IN a new quasi-experimental study aimed at improving pediatric epilepsy care, researchers have found that tele-nursing significantly reduces maternal anxiety and increases self-efficacy after hospital discharge. Epilepsy remains one of the most common neurological disorders among children, and the burden on caregivers, particularly mothers, can be profound.
The study involved 90 mothers of children with epilepsy, randomly divided into two groups: one receiving standard post-discharge care, and the other receiving additional support through structured tele-nursing. Over a 2-month period, the intervention group received ten scheduled telephone calls from trained nurses, addressing concerns, providing education, and offering emotional support.
Using validated tools including the Spielberger Anxiety Questionnaire and a caregiver self-efficacy scale, researchers assessed changes in maternal outcomes before and after the intervention. The findings were clear: mothers who received tele-nursing support reported significantly reduced anxiety levels and higher self-efficacy scores compared to the control group. Both changes were statistically significant (P < 0.001), and there were no notable demographic differences between the two groups that could account for the effect. These results highlight the potential of mobile tele-nursing as a scalable, cost-effective solution for supporting families managing chronic pediatric conditions like epilepsy. The researchers emphasized that customized, phone-based follow-up programs can not only provide reassurance and guidance but also empower caregivers to confidently manage their child’s condition at home. This innovative model of care delivery, centered around accessibility, empathy, and education, may serve as a valuable template for other chronic conditions requiring long-term family support. With anxiety levels reduced and self-efficacy increased, the ripple effect could improve both caregiver wellbeing and patient outcomes. The authors recommend broader implementation of tele-nursing programs based on individual family needs, particularly in pediatric neurology, where the emotional toll on caregivers is high. This study reinforces the importance of continued support well beyond hospital walls. Reference: Seif M et al. Impact of tele-nursing on maternal self-efficacy and anxiety in post-discharge epilepsy care: an quasi-experimental study. Eur J Pediatr. 2025;184(5):285.
