The Development of Nursing System for Pediatric Patients with Epilepsy

Mon, 19 Jan 2026 00:00:00 +0700

Background: Epilepsy in children is a complex health issue that requires continuous and effective care to prevent severe complications. This research aims to develop a nursing care system for pediatric epilepsy patients and to study the effectiveness of the system at Sunpasitthiprasong Hospital.

Methods: This was an action research study, applying Swanson’s Theory of Caring and the clinical practice guidelines of the Neurological Institute as the conceptual framework, with systems theory serving as the operational framework. The purposive sample consisted of 45 children with epilepsy, 45 primary caregivers, and 55 nurses. Data were collected from July 1, 2024, to June 20, 2025. Research instruments included nursing practice guidelines, a caring-based nursing plan, and a follow-up system via telemedicine. Data were analyzed using descriptive statistics and paired t-tests.

Results: The developed nursing care system comprised four key components: enhancing the competency of case manager nurses, implementing the 5-step caring intervention, establishing a seamless information transfer system, and conducting home follow-ups through telemedicine. Outcome evaluation revealed that, after implementing the system, nurses’ adherence to the guidelines improved from a moderate level to the highest level (p < .001). Caregivers’ knowledge and caregiving behaviors also increased significantly (p < .001), and satisfaction was at the highest level. Notably, the 28-day readmission rate and the rate of intensive care unit readmissions decreased from 8.7 percent to zero.

Conclusion: The pediatric epilepsy nursing care system effectively enhances quality of care and caregiver competency for children with epilepsy. It may serve as a model for administrators to develop care for children with chronic diseases and to sustainably expand the approach across health service networks.

The Effect of a Concrete-Objective Information Support Program on the Anxiety of First-Time Stroke Patients’ Family Members in the Emergency Room

Sumalee Seesuan , Shakuntala Anuruang — Mon, 19 Jan 2026 00:00:00 +0700

Background: Family members of individuals experiencing a stroke for the first time frequently encounter elevated levels of anxiety, primarily due to insufficient knowledge and preparation for managing such critical situations. While general information may be available, it often fails to equip them with a clear mental framework or structured understanding necessary for effectively regulating their responses. Consequently, this quasi-experimental study sought to examine the impact of a concrete–objective information support program on the anxiety levels of these family members.

Methods: A quasi-experimental, two-group pretest-posttest design was implemented in the emergency department of Sunpasitthiprasong Hospital. The sample comprised 60 family members of patients, divided into an experimental group and a control group, with 30 participants in each group. The research instruments included an information support program, a general information questionnaire, and an anxiety assessment questionnaire, all of which underwent content validation by five experts, resulting in a content validity index of 0.85. Data were analyzed using descriptive statistics, independent t-tests, and paired t-tests.

Results: The study demonstrated that family members of stroke patients in the emergency department who participated in the program exhibited significantly reduced anxiety scores post-intervention compared to their pre-intervention scores (p < 0.05). Furthermore, following the program, the anxiety scores of the experimental group were significantly lower than those of family members who received standard care (p < 0.05).

Conclusion: The implementation of a concrete–objective information support program through video media has been shown to effectively alleviate the anxiety experienced by family members of first-time stroke patients in the emergency room. Consequently, it is recommended that this family needs response program be adopted to efficiently mitigate anxiety.

Journal of Health Science Boromarajonani College of Nursing Sunpasitthiprasong

The Development of Nursing System for Pediatric Patients with Epilepsy

The Effect of a Concrete-Objective Information Support Program on the Anxiety of First-Time Stroke Patients’ Family Members in the Emergency Room