomes more and more long-term, it has become important to consider how to perform epilepsy surgery in the environment with the COVID-19 crisis. In this review article, we propose strategies for institutions that perform epilepsy surgery. First, we discuss the importance of coordinating neurosurgical team and inter-hospital collaboration as a hospital-based initiative. Next, we describe three surgical activities: preoperative evaluation, perioperative management, and during operation. We also discuss management of outpatients as a postoperative strategy. Finally, we mention the importance of psycho-logical support for medical staff, patients, and caregivers. By utilizing these strategies, we should make the best efforts to provide the necessary surgical treatment to patients with epilepsy, even in the COVID-19 era.
The purpose of this review is to describe the impact of COVID-19 on women with epilepsy and how the issues are managed. From a review of relevant literature, we discuss special considerations for women with epilepsy during the COVID-19 crisis, which include menstruation, pregnancy, and living environment. We also propose comprehensive management including menstruation/pregnancy, medications, and mental stress. Through this review, the serious impact of COVID-19 on women with epilepsy is revealed. Epileptologists must understand these burdens in order to provide comprehensive support for women with epilepsy.