Problems, needs and strengthening of caregivers of children with epilepsy by applying Systemetic Theory


  • Kaewkarn Suearam Faculty of Nursing, Khon Kaen University, Thailand
  • Penkha Chunrat Faculty of Medicine, Khon Kaen University


children with epilepsy, problems and needs, strengthening, System Theory


Epilepsy is a neurological disorder in which two or more recurrent unprovoked seizures. While convulsions, the child is unconscious. Caregivers, therefore, have important role in caring for these pediatric patients, particularly babies or children who are affected by epilepsy, which is a chronic disease. It results in the reduction of self-care competency. System theory is applied to strengthen caregivers. It comprises of three components: 1) input, including knowledge, capability, motivation, social support, illness perception, equipment, tools, caring budget, and health conditions of caregivers, 2) process, which is caregivers' activities and practices in caring for children with epilepsy, and 3) output, which is children’s health conditions and caregivers’ satisfaction in caring for children with epilepsy.  Promotion of caregivers’ competency, to be strengthen in taking caring role patients with epilepsy continuously and happily in their own circumstances, will contribute to patients receiving effective care and caregivers having good quality of life.


Download data is not yet available.


Janjindamai S, Epilepsy. In Jaruratanasirikul S, Laoprasopwattana K, Puwanon M, Tonkhlang N, Editors. Outpatient clinic, Hospital. 3rd ed. Songkhla; Chanmuang press; 2012. (in Thai)

Sakorn K, Limsuwan N, Kuladee S, Khongkhatithum C. Depression in pediatric patients with epilepsy at Ramathibodi Hospital. Journal of the Psychiatric Association of Thailand 2019;64(1): 21-32. (in Thai)

Kangwal C, Kongsaktrakol C, Maneesriwongul W, Visudtibhan A. Factors related to medication adherence among children with epilepsy. Ramathibodi nursing journal 2019;23(1):44-59. (in Thai)

Medical Records Srinagarind Hospital. Statistics data report of pediatrics with Epilepsy 2560-2562. Srinagarind Hospital; 2562. (in Thai)

Sakulrungjalas T, Kongsaktrakul C, Visudtibhan A, Chansatitporn N. Knowledge and attitude towards epilepsy among pediatric nurses in secondary and tertiary hospitals in Thailand. Journal of The Royal Thai Army Nurses 2017; 18 Suppl 1:131-9. (in Thai)

Pandee P, Kiatrungrit K, Kuladee S, Khongkhatithum C, Wisajun P, Jullagate S, et al. Attention-deficit/hyperactivity disorder in childhood epilepsy in Ramathibodi Hospital and Related Factors. Journal of the Psychiatric Association of Thailand 2019;64(1):33-44. (in Thai)

Jarintana P, Kongsaktrakul C, Visudtibhan A. The effects of ability promoting program for caregivers of school-age children with epilepsy using CAI on knowledge, perceived self-efficacy, and outcome expectancy. The Journal of Faculty of Nursing Burapha University 2019;27(1):13-22. (in Thai)

Thamnaw P, Kongsaktrakul C, Patoomwan A. Predictive factors for adaptation among caregivers of children with epilepsy. Ramathibodi nursing journal 2011;17(2):218-31. (in Thai)

Sakulrungjalas T. Effects of epilepsy on children: Prevention and treatment. Thai Journal of Nursing Council 2018;33(4):5-18. (in Thai)

Von Bertalanffy L. General system theory. NewYork: Braziller; 1968.

Sriseang P. Theories and concepts Related to Nursing. KhonKaen: Faculty of Nursing KhonKaen University; 2014. (in Thai)

Maiphom S. Leemingsawat W. Health literacy of caregivers of children with epilepsy. Journal of sports science and health 2020;12(2):269-82. (in Thai)

Hazinski MF. Nursing care of the critically ill child. United States of America: Elsevier; 2013.

Auvichayapat N. Children epilepsy. Faculty of Medicine KhonKaen University: Pediatrics medicine KKU; 2018. (in Thai)

Lee JH, Ju HO, Lee YJ. Effects of an algorithm-based education program on nursing care for children with epilepsy by hospital nurses. Child Health Nursing Research 2019;25(3):324-32.

Borisut S, Bunyarak P, Noppornprom C. Abstract: Effect of guidelines of quality and safety at epilepsy monitoring unit in prasat neurological institute. Journal of the Department of Medical Service 2019; 44(4):137-43.

Srikulwong N, Kantawang S, Jintrawet U. Factors influencing health promotion behaviors. Nursing Journal 2012;39(4):23-33. (in Thai)

Pongwatcharaporn K. Factors predicting poor response to first antiepileptic drug in pediatric epilepsy. Medical Journal of Sriseket Surin Burerum Hospital 2020;35(2):491-500. (in Thai)

Piasupan R, Thanattheerakul C. The effects of educative supportive program using VCD and handbook on caregivers’ caring behaviors for school age epilepsy. Journal of Nursing Science & Health 2017;40 (2):11-21. (in Thai)

Chuaichum C, Jitpanya C. Factors related to medication adherence in patients with epilepsy: A systematic review. Princess of Naradhiwas University Journal 2014;6(1):36-47. (in Thai)

DiPaola F, Molleston JP, Gu J, Cirulli ET, Chalasani N, Barnhart H, et al. Antimicrobials and antiepileptics are the leading causes of idiosyncratic drug – induced liver injury in American children. Journal of Pediatric Gastroenterology and Nutrition 2019;69(2):152-9.

Singsathorn D, Permsirivanich W. Effects of promoting development in ADHD children with a ‘Group Activities Program’ at the queen savang vadhana memorial hospital in Chonburi, Thailand. Burapha Journal of Medicine 2018; 5(2): 70-86. (in Thai)

Jeerasup N, Sukhawaha S, Saguanrum K, Kenbubpha K, Dit-ung H. Development and test effectiveness of a school-based cognitive behavioral group therapy for depression in adolescents. Journal of the Psychiatric Association of Thailand 2020;65(1):47-62. (in Thai)

Matrakul M, Mongkhonittivech N. Situation analysis of care by volunteers for elders with chronic diseases in Mae-Ngoen municipality, Chiang Saen District, Chiang Rai Province. Journal of Nursing Science & Health 2018;41(2):69-77. (in Thai)



How to Cite

Sueram K, Chunrat P. Problems, needs and strengthening of caregivers of children with epilepsy by applying Systemetic Theory. JNSH [Internet]. 2021 Sep. 30 [cited 2022 Oct. 1];44(3):98-109. Available from:



Academic Article

Most read articles by the same author(s)