Summary of the best evidence for self-management of adolescent children with epilepsy_Journal of Epilepsy

Authors：

WANG Fangping ,  YE Jinghua , TIAN Xiaoqin , SUN Linlin , ZHENG Mengmeng

Department of Neurology, Shenzhen Children’s Hospital, Shenzhen 518038, China;

Corresponding?author：

YE Jinghua, Email: yejh2008@163.com

Keywords：

Epilepsy; Adolescents; Self-management; Self-care; Summary of evidence

DOI：

10.7507/2096-0247.202401011

Video：

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Objective This article aims to comprehensively retrieve and summarize the best evidence for the self-management of epilepsy in adolescents, so as to provide a reference for clinical medical staff and relevant decision makers. Methods We systematically searched Cochrane, Global Guidelines Collaboration (GIN), Scottish Interhospital Guidelines Network (SIGN), Joanna Briggs Institute (JBI), NICE, RANO (Nurses' Association of Ontario, Canada), UpToDate, BMJ, Medical Maitong, PubMed, International League Against Epilepsy, China National Knowledge Infrastructure, Wanfang Database and other databases and websites. All kinds of literature related to the self-management of epilepsy in adolescents were collected from the establishment of the database to April 18, 2023, including clinical decision-making, clinical guidelines,. Evidence summary, expert consensus, systematic review, etc. Four researchers were invited to evaluate the quality of the retrieved guidelines, and two researchers independently screened and evaluated the quality of the remaining literature. According to the opinions of professionals, data extraction and analysis were performed on the literature that met the inclusion criteria. Results A total of 9 articles were included, including 3 clinical guidelines, 3 expert consensus and 3 systematic reviews. We summarized the evidence in the literature in the following 8 aspects: Self-management initiation timing, monitoring management, psychological management, innovative self-management mode, information and support, medication management, daily life management and follow-up management. We identified 34 best pieces of evidence. Conclusions This article provides health care providers with the best evidence for the self-management of adolescents with epilepsy, guiding them to provide self-management education and counseling for adolescents with epilepsy through evidence-based methods, helping them to improve self-management ability, reduce seizures, reduce health services and healthcare costs, and improve quality of life.

Citation： WANG Fangping, YE Jinghua, TIAN Xiaoqin, SUN Linlin, ZHENG Mengmeng. Summary of the best evidence for self-management of adolescent children with epilepsy. Journal of Epilepsy, 2024, 10(3): 234-239. doi: 10.7507/2096-0247.202401011 Copy

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4.	江欣悅, 熊維希譯, 慕潔審. 兒童癲癇自我管理的干預措施: 證據等級是什么. 癲癇雜志, 2019, 5(2): 130-139.
5.	朱政, 胡雁, 周英鳳, 等. 推動證據向臨床轉化(三)研究的選題和問題構建. 護士進修雜志, 2020, 35(9): 796-799.
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7.	周芬, 郝玉芳, 叢雪, 等. 指南研究與評價工具AGREE Ⅱ及各領域分值的補充解釋及思考. 護理學報, 2018, 25(18): 56-58.
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14.	Saxby N, Ford K, Beggs S, et al. Developmentally appropriate supported self-management for children and young people with chronic conditions: a consensus. Patient Educ Couns, 2020, 103(3): 571-581.
15.	中華醫學會兒科學分會神經學組. 兒童癲癇長程管理專家共識. 中華兒科雜志, 2013, 51(9): 699-703.
16.	Capovilla G, Kaufman KR, Perucca E, et al. Epilepsy, seizures, physical exercise, and sports: a report from the ILAE Task Force on Sports and Epilepsy. Epilepsia, 2016, 57(1): 6-12.
17.	Gauci J, Bloomfield J, Lawn S, et al. Effectiveness of self-management programmes for adolescents with a chronic illness: a systematic review. J Adv Nurs, 2021, 77(9): 3585-3599.
18.	Stokes T, Shaw E J, Camosso-Stefinovic J, et al. Self-management education for children with epilepsy. Cochrane Database Syst Rev, 2007(2): CD4724.
19.	曾敏, 孫曉敏. 國外癲癇專科護士的角色功能及發展現狀. 中國護理管理, 2018, 18(7): 944-947.
20.	孫莉, 陸敏智, 浦菊芬, 等. 專科護士參與的住院患者腦卒中風險篩查及隨訪管理. 護理學雜志, 2024, 39(3): 1-5.
21.	李倩, 李京連. 癲癇護理工作室的構建及應用. 中國實用神經疾病雜志, 2023, 26(1): 87-91.
22.	劉美麗, 李艷, 朱麗輝, 等. 改善癲癇兒童服藥依從性的最佳證據總結. 護理學報, 2020, 27(18): 50-54.
23.	薄琳, 王乾貝, 鄭穎, 等. 以癲癇日記APP為主導的遠程干預在青少年癲癇病人中的應用. 護理研究, 2019, 33(22): 3964-3968.
24.	張珊珊, 常紅. 可穿戴技術在癲癇患者監測及自我管理中的應用進展. 中華護理雜志, 2023, 58(19): 2422-2427.

1. 世界衛生組織. 《癲癇: 公共衛生當務之急》. 日內瓦: 2019.
2. 世界衛生組織. 2022-2031 年癲癇和其他神經系統疾病跨部門全球行動計劃草案. 2022.
3. Smith G, Modi AC, Johnson EK, et al. Measurement in pediatric epilepsy self-management: A critical review. Epilepsia, 2018, 59(3): 509-522.
4. 江欣悅, 熊維希譯, 慕潔審. 兒童癲癇自我管理的干預措施: 證據等級是什么. 癲癇雜志, 2019, 5(2): 130-139.
5. 朱政, 胡雁, 周英鳳, 等. 推動證據向臨床轉化(三)研究的選題和問題構建. 護士進修雜志, 2020, 35(9): 796-799.
6. Dicenso A, Bayley L, Haynes R B. Accessing pre-appraised evidence: fine-tuning the 5S model into a 6S model. Evid Based Nurs, 2009, 12(4): 99-101.
7. 周芬, 郝玉芳, 叢雪, 等. 指南研究與評價工具AGREE Ⅱ及各領域分值的補充解釋及思考. 護理學報, 2018, 25(18): 56-58.
8. AGREE II | AGREE Enterprise website[EB/OL]. [2023-07-13].https://www.agreetrust.org/agree-ii/.
9. JBI, formerly known as the Joanna Briggs Institute[EB/OL]. [2023-07-13].https://joannabriggs.org/.
10. 王春青, 胡雁. JBI證據預分級及證據推薦級別系統(2014版). 護士進修雜志, 2015, 30(11): 964-967.
11. Strategies to Support Self-Management in Chronic Conditions: Collaboration with Clients[EB/OL]. [2023-07-18].https://rnao.ca/bpg/guidelines/strategies-support-selfmanagement-chronic-conditions-collaboration-clients.
12. Overview | Epilepsy in children and young people | Quality standards | NICE[EB/OL]. [2023-07-18].https://www.nice.org.uk/guidance/qs27.
13. Epilepsies in children and young people: Investigative procedures and management (SIGN CPG 159)[EB/OL]. [2023-07-18].https://guidelines.ebmportal.com/epilepsies-children-and-young-people-investigative-procedures-and-management-sign-cpg-159.
14. Saxby N, Ford K, Beggs S, et al. Developmentally appropriate supported self-management for children and young people with chronic conditions: a consensus. Patient Educ Couns, 2020, 103(3): 571-581.
15. 中華醫學會兒科學分會神經學組. 兒童癲癇長程管理專家共識. 中華兒科雜志, 2013, 51(9): 699-703.
16. Capovilla G, Kaufman KR, Perucca E, et al. Epilepsy, seizures, physical exercise, and sports: a report from the ILAE Task Force on Sports and Epilepsy. Epilepsia, 2016, 57(1): 6-12.
17. Gauci J, Bloomfield J, Lawn S, et al. Effectiveness of self-management programmes for adolescents with a chronic illness: a systematic review. J Adv Nurs, 2021, 77(9): 3585-3599.
18. Stokes T, Shaw E J, Camosso-Stefinovic J, et al. Self-management education for children with epilepsy. Cochrane Database Syst Rev, 2007(2): CD4724.
19. 曾敏, 孫曉敏. 國外癲癇專科護士的角色功能及發展現狀. 中國護理管理, 2018, 18(7): 944-947.
20. 孫莉, 陸敏智, 浦菊芬, 等. 專科護士參與的住院患者腦卒中風險篩查及隨訪管理. 護理學雜志, 2024, 39(3): 1-5.
21. 李倩, 李京連. 癲癇護理工作室的構建及應用. 中國實用神經疾病雜志, 2023, 26(1): 87-91.
22. 劉美麗, 李艷, 朱麗輝, 等. 改善癲癇兒童服藥依從性的最佳證據總結. 護理學報, 2020, 27(18): 50-54.
23. 薄琳, 王乾貝, 鄭穎, 等. 以癲癇日記APP為主導的遠程干預在青少年癲癇病人中的應用. 護理研究, 2019, 33(22): 3964-3968.
24. 張珊珊, 常紅. 可穿戴技術在癲癇患者監測及自我管理中的應用進展. 中華護理雜志, 2023, 58(19): 2422-2427.

Journal of Epilepsy

Summary of the best evidence for self-management of adolescent children with epilepsy

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