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

Zhongling Wu1, Xiaolei Li2, Yuanxin Huang1

  • 1Department 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.

Pediatric Neurology
|March 29, 2024
PubMed

Insights

A nurse-led cognitive behavioral intervention significantly reduced seizure frequency in children with epilepsy. This approach also improved parental mental health and satisfaction, suggesting a new method for long-term disease management.

Area of Science:

  • Neurology
  • Behavioral Science
  • Nursing

Background:

  • Epilepsy in children presents unique challenges for families.
  • Parental psychological well-being is crucial for effective disease management.
  • Existing interventions may not fully address the holistic needs of children with epilepsy and their parents.

Purpose of the Study:

  • To evaluate the effectiveness of a nurse-led cognitive behavioral intervention for parents of children with epilepsy (CWE).
  • To assess the impact of the intervention on seizure severity, parental psychological states, and care satisfaction.

Main Methods:

  • A randomized controlled trial involving 238 children with epilepsy and their parents.
  • Intervention group received nurse-led cognitive behavioral therapy; control group received standard care.
  • Outcomes measured included seizure severity, treatment compliance, parental anxiety, depression, sleep quality, and nursing satisfaction.

Main Results:

  • The intervention group showed significantly reduced seizure frequency compared to controls (P=0.048).
  • Parents in the intervention group reported fewer anxiety and depression symptoms, improved sleep, and more positive attitudes toward epilepsy (P<0.001).
  • Higher nursing satisfaction was observed in the intervention group, with correlations between seizure severity, compliance, parental mental health, and satisfaction.

Conclusions:

  • Nurse-led cognitive behavioral intervention improves parental mental health and satisfaction in parents of children with epilepsy.
  • This intervention shows a positive association with reduced seizure severity in children.
  • The findings suggest this nursing intervention is a promising approach for long-term disease management in children with epilepsy.
Abstract

Keywords:
Children with epilepsyCognitive behavioral interventionNursingParentsPsychological states

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