Effect of Continuous Care Model on Self-care and Self -efficacy for Children with Epilepsy

Abdallah Mohamed Amer, Samah; Elsayed Abo Zaid, Doaa; Mohammed AbdEl Aziz, Seham

doi:10.21608/ejhc.2025.433435

Effect of Continuous Care Model on Self-care and Self -efficacy for Children with Epilepsy

Document Type : Original Article

Authors

¹ Assistant professor of Pediatric Nursing, Faculty of Nursing/ Benha University, Egypt.

² Lecturer of Pediatric Nursing,Faculty of Nursing, Menoufia University, Egypt.

³ Assistant professor of Pediatric Nursing, Faculty of Nursing/ Benha University,Egypt.

10.21608/ejhc.2025.433435

Abstract

Background: Epilepsy is among the most common neurological disorders in children, characterized by recurrent seizures due to abnormal electrical activity in the brain. These episodes may result in involuntary muscle movements and temporary loss of consciousness. Managing epilepsy requires both medical treatment and active caregiver involvement. The aim of the study was to evaluate the effect of continuous care model in enhancing self-care practices and self-efficacy among children diagnosed with epilepsy.Design: A quasi-experimental design with pre-intervention, post-intervention, and follow-up phases was adopted.Setting: This study was carried out at Children’ Health Insurance hospitals clinics for school children in Benha city which affiliated to the Egyptian Ministry of Education. Subject: A convenience sample of 80 mothers and their children with epilepsy. Data collection Tools: Data were collected using four instruments; Tool I: A structured interviewing questionnaire: Tool II: Mothers’ knowledge and reported practice regarding to care their children with epilepsy. Tool III: Self-Management Scale for children with epilepsy and Tool IV: Self-efficacy Scale (ESES) for children with epilepsy: Results: Following the implementation of the continuous care model, significant improvements were observed in mothers' knowledge and reported practices. Additionally, children exhibited marked enhancements in self-care behaviors and self-efficacy. Statistical analysis revealed there was a highly statistically significant positive correlations among mothers’ knowledge, practices, and children’s self-efficacy and self-management scores regarding to epilepsy thorough of continuous care model implementation phases.. Conclusion: The continuous care model proved to be effective in improving mothers’ knowledge and reported practices, as well as in promoting self-care and self-efficacy among children with epilepsy. Recommendation: It is recommended that the continuous care model be incorporated into nursing interventions aimed at supporting families in managing pediatric epilepsy and for enhancing mothers and children self-care practices and self-efficacy in epilepsy care.

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