Benha University

Seham Mohamed Abd-Elaziz

Asst. Professor

Faculty of Nursing Pediatric Nursing

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

Egyptian Journal of Health Care • 2025
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Publication Information
Authors SamahAbdallah MohamedAmer1., Doaa ElsayedAbo zaid2., Seham Mohammed AbdElAziz3.
Keywords Continuous Care Model, Epilepsy, Children, Self-care, Self-efficacy.
Journal Egyptian Journal of Health Care
Publisher Seham Mohammed Abd Elaziz
Volume 16
Issue 2
Pages 683-703
publication.type Local
Paper Link Not Available
Supplementary Materials Seham Mohamed Abd-Elaziz _paper7.pdf
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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