The Effect of Parent Training and Telephone Follow-up on Adherence to Medication Program of Children with Epilepsy

Background: Epilepsy is a common chronic neurological disorder in paediatrics. Most of the children with epilepsy do not properly adhere to medication regimen which leads to a lack of control over seizure and increased mortality and morbidity rate in these patients.Aim: This study was conducted with aim to evaluate the effect of parent training and telephone follow-up on adherence to the medication program of children with epilepsy.Method: This quasi-experimental study was conducted with participation of ۷۲ parents of children with epilepsy who were referred to Besat Hospital of Hamadan in ۲۰۱۹-۲۰۲۱. The samples were assigned to two experimental and control groups by using random block permutation. During the first ۲۴ hours of admission, the participants completed the researcher-made medication adherence questionnaire. A face-to-face training program and follow-up by phone were provided for the experimental group and no intervention for the control group. The questionnaire was also completed after two months. Data were analysed using SPSS software (version ۲۲). p<۰.۰۵ was considered statistically significant.Results: After the intervention, the control group showed a non-significant increase of ۴۷.۱۰±۱۵.۰۷ in medication adherence (p>۰.۰۵). However, the intervention group experienced a significant increase of ۸۸.۸۳±۴.۶۸ in medication adherence (p<۰.۰۰۱).Implications for Practice: Parental education and telephone follow-up can be recommended as an independent action in nursing care services to improve medication adherence in children with epilepsy.

کلیدواژه ها:

Children ، Epilepsy ، Medication Adherence ، telephone follow-up ، Training