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

1.	世界卫生组织. 《癫痫: 公共卫生当务之急》. 日内瓦: 2019.
2.	世界卫生组织. 2022-2031 年癫痫和其他神经系统疾病跨部门全球行动计划草案. 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.	江欣悦, 熊维希译, 慕洁审. 儿童癫痫自我管理的干预措施: 证据等级是什么. 癫痫杂志, 2019, 5(2): 130-139.
5.	朱政, 胡雁, 周英凤, 等. 推动证据向临床转化(三)研究的选题和问题构建. 护士进修杂志, 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, 丛雪, 等. 指南研究与评价工具AGREE Ⅱ及各领域分值的补充解释及思考. 护理学报, 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证据预分级及证据推荐级别系统(2014版). 护士进修杂志, 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.	中华医学会儿科学分会神经学组. 儿童癫痫长程管理专家共识. 中华儿科杂志, 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, 孙晓敏. 国外癫痫专科护士的角色功能及发展现状. 中国护理管理, 2018, 18(7): 944-947.
20.	孙莉, 陆敏智, 浦菊芬, 等. 专科护士参与的住院患者脑卒中风险筛查及随访管理. 护理学杂志, 2024, 39(3): 1-5.
21.	李倩, 李京连. 癫痫护理工作室的构建及应用. 中国实用神经疾病杂志, 2023, 26(1): 87-91.
22.	刘美丽, 李艳, 朱丽辉, 等. 改善癫痫儿童服药依从性的最佳证据总结. 护理学报, 2020, 27(18): 50-54.
23.	薄琳, 王乾贝, 郑颖, 等. 以癫痫日记APP为主导的远程干预在青少年癫痫病人中的应用. 护理研究, 2019, 33(22): 3964-3968.
24.	张珊珊, 常红. 可穿戴技术在癫痫患者监测及自我管理中的应用进展. 中华护理杂志, 2023, 58(19): 2422-2427.

1. 世界卫生组织. 《癫痫: 公共卫生当务之急》. 日内瓦: 2019.
2. 世界卫生组织. 2022-2031 年癫痫和其他神经系统疾病跨部门全球行动计划草案. 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. 江欣悦, 熊维希译, 慕洁审. 儿童癫痫自我管理的干预措施: 证据等级是什么. 癫痫杂志, 2019, 5(2): 130-139.
5. 朱政, 胡雁, 周英凤, 等. 推动证据向临床转化(三)研究的选题和问题构建. 护士进修杂志, 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, 丛雪, 等. 指南研究与评价工具AGREE Ⅱ及各领域分值的补充解释及思考. 护理学报, 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证据预分级及证据推荐级别系统(2014版). 护士进修杂志, 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. 中华医学会儿科学分会神经学组. 儿童癫痫长程管理专家共识. 中华儿科杂志, 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, 孙晓敏. 国外癫痫专科护士的角色功能及发展现状. 中国护理管理, 2018, 18(7): 944-947.
20. 孙莉, 陆敏智, 浦菊芬, 等. 专科护士参与的住院患者脑卒中风险筛查及随访管理. 护理学杂志, 2024, 39(3): 1-5.
21. 李倩, 李京连. 癫痫护理工作室的构建及应用. 中国实用神经疾病杂志, 2023, 26(1): 87-91.
22. 刘美丽, 李艳, 朱丽辉, 等. 改善癫痫儿童服药依从性的最佳证据总结. 护理学报, 2020, 27(18): 50-54.
23. 薄琳, 王乾贝, 郑颖, 等. 以癫痫日记APP为主导的远程干预在青少年癫痫病人中的应用. 护理研究, 2019, 33(22): 3964-3968.
24. 张珊珊, 常红. 可穿戴技术在癫痫患者监测及自我管理中的应用进展. 中华护理杂志, 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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