全市范围内养老院服务中癫痫患者的管理，对癫痫有特殊兴趣的全科医生的影响，以及加强养老院健康框架。

IF 2.3 3区医学 Q2 BEHAVIORAL SCIENCES

Epilepsy & Behavior Pub Date : 2025-01-16 DOI:10.1016/j.yebeh.2024.110239

I Minshall , A Neligan

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引用次数: 0

摘要

背景：癫痫的发病率随着年龄的增长而增加，尤其是在被诊断为痴呆症的人群中。老年人群的癫痫发作可能有局灶性发作，因此钠通道阻滞剂是首选药物。本研究回顾了全市范围内养老院服务中癫痫患者（PWE）的临床需求和护理，并评估了癫痫特殊兴趣全科医生（GPwSIe）的影响。方法：回顾2020年6月至2022年12月期间在切斯特所有养老院和养老院接受服务（包括GPwSIe）护理的PWE或有单次癫痫发作记录的临床记录。结果：在102例研究中，38例（37%）接受了GPwSIe的临床输入，82%的患者有阳性结果。不需要转介到二级保健。结论：这是第一个全面的研究癫痫在英国养老院已经揭示了显著的工作量。一个专门的护理院服务，包括一个GPwSIe，可以满足临床需要，防止转介二级护理，并促进对同事和护理员的教育。国家卫生和保健卓越研究所（NICE）的癫痫发作管理指南，可能有局灶性发作，在一个人群谁可能不适合标准调查，可以简化这组人。这项服务是“改善护理院架构”如何促进改善护理的一个很好的例子。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

The management of people with epilepsy in a city wide care home service, the impact of a GP with Special Interest in epilepsy, and Enhanced Health in Care Homes Framework

Background

The incidence of epilepsy increases with age, especially in people diagnosed with dementia. Seizures in an elderly population are likely to have a focal onset, for which sodium channel blockers are the drug of choice. This study reviews the clinical needs and care of people with epilepsy (PWE) in a city wide care home service and assessing the impact of a GP with Special Interest in epilepsy (GPwSIe).

Method

The clinical notes of PWE, or with a documented single seizure, who had at any time been under the care of the service, which included a GPwSIe, providing care to all nursing and residential homes in Chester were reviewed from June 2020 to December 2022.

Results

In the 102 people in the study, thirty eight (37%) had clinical input from a GPwSIe with 82% having positive outcomes. No referrals were required to secondary care.

Conclusion

This first comprehensive study of epilepsy in UK care homes has revealed a significant workload. A dedicated care home service, which included a GPwSIe, can meet that clinical need, prevent secondary care referral, and facilitate education for colleagues and carers. National Institute of Health and Care Excellence (NICE) guidelines for management of seizures, likely to have a focal onset, and in a population who might not be suitable for standard investigation, could be simplified for this group of people. The service is a good example of how the Enhanced Care Home Framework can facilitate improved care.

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来源期刊

Epilepsy & Behavior 医学-行为科学

CiteScore

5.40

自引率

15.40%

发文量

385

审稿时长

43 days

期刊介绍： Epilepsy & Behavior is the fastest-growing international journal uniquely devoted to the rapid dissemination of the most current information available on the behavioral aspects of seizures and epilepsy. Epilepsy & Behavior presents original peer-reviewed articles based on laboratory and clinical research. Topics are drawn from a variety of fields, including clinical neurology, neurosurgery, neuropsychiatry, neuropsychology, neurophysiology, neuropharmacology, and neuroimaging. From September 2012 Epilepsy & Behavior stopped accepting Case Reports for publication in the journal. From this date authors who submit to Epilepsy & Behavior will be offered a transfer or asked to resubmit their Case Reports to its new sister journal, Epilepsy & Behavior Case Reports.