Pediatrik hastalarda epileptik nöbet yönetiminde hemşirelik öğrencilerinin bilgi ve tutumlarının değerlendirilmesi

Öz

Amaç: Bu çalışmanın amacı, hemşirelik öğrencilerinin pediatrik hastalarda epilepsi nöbetlerinin yönetimine ilişkin bilgi ve tutumlarını değerlendirmek ve bilgi ve tutum puanlarıyla ilişkili değişkenleri incelemektir.

Gereç ve Yöntem: Tanımlayıcı, korelasyonel ve kesitsel tipte bir çalışmadır. Çalışma, bir devlet üniversitesinin hemşirelik bölümünde okuyan birinci, ikinci, üçüncü ve dördüncü sınıf 155 öğrenci ile yürütülmüştür. Araştırmada öğrencilere Sosyo-Demografik Bilgi Formu, Pediatrik Epileptik Nöbet Yönetim Bilgi Testive Epilepsi Tutum Ölçeği uygulanmıştır. 

Bulgular: Hemşirelik öğrencilerinin pediatrik epilepsi nöbeti yönetimi konusundaki ortalama bilgi puanı 10.47 ± 3.13 olup, bu puan kesme değeri bulunmayan bu ölçüm aracı kapsamında çalışma grubu içinde görece orta düzeyde yorumlanabilir. Epilepsiye yönelik tutumları genel olarak olumlu olup, toplam ölçekte ortalama puan 59.92 ± 6.60, olumsuz ve ayrımcı tutumlar alt ölçeğinde 45.32 ± 4.65 ve olumlu tutumlar alt ölçeğinde 14.60 ± 2.94’tür. Regresyon analizi, incelenen değişkenlerin bilgi puanlarındaki varyansın %49’unu açıkladığını göstermiştir. Bilgi düzeyleri akademik yıl ile anlamlı düzeyde ilişkili bulunmuş olup, birinci sınıf öğrencileri daha üst sınıflardaki öğrencilere kıyasla daha düşük puanlar göstermiştir. Kız öğrencilerin bilgi düzeyleri erkek öğrencilere göre biraz daha yüksekti; negatif beta katsayısı (β = -0.14), regresyon modelinde cinsiyet değişkeninin kodlanmasını yansıtmaktadır. Tutumlar için, değişkenler olumlu tutumlar alt ölçeğindeki varyansın %22’sini açıklamıştır. Erkek öğrencilerin bilgi puanları daha düşük olmasına rağmen, epilepsi nöbeti yönetimine yönelik olumlu tutumları kadın öğrencilere göre anlamlı derecede daha yüksektir (p < 0.05).

Sonuç: Bulgular, hemşirelik öğrencilerinin genel olarak olumlu tutumlarına rağmen pediatrik epilepsi nöbeti yönetimi konusunda bilgi eksiklikleri olduğunu göstermektedir. Akademik yıl ve cinsiyet bilgi puanlarıyla ilişkili bulunurken, cinsiyet olumlu tutum puanlarıyla ilişkili bulunmuştur. Bu bulgular, özellikle hemşirelik eğitiminin ilk yıllarında pediatrik nöbet yönetimi içeriğinin ve deneyimsel öğrenme fırsatlarının güçlendirilmesi ihtiyacını vurgulayarak müfredat planlamasına katkıda bulunabilir.

Anahtar Kelimeler

• Pediatri
• Hemşirelik öğrencisi
• Epileptik nöbet
• Bilgi
• Tutumlar

Nursing students’ knowledge and attitudes toward the management of epileptic seizures in pediatric patients: A cross-sectional study

Öz

Aim: This study aimed to assess nursing students’ knowledge and attitudes regarding the management of epileptic seizures in pediatric patients and to examine the variables associated with knowledge and attitude scores.

Method: This descriptive, correlational, and cross-sectional study included 155 first-, second-, third-, and fourth-year nursing students from a state university. Data were collected using a Socio-Demographic Information Form, a Pediatric Epileptic Seizure Management Knowledge Test, and the Epilepsy Attitude Scale.

Results: The nursing students’ mean knowledge score for pediatric epileptic seizure management was 10.47 ± 3.13, which may be considered a relatively moderate level of knowledgewithin the context of this study group. Their attitudes toward epilepsy were generally positive, with mean scores of 59.92 ± 6.60 for the total scale, 45.32 ± 4.65 for the negative and discriminatory attitudes subscale, and 14.60 ± 2.94 for the positive attitudes subscale. Regression analysis showed that the examined variables explained 49% of the variance in knowledge scores. Knowledge levels were significantly associated with academic year, with first-year students demonstrating lower scores compared to students in higher years. Female students demonstrated slightly higher knowledge levels than male students; the negative beta coefficient (β = -0.14) reflected the coding of the sex variable in the regression model. Regarding attitudes, the examined variables explained 22% of the variance in positive attitude scores. Although male students had lower knowledge scores, they exhibited significantly more positive attitudes toward epileptic seizure management than female students (p < 0.05).

Conclusion: The findings suggest that nursing students had knowledge gaps in pediatric epileptic seizure management despite generally positive attitudes. Academic year and gender were associated with knowledge scores, gender was associated with positive attitude scores. These findings may inform curriculum planning by highlighting the need to reinforce pediatric seizure management content and experiential learning opportunities, particularly in the early years of nursing education.

Anahtar Kelimeler

• Pediatrics
• Nursing student
• Epileptic seizure
• Knowledge
• Attitudes

Etik Beyan

Ethical approval was obtained from the ethical committee for noninterventional research at Hakkari University (17.06.2025, 2025/112-1).

Kaynakça

1. 1. Rozensztrauch A, Kołtuniuk A. The quality of life of children with epilepsy and the impact of the disease on the family functioning. Int J Environ Res Public Health. 2022;19(4):2277. https://doi.org/10.3390/ijerph19042277.
2. 2. World Health Organization; 2024. Epilepsy. Access address: https://www.who.int/news-room/fact-sheets/detail/epilepsy. Access Date: 10.04.2025.
3. 3. Kariuki SM, Thomas PT, Newton CR. Epilepsy stigma in children in low-income and middle-income countries. Lancet Child Adolesc Health. 2021;5(5):314-316. https://doi.org/10.1016/S2352-4642(21)00090-0.
4. 4. Lang J, Jeschke S, Herziger B, Müller RM, Bertsche T, Neininger MP, et al. Prejudices against people with epilepsy as perceived by affected people and their families. Epilepsy Behav. 2022;127:108535. https://doi.org/10.1016/j.yebeh.2021.108535.
5. 5. Clifford LM, Brothers SL, Lang A. Self-disclosure patterns among children and youth with epilepsy: Impact of perceived-stigma. Adolesc Health Med Ther. 2023;14:27-43. https://doi.org/10.2147/AHMT.S336124.
6. 6. Price P, Kobau R, Buelow J, Austin J, Lowenberg K. Improving understanding, promoting social inclusion, and fostering empowerment related to epilepsy: Epilepsy Foundation public awareness campaigns-2001 through 2013. Epilepsy Behav. 2015;44:239-244. https://doi.org/10.1016/j.yebeh.2014.12.044.
7. 7. Steiger BK, Jokeit H. Why epilepsy challenges social life. Seizure. 2017;44:194-198. https://doi.org/10.1016/j.seizure.2016.09.008.
8. 8. Dayapoğlu N, Tan M. Clinical nurses’ knowledge and attitudes toward patients with epilepsy. Epilepsy Behav. 2016;61:206-209. https://doi.org/10.1016/j.yebeh.2016.05.009.

9. 9. Yu Q, Ying YQ, Lu PP, Sun MT, Zhu ZL, Xu ZY, Guo Y. Evaluation of the knowledge, awareness, and attitudes toward epilepsy among nurses. Epilepsy Behav. 2022;136:108920. https://doi.org/10.1016/j.yebeh.2022.108920.
10. 10. Kahraman A, Gümüş M, Binay Ş, Zengin D, Uzşen H, Ardahan Sevgili S, et al. The effect of simulation-based education on childhood epileptic seizure management knowledge, skills, and attitudes of nursing students. Epilepsy Behav. 2019;100(Pt A):106497. https://doi.org/10.1016/j.yebeh.2019.106497.
11. 11. Campiño-Valderrama SM, Duque PA, Garcés-Gómez YA. Nursing education strategy for caregivers of children and adolescents with epilepsy. Epilepsy Behav. 2024;161:110035. https://doi.org/10.1016/j.yebeh.2024.110035.
12. 12. Higgins A, Downes C, Varley J, Tyrell E, Normand C, Doherty CP, et al. Patients with epilepsy care experiences: Comparison between services with and without an epilepsy specialist nurse. Epilepsy Behav. 2018;85:85-94. https://doi.org/10.1016/j.yebeh.2018.05.038.
13. 13. Unsar S, Özdemir Ö, Erol Ö, Bıkmaz Z, Yenici Bulut E. Evaluation of nursing students’ epilepsy-related knowledge and attitudes. Epilepsy Behav. 2020;111:107167. https://doi.org/10.1016/j.yebeh.2020.107167.
14. 14. Aksoy M, Büyükbayram Z. Evaluating the knowledge of and attitudes toward epilepsy among Turkish undergraduate nursing students: A cross-sectional study. Epilepsy Behav. 2022;126:108477. https://doi.org/10.1016/j.yebeh.2021.108477.
15. 15. Bahçecioğlu Turan G, Dayapoğlu N, Özer Z. Evaluation of nursing students’ health fatalism, knowledge, and attitudes toward patients with epilepsy. Epilepsy Behav. 2022;127:108497. https://doi.org/10.1016/j.yebeh.2021.108497.
16. 16. Ozer Z, Turan GB, Kose S. Are nursing students ready to provide quality care to patients with epilepsy? A comparative cross-sectional study. Am J Nurs Stud. 2023;3(1):1018.
17. 17. El-Radhi AS. Management of seizures in children. Br J Nurs. 2015;24(3):152-155. https://doi.org/10.12968/bjon.2015.24.3.152.
18. 18. Caplan E, Dey I, Scammell A, Burnage K, Paul SP. Recognition and management of seizures in children in emergency departments. Emerg Nurse. 2016;24(5):30-38. https://doi.org/10.7748/en.2016.e1594.
19. 19. Shawahna R, Jaber M. Assessing knowledge and attitudes of Palestinian undergraduate nursing students toward epilepsy and patients with epilepsy: A cross-sectional study. Epilepsy Behav. 2020;102:106811. https://doi.org/10.1016/j.yebeh.2019.106811.
20. 20. Wu ML, Chao LF, Xiao X. A pediatric seizure management virtual reality simulator for nursing students: A quasi-experimental design. Nurse Educ Today. 2022;119:105550. https://doi.org/10.1016/j.nedt.2022.105550.
21. 21. Aydemir N. Developing two different measures for assessing knowledge of and attitudes toward epilepsy for the Turkish population. Epilepsy Behav. 2008;12(1): 84-89. https://doi.org/10.1016/j.yebeh.2007.07.018.
22. 22. Sözen KK, Karabulut N. Effect of nursing students' health literacy level on their knowledge and attitude toward epilepsy. Rev Assoc Med Bras. (1992) 2025;71(5):e20241808. https://doi.org/10.1590/1806-9282.20241808.
23. 23. Sert H, Çetinkaya S, Seven A, Pelin M. Knowledge levels of senior nursing students about epilepsy. J Hum Sci. 2017;14(2):1966-1974. https://doi.org/10.14687/jhs.v14i2.4532.
24. 24. Altındiş S, Tok Ş, Aslan FG, Pilavcı Adıgül M, Ekerbiçer HÇ, Altındiş M. Üniversite öğrencilerinin ilk yardım bilgi düzeylerinin değerlendirilmesi. Sakarya Tıp Dergisi. 2017;7(3):125-130. https://doi.org/10.31832/smj.323338.
25. 25. Hosseini FA, Parvan K, Shaygan M, Thomson B. Male nursing students’ perception of gender barriers in nursing curricula in an Iranian university of medical sciences. Invest Educ Enferm. 2022;40(1):e03. https://doi.org/10.17533/udea.iee.v40n1e03.
26. 26. Huang J, Sun H, Tian B. Male students’ perceptions of the nursing profession: A qualitative study. Risk Manag Healthc Policy. 2024;17:1027-1035. https://doi.org/10.2147/RMHP.S455160.
27. 27. Prosen M. Nursing students' perception of gender-defined roles in nursing: A qualitative descriptive study. BMC Nurs. 2022;21(1):104. https://doi.org/10.1186/s12912-022-00876-4.
28. 28. Kurtdaş MÇ. Women get sick, men die: A sociological analysis of gender-based differences in health. J Sociol Context. 2024;5(1):1-26. https://doi.org/10.52108/2757-5942.5.1.1.