Educational Program for School Health Nurses and Teachers Regarding Primary School Children with Epilepsy

Mayada Taha Mahmoud Sabea^1, and Eman Hassan Mohamoud²

¹Community Health Nursing Department, Faculty of Nursing, Helwan University, Egypt

²Pediatric Nursing Department, Faculty of Nursing, Helwan University, Egypt

Cite this paper:
Mayada Taha Mahmoud Sabea and Eman Hassan Mohamoud. Educational Program for School Health Nurses and Teachers Regarding Primary School Children with Epilepsy. American Journal of Nursing Research. 2018; 6(5):253-262. doi: 10.12691/ajnr-6-5-6

Abstract

Epilepsy is a disorder of the brain that causes recurrent seizures. Effects people at all ages, but with higher rates at primary school age. Children with epilepsy face several social, cultural and learning problems, so that school health nurses and teachers have essential role to decrease these problems. Aim: Evaluate the educational program for school health nurses and teachers regarding primary school children with epilepsy. Design: A quasi experimental design was adopted. Setting: Governmental primary schools in Sammanoud City, Gharbia Governorate, Egypt. Sampling: Two samples were used: For school health nurses, all of them participated in the study, these were 21 school health nurses, and for teachers; simple random sample was used to select 249 teachers, with the following criteria: Direct contact with students in the class or during providing activities. Tools: An interviewing questionnaire which includes 4 parts, 1) Demographic characteristics, 2) School health nurses and teachers' knowledge about meaning of epilepsy, 3) School health nurses and teachers' attitude toward primary school children suffering from epilepsy, and 4) School health nurses and teachers' practice toward primary school children with epilepsy. Results: This study showed, highly statistically significant improvement of school health nurses and teachers' knowledge, attitude, and practices regarding epilepsy (4.23±1.23 to 5.14±1.08 and 1.49±1.07 to 4.57±1.46,) (6.91±1.60 to 10.68±2.06and 2.59±2.32to 9.26±2.21) (2.27±2.55 to 3.18±2.46 and 0.78±1.79 to 3.27±2.38) respectively post educational program implementation. Conclusion: Educational program improved the school health nurses and teachers' knowledge, attitude and practices regarding primary school children with epilepsy. The study results also showed a highly statistically significant and positive correlation between knowledge, attitude and practices of studied samples after educational program implementation. Recommendation: Dissemination of the educational program for school health nurses and teachers at all governmental and nongovernmental schools; Clarified booklet should be provided to school health nurses and teachers to deal them how to deal with children suffering from epilepsy; Training the school health nurses before work to determine how apply educational program for teachers to determine how to deal with children suffering from epilepsy during and after seizure.

Keywords:
epilepsy educational program school health nurses and teachers primary school children

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References:

[1]	Alaqeel, A.S.: Epilepsy, what do Saudi’s living in Riyadh knows?, 2013, Available at: http://www.sciencedirect.com/science/article/pii/S1059131112003317.
[2]	Aydemir, N: Developing two different measures for assessing knowledge of and attitudes toward epilepsy for the Turkish population. Epilepsy Behav, PubMed; 12(1):9-84, 2013, Available at: https://www.ncbi.nlm.nih.gov/pubmed/17974487.
[3]	Harden, C., Tomson, T., Gloss, D., Buchhalter, J., Cross, J.H., Donner, E., French, J.A., Gil-Nagel, A., Hesdorffer, D.C., Smithson, W.H., Spitz, M.C., Walczak, T.S., Sander, J.W., &Ryvlin, P. : Practice guideline summary: Sudden unexpected death in epilepsy incidence rates and risk factors: Report of the guideline development, dissemination, and implementation subcommittee of the American Academy of Neurology and the American Epilepsy Society, American Academy of Neurology, PubMed; 17: 1674-1680. 2017.
[4]	Tabri, A.: Parental perception of febrile convulsions. British Journal of Clinical Psychology; 38(1): 59-72. 2007.
[5]	Steven, C., Greogory, L.,&Dorothee, G.: Behaviouralaspects of epilepsy: Principles &practice”. Demos Medical Publishing L.L.C.: pp. 366-369; 2008,
[6]	Shehata, Gh.,Abd El-Lateef, Z., Ghanem, H., El-Masry, H.: Knowledge, attitude and practice regarding people with epilepsy among nurses, 2015, Available at: http://psjd.icm.edu.pl/psjd/element/bwmeta1.element.psjd-58486b2d-7b96-4caf-8a83-f820126ed13d.
[7]	El Tallawy, H.N., Farghaly, W.M., &Rageh, T.A. (2010): Epidemiology of major neurological disorders project in Al Kharga District, New Valley, Egypt. Neuroepidemiology; 35: 291-297.
[8]	World Health Organization: International Epilepsy Day, 2017, Available at: http://www.who.int/mental_health/neurology/epilepsy/en/.
[9]	Epilepsy Foundation of America: Epilepsy in children, the teacher’s role, 2016, Available at: https://www.epilepsycolorado.org/wp-content/uploads/2016/01/6- The-Teachers-Role.pdf.
[10]	Yamane, T: Statistics, an introductory analysis, 2nded. New York: Harper and Row, chapter 7, p.p. 190: 192, 1967.
[11]	Dawson, B.D., & Trapp, R.G.: Reading the medical literature: Basic &clinical biostatistics,New York: Lange Medical Book/ McGraw – Hill. Medical Publication Division, 3rd ed., Ch. 7-9, pp. 161-218 and Ch. 13, pp. 305-314, 2001.
[12]	Hosini, N., Sharif, F., Ahmadi, F.,&Zare, M.: Disease- based versus patient- based approach in epilepsy management from the patients’ point of view: a qualitative research. Life Science Journal; 9(3): 6-12, 2016.
[13]	Brabcova, D., Lovasova, V., Kohout, J., &Zarubova, J.: Familiarity with and attitudes towards epilepsy among teachers at Czech elementary schools the effect of personal experience and subspecialization in Pilsen, Czech Republic. British Epilepsy Association, Published by Elsevier Ltd. Seizure; 21: 461-465, 2012.
[14]	Mohamed, A.M., &Elalem, O.M.:Effect of health educational program on knowledge about epilepsy and its management among primary teachers, Department of Community & Family Health Nursing, Faculty of Nursing, Port Said University, Egypt, International Journal of Advanced Research;53(1): 46-53, 2015.
[15]	O’Dell, C., & O’Hara, K.: School nurses’ experience with administration of rectal diazepam gel for seizures in Seattle, Washington, The Journal of School Nursing; 23: 166-169, 2016.
[16]	Prabhuswami, H., Vaishali, R.M., Prakash, N., Shivaji, H.P., & Mahesh, Ch.: A study to assess the effectiveness of planned teaching programme on knowledge and management of epilepsy among epileptics attending outpatient department in Krishna Hospital Karad. International Journal of Health Sciences and Research, 11(3): 719-726; 2015.
[17]	Kocoglu, D.,&Emiroglu, O.N.: Educational program for nurses and its impact in comprehensive school nursing services on students' academic performance, in Turky. Journal of Caring Science; 6(1): 5-17, 2017.
[18]	Desai, Sh., Hiremath, P., &Naregal, P.: A study to assess the effectiveness of planned teaching programme on knowledge regarding epilepsy management in school children among primary school teachers working in selected primary schools at Malur, Kolar, Karnataka,International Journal of Health Sciences and Research, 2015, Available at: http://www.allsands.com/kids/health/epilepsychild_swy_gn.htm.
[19]	Abulhamail, A.S., Al-Sulami, F.E., Alnouri, M.A., Mahrous, N.M., Joharji, D.G., Albogami, M.M., Jan, M.M.: Primary school teacher’s knowledge and attitudes toward children with epilepsy, in Saudi Arabia. Seizure; 23: 280-283, 2014.
[20]	Khanal, K., Maharjan, R., Pokharel, B.R, &Sanjel S.: School teachers’ knowledge about epilepsy in Kathmandu Metropolitan City. Kathmandu Univ Med.; 52(4): 316-22, 2015.
[21]	Sharma, N.K., Prasanna, K.L., & Kumar, A.: Effectiveness of structured teaching program on knowledge regarding epilepsy in children among school teachers.IOSR Journal of Nursing and Health Science; (IOSR-JNHS) e-ISSN: 2320-1959. p- ISSN: 2320–1940, Nov. – Dec. 2013; 2(6): 7-13, 2013.
[22]	Locharernkul, C., Suwaroporn, S., &Krongthong, W.: A study of knowledge and attitude improvement on epilepsy among Thai physicians and nurses. J Med Assoc Thai; 93: 875-884, 2010.
[23]	Akpan, M.U., Ikpeme, E.E., &Utuk E.E.: Teachers' knowledge, attitudes and practices towards seizure disorder: A comparative study of urban and rural school teachers in AkwaIbom State, Nigeria, Nigerian Journal of Clinical Practice; 16(3): 365-370, 2013.
[24]	Adamolekun, B., Mielke, J., & Ball, D: An evaluation of the management of epilepsy by primary health care nurses in Chitungwiza, Zimbabwe. Epilepsy Res; 39: 177-181, 2011.