Study of Graded Management on Epilepsy Control Measures' Establishment and Effectiveness in the Disability Institution
身心障礙機構 ； 癲癇控制 ； 分級管理 ； Disability institution ； epilepsy control ； graded management
|Volume or Term/Year and Month of Publication||
14卷2期（2016 / 06 / 01）
117 - 133
The neurological disorder and epilepsy are the major health problems for people with mental/intellectual disability. One reason for the bad effectiveness of treatment is because the disease is difficult to be detected. Most studies focus on the issues about the ＂treatments＂ and the ＂drug developments＂ of epilepsy and only few emphasize the control and management of epilepsy in the institutions. This study aims to analyze the establishment of ＂Epilepsy control grading management＂ and assess the effectiveness of the implemented measures. Methods: In this study, we used both qualitative and case study research methods. The data analyzed comes from the participating care institutions between 2009 and 2015 in order to evaluate the results of the implemented measures. Results: (1) the measures have been effective in improving epilepsy control according to the changes of the seizure attacks and grading assessment numbers. (2) the patterns of seizure attacks differ, their onsets are not easily controlled, and threatening risks may be caused by epilepticus. (3) immediately mobilizing emergency manpower resources when seizures occur in care institutions are necessary; employees that dealing with the attacks experience various stress factors, and the skills for dealing with seizure attacks need to be accumulated through experiences. (4) care institutions face many challenges related to seizures: the manpower ratio needed for nighttime care is high, the psychological stress related to caring for epileptic cases are high; the willingness to provide emergency aid at hospitals is low; and parental support is limited. (5) disabled individuals experience many difficulties with regard to medical care, such as limitations on the facilities and equipment, self-awareness, and communication issues. Conclusions and suggest: that the epilepsy control grading management measures have had a definite effect on seizure control for disabled individuals, and seizure data provide positive support for the institutional staff and physicians regarding communication with parents, as well as medical follow-ups. Practicing such measures can improve epileptic disorders, as well as the quality of life of people with disabilities.
社會科學 > 心理學
社會科學 > 教育學