Objective: The purpose of this research is to evaluate the effect of planned education on life and sleep quality given to children with epilepsy.
Method: The study was conducted as a quasi-experimental study with a total of 74 epileptic children, 37 of whom were intervention and 37 of whom were controls between 2nd of June-2nd of November 2017 at Manisa Celal Bayar University Hospital, Turkey. Planned education and written education material were provided to the intervention group. One month after the first questionnaire (pretest) application, the second questionnaire form (posttest) was applied to both groups. At the end of the study, education, and written education material (education booklet) were provided to the control group. Child Introduction Form, The Generic Children's Life Quality Measure, KINDL Epilepsy Related Quality of Life Module for Children, Pittsburgh Sleep Quality Index were used to collect research data.
Results: It was found that the intervention group's Generic Children's Life Quality Measure posttest average scores were higher than their pretest average scores and the difference between them was significant (p<0.05). It was found that the Pittsburgh Sleep Quality Index posttest average scores of the intervention group were lower than the pretest average scores, the sleep quality of children increased and the difference between them was significant (p<0.05).
Conclusion: Pediatric nurses should increase life and sleep quality of child by planning and ensuring the continuity of education for child evaluating child's level of knowledge about the disease, his/her perception form, and compliance with treatment.
The authors would like to thank the children who took part in this study
References
1. Aaberg, K.M., Gunnes, N., Bakken, I.J., Søraas, C.L., Berntsen, A., Magnus, P., et al. (2017). Incidence and prevalence of childhood epilepsy: a nationwide cohort study. Pediatrics, 139(5), 1-9.
2. World Health Organization. Epilepsy, (2020). Available at: https://www.who.int/en/news-room/fact-sheets/detail/epilepsy. (Access date: 30.10.2020).
3. Conway, L., Smith, M.L., Ferro, M.A., Speechley, K.N., Connoly, M.B., Snead, O.C., et al. (2016). Correlates of
health-related quality of life in children with drug resistant epilepsy. Epilepsia, 57(8), 1256-64.
4. Ramsey, R.R., Loiselle, K., Rausch, J.R., Harrison, J., & Modi, A.C. (2016). Predictors of trajectories of epilepsy-
specific quality of life among children newly diagnosed with epilepsy. Epilepsy&Behavior, 7, 202-10.
5. Ekinci, O., Işık, U., Güneş, S., & Ekinci, N. (2016). Understanding sleep problems in children with epilepsy:
associations with quality of life, attention-deficit hyperactivity disorder and maternal emotional symptoms.
Seizure, 40, 108-13.
6. Crespel, A., Moulinier, M.B., & Coubes, P. (1998). The relationship between sleep and epilepsy in frontal
and temporal lobe epilepsies: Practical and physiopathology considerations. Epilepsia, 39(2), 150-7.
7. Chakravarty, K., Shukla, G., Poornima, S., Agarwal, P., Gupta, A., Mohammed, A., et al. (2019). Effect of sleep
quality on memory, executive function, and language performance in patients with refractory focal epilepsy
and controlled epilepsy versus healthy controls- A prospective study. Epilepsy&Behavior. 92, 176-83.
8. Eser, E., Yüksel, H., Baydur, H., Erhan, M., Saatlı, G., Özyurt, B.C., et al. (2008). The psychometric properties of
the new Turkish generic health-related quality of life questionnaire for children (Kid-KINDL). Turkish Journal of
Psychiatry, 19(4), 409-17.
9. Ergin, D., Eser, E., Polat, M., & Yazıcı, P. (2013). Child and parent evaluations of quality of life in health using
KINDL in Epileptic children. 4th National Quality of Life in Health Congress Proceedings Book.
10. Agargun, M.Y., Kara, H., & Anlar, Ö. (1996). The validity and reliability of the pittsburgh sleep quality index.
Turkish Journal of Psychiatry, 7, 107–15.
11. Turkish Neurology Association. Epilepsy Working Group Diagnosis and Treatment Guideline.
(2015).Available at:
https://www.noroloji.org.tr/TNDData/Uploads/files/Epilepsi%202015%20G%C3%BCncellenmi%C5%9F.pdf.
(Access date: 04.04.2023)
12. Shore, P.C., Perkins, M.S., & Austin, J.K. (2008). The seizures and epilepsy education (see) program for
families of children with epilepsy: A preliminary study. Epilepsy&Behavior, 12(1), 157-64.
13. Balkan, S., Yılmaz, S., Özbaran, B., Erermiş, S., Gökben, S., Tekgül, H., et al. (2015). Quality of life in childhood
epilepsy: the role of an education program on the disease. The Journal of Pediatric Research, 2(3), 144-51.
14. Sabaz, M., Cairns, D.R., Lawson, J.A., Nheu, N., Bleasel, A.F., & Bye, A.M.E. (2000). Validation of a new quality
of life measure for children with epilepsy. Epilepsia, 41(6), 765-74.
15. Speechley, K.N., Ferro, M.A., Camfield, C.S., Huang, W., Levin, S.D., Smith, M.L., et al. (2012). Quality of life in
children with new-onset epilepsy. Neurology, 79(15), 1548-55.
16. Modi, A.C., Junger, K.F., Mara, C.A., Kellermann, T., Barrett, L., Wagner, J., et al. (2017). Validation of the
PEDSQL epilepsy module: A pediatric epilepsy-specific health-related quality of life measure. Epilepsia,
58(11), 1920–30.
17. Dinç, Ş., Özçelik, U., Çak, T.., Ersöz, D., Çöp, E., Yalçın, E., et al. (2018). Psychiatric morbidity and quality of life
in children and adolescents with cystic fibrosis. The Turkish Journal of Pediatrics, 60(1), 32-40.
18. Bilaç, C., Bilaç, Ö., & Öztürkcan, S. (2014). Quality of life in children with dermatological diseases. Archives
of the Turkish Dermatology and Venerology, 48(2), 60-6.
19. Sertçelik, T., Alkan, F., Sapmaz, Ş.Y., Coşkun, Ş., & Eser, E. (2018). Life quality of children with congenital
heart diseases. Turkish Archives of Pediatrics, 53(2), 78-86.
20. Keskin, G., Gümüş, A.B., & Engin, E. (2011). The investigation of patients with epilepsy in terms of
alexithymia, sleep quality and mental symptoms. Anatolian Journal of Psychiatry. 12(2), 114-20.
21. Gutter, T.H., & Brouwer, O.F. (2013). Subjective sleep disturbances in children with partial epilepsy and
their effects on quality of life. Epilepsy&Behavior, 28(3),481-8.
22. Kothare, S.V., & Kaleyias, J. (2010). Sleep and epilepsy in children and adolescents. Sleep Med, 11(7), 674-
85.
Planlı Eğitimin Epilepsili Çocuklarda Yaşam ve Uyku Kalitesine Etkisi
Year 2023,
Volume: 7 Issue: 3, 692 - 701, 30.09.2023
Amaç: Bu araştırmanın amacı, epilepsili çocuklara verilen planlı eğitimin yaşam ve uyku kalitesine etkisini değerlendirmektir.
Yöntem: Çalışma, 2 Haziran-2 Kasım 2017 tarihleri arasında Türkiye'de Manisa Celal Bayar Hastanesi'nde 37'si deneysel, 37'si kontrol olmak üzere toplam 74 epileptik çocuk ile yarı deneysel bir çalışma olarak gerçekleştirildi. Deney grubuna planlı eğitim ve yazılı eğitim materyali verildi. Birinci anket formu (ön test) uygulamasından bir ay sonra her iki gruba da ikinci anket formu (son test) uygulandı. Çalışma sonunda kontrol grubuna eğitim ve yazılı eğitim materyali (eğitim kitapçığı) verildi. Araştırma verilerinin toplanmasında Çocuk Tanıtım Formu, Genel Çocuk Yaşam Kalitesi Ölçeği, KINDL Epilepsili Çocuklar İçin Yaşam Kalitesi Modülü, Pittsburgh Uyku Kalitesi İndeksi kullanıldı.
Bulgular: Deney grubunun Genel Çocuk Yaşam Kalitesi Ölçeği son test puan ortalamalarının ön test puan ortalamalarından yüksek olduğu ve aradaki farkın anlamlı olduğu bulundu (p<0.05). Deney grubunun Pittsburgh Uyku Kalitesi İndeksi sontest ortalama puanlarının öntest ortalama puanlarından düşük olduğu, çocukların uyku kalitelerinin arttığı ve aradaki farkın anlamlı olduğu bulundu (p<0,05).
Sonuç: Pediatri hemşireleri, çocuğun hastalıkla ilgili bilgi düzeyi, algılama biçimi ve tedaviye uyumunu değerlendirerek çocuğa yönelik eğitimin planlanması ve sürekliliğinin sağlanması yoluyla çocuğun yaşam ve uyku kalitesini artırmalıdır.
1. Aaberg, K.M., Gunnes, N., Bakken, I.J., Søraas, C.L., Berntsen, A., Magnus, P., et al. (2017). Incidence and prevalence of childhood epilepsy: a nationwide cohort study. Pediatrics, 139(5), 1-9.
2. World Health Organization. Epilepsy, (2020). Available at: https://www.who.int/en/news-room/fact-sheets/detail/epilepsy. (Access date: 30.10.2020).
3. Conway, L., Smith, M.L., Ferro, M.A., Speechley, K.N., Connoly, M.B., Snead, O.C., et al. (2016). Correlates of
health-related quality of life in children with drug resistant epilepsy. Epilepsia, 57(8), 1256-64.
4. Ramsey, R.R., Loiselle, K., Rausch, J.R., Harrison, J., & Modi, A.C. (2016). Predictors of trajectories of epilepsy-
specific quality of life among children newly diagnosed with epilepsy. Epilepsy&Behavior, 7, 202-10.
5. Ekinci, O., Işık, U., Güneş, S., & Ekinci, N. (2016). Understanding sleep problems in children with epilepsy:
associations with quality of life, attention-deficit hyperactivity disorder and maternal emotional symptoms.
Seizure, 40, 108-13.
6. Crespel, A., Moulinier, M.B., & Coubes, P. (1998). The relationship between sleep and epilepsy in frontal
and temporal lobe epilepsies: Practical and physiopathology considerations. Epilepsia, 39(2), 150-7.
7. Chakravarty, K., Shukla, G., Poornima, S., Agarwal, P., Gupta, A., Mohammed, A., et al. (2019). Effect of sleep
quality on memory, executive function, and language performance in patients with refractory focal epilepsy
and controlled epilepsy versus healthy controls- A prospective study. Epilepsy&Behavior. 92, 176-83.
8. Eser, E., Yüksel, H., Baydur, H., Erhan, M., Saatlı, G., Özyurt, B.C., et al. (2008). The psychometric properties of
the new Turkish generic health-related quality of life questionnaire for children (Kid-KINDL). Turkish Journal of
Psychiatry, 19(4), 409-17.
9. Ergin, D., Eser, E., Polat, M., & Yazıcı, P. (2013). Child and parent evaluations of quality of life in health using
KINDL in Epileptic children. 4th National Quality of Life in Health Congress Proceedings Book.
10. Agargun, M.Y., Kara, H., & Anlar, Ö. (1996). The validity and reliability of the pittsburgh sleep quality index.
Turkish Journal of Psychiatry, 7, 107–15.
11. Turkish Neurology Association. Epilepsy Working Group Diagnosis and Treatment Guideline.
(2015).Available at:
https://www.noroloji.org.tr/TNDData/Uploads/files/Epilepsi%202015%20G%C3%BCncellenmi%C5%9F.pdf.
(Access date: 04.04.2023)
12. Shore, P.C., Perkins, M.S., & Austin, J.K. (2008). The seizures and epilepsy education (see) program for
families of children with epilepsy: A preliminary study. Epilepsy&Behavior, 12(1), 157-64.
13. Balkan, S., Yılmaz, S., Özbaran, B., Erermiş, S., Gökben, S., Tekgül, H., et al. (2015). Quality of life in childhood
epilepsy: the role of an education program on the disease. The Journal of Pediatric Research, 2(3), 144-51.
14. Sabaz, M., Cairns, D.R., Lawson, J.A., Nheu, N., Bleasel, A.F., & Bye, A.M.E. (2000). Validation of a new quality
of life measure for children with epilepsy. Epilepsia, 41(6), 765-74.
15. Speechley, K.N., Ferro, M.A., Camfield, C.S., Huang, W., Levin, S.D., Smith, M.L., et al. (2012). Quality of life in
children with new-onset epilepsy. Neurology, 79(15), 1548-55.
16. Modi, A.C., Junger, K.F., Mara, C.A., Kellermann, T., Barrett, L., Wagner, J., et al. (2017). Validation of the
PEDSQL epilepsy module: A pediatric epilepsy-specific health-related quality of life measure. Epilepsia,
58(11), 1920–30.
17. Dinç, Ş., Özçelik, U., Çak, T.., Ersöz, D., Çöp, E., Yalçın, E., et al. (2018). Psychiatric morbidity and quality of life
in children and adolescents with cystic fibrosis. The Turkish Journal of Pediatrics, 60(1), 32-40.
18. Bilaç, C., Bilaç, Ö., & Öztürkcan, S. (2014). Quality of life in children with dermatological diseases. Archives
of the Turkish Dermatology and Venerology, 48(2), 60-6.
19. Sertçelik, T., Alkan, F., Sapmaz, Ş.Y., Coşkun, Ş., & Eser, E. (2018). Life quality of children with congenital
heart diseases. Turkish Archives of Pediatrics, 53(2), 78-86.
20. Keskin, G., Gümüş, A.B., & Engin, E. (2011). The investigation of patients with epilepsy in terms of
alexithymia, sleep quality and mental symptoms. Anatolian Journal of Psychiatry. 12(2), 114-20.
21. Gutter, T.H., & Brouwer, O.F. (2013). Subjective sleep disturbances in children with partial epilepsy and
their effects on quality of life. Epilepsy&Behavior, 28(3),481-8.
22. Kothare, S.V., & Kaleyias, J. (2010). Sleep and epilepsy in children and adolescents. Sleep Med, 11(7), 674-
85.
Demirbağ, S., Ergin, D., & Polat, M. (2023). The Effect of Planned Education on Quality of Life and Sleep of Children with Epilepsy. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 7(3), 692-701. https://doi.org/10.46237/amusbfd.1282703