Effects of a Nurse-Led Cognitive Behavioral Intervention for Parents of Children With Epilepsy.

Journal: Pediatric neurology

Volume: 154

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Neurology, Xiangya Hospital of Central South University, Changsha, Hunan, China; Department of Clinical Nursing Teaching and Research Section, Xiangya Hospital, Central South University, Changsha, Hunan, China. Department of Cardiology, Laizhou People's Hospital, Yantai, Shandong, China. Department of Neurology, Xiangya Hospital of Central South University, Changsha, Hunan, China; Department of Neurology, National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China. Department of Neurology, Xiangya Hospital of Central South University, Changsha, Hunan, China; Department of Neurology, National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China; Department of Neurology, Xiangya Hospital, Central South University (Jiangxi Branch), Nanchang, Jiangxi, China. Electronic address: fenglihx@.com. Department of Anesthesiology, Xiangya Hospital of Central South University, Changsha, Hunan, China. Electronic address: yanghj@.com.

Abstract summary 

This study aimed to evaluate the effects of a nurse-led cognitive behavioral intervention for parents of children with epilepsy (CWE).The study recruited 238 CWE from the neurology ward of Xiangya Hospital from March 2019 to August 2022. According to the interventions after discharge, the children and their parents were randomly divided into 117 parent-child dyads in the intervention group and 121 parent-child dyads in the control group. The seizure severity and treatment compliance in CWE as well as the parents' psychological states and satisfaction with the care provided by nurses were compared before and after intervention.The follow-up six months after discharge showed that the seizure frequency among CWE in the intervention group was significantly less than the controls (P = 0.048). Compared with the controls, the intervention group also reported fewer symptoms of anxiety and depression, better sleep quality, and more positive attitudes toward epilepsy, as well as higher nursing satisfaction (P < 0.001). The correlation analysis indicated the correlation of CWE's seizure severity was correlated with the compliance, parents' psychological states, and parents' satisfaction with the care provided by nurses.The adoption of the nurse-led cognitive behavioral intervention on parents of CWE can improve the parents' mental health status and their satisfaction with the nurses, which can have a positive association with the seizure severity of CWE. In light of this information, this nursing intervention may be a new method for the long-term disease management of CWE.

Authors & Co-authors:  Wu Li Huang Huang Xiao Chi Feng Yang

Study Outcome 

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Citations : 
Authors :  8
Identifiers
Doi : 10.1016/j.pediatrneurol.2024.03.003
SSN : 1873-5150
Study Population
Male,Female
Mesh Terms
Other Terms
Children with epilepsy;Cognitive behavioral intervention;Nursing;Parents;Psychological states
Study Design
Study Approach
Country of Study
Publication Country
United States