Experience during COVID-19 lockdown and self-managing strategies among caregivers of children with epilepsy: A study from low middle income country.
Identifieur interne : 000431 ( Main/Exploration ); précédent : 000430; suivant : 000432Experience during COVID-19 lockdown and self-managing strategies among caregivers of children with epilepsy: A study from low middle income country.
Auteurs : Jithangi Wanigasinghe [Sri Lanka] ; Ashan Jayawickrama [Sri Lanka] ; Gemunu Hewawitharana [Sri Lanka] ; Jagath Munasinghe [Sri Lanka] ; Chathurika T. Weeraratne [Sri Lanka] ; Pyara Ratnayake [Sri Lanka] ; Dimuthu S. Wijesekara [Sri Lanka] ; Sanjaya Fernando [Sri Lanka] ; Priyanka Rupasinghe [Sri Lanka]Source :
- Seizure [ 1532-2688 ] ; 2021.
Descripteurs français
- KwdFr :
- Accessibilité des services de santé (MeSH), Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Aidants (MeSH), Anticonvulsivants (usage thérapeutique), Contrôle des maladies transmissibles (MeSH), Enfant (MeSH), Enfant d'âge préscolaire (MeSH), Femelle (MeSH), Gestion de soi (MeSH), Humains (MeSH), Mâle (MeSH), Nourrisson (MeSH), Parents (psychologie), Politique publique (MeSH), Sri Lanka (MeSH), Stress psychologique (psychologie), Épilepsie (traitement médicamenteux), Études transversales (MeSH).
- MESH :
- psychologie : Parents, Stress psychologique.
- traitement médicamenteux : Épilepsie.
- usage thérapeutique : Anticonvulsivants.
- Accessibilité des services de santé, Adolescent, Adulte, Adulte d'âge moyen, Aidants, Contrôle des maladies transmissibles, Enfant, Enfant d'âge préscolaire, Femelle, Gestion de soi, Humains, Mâle, Nourrisson, Politique publique, Sri Lanka, Études transversales.
- Wicri :
- geographic : Sri Lanka.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Anticonvulsants (therapeutic use), COVID-19 (MeSH), Caregivers (MeSH), Child (MeSH), Child, Preschool (MeSH), Communicable Disease Control (MeSH), Cross-Sectional Studies (MeSH), Epilepsy (drug therapy), Female (MeSH), Health Services Accessibility (MeSH), Humans (MeSH), Infant (MeSH), Male (MeSH), Middle Aged (MeSH), Parents (psychology), Public Policy (MeSH), SARS-CoV-2 (MeSH), Self-Management (MeSH), Sri Lanka (MeSH), Stress, Psychological (psychology).
- MESH :
- chemical , therapeutic use : Anticonvulsants.
- geographic : Sri Lanka.
- drug therapy : Epilepsy.
- psychology : Parents, Stress, Psychological.
- Adolescent, Adult, COVID-19, Caregivers, Child, Child, Preschool, Communicable Disease Control, Cross-Sectional Studies, Female, Health Services Accessibility, Humans, Infant, Male, Middle Aged, Public Policy, SARS-CoV-2, Self-Management.
Abstract
PURPOSE
Abrupt halt of service provision due to pandemic state of COVID-19, significantly affected care of patients with chronic diseases like epilepsy; its impact being greater on caregivers of vulnerable groups such as children with epilepsy. We performed this study to describe difficulties posed by the lockdown to caregivers of children with epilepsy in a low-middle income country and describe their responses and self-management strategies to overcome difficulties and prepare for a recurrence.
METHOD
A cross-sectional all-island survey was carried out at paediatric neurology centers in Sri Lanka. Data was gathered via a face-to-face interview after the lockdown period. Parental stress level was evaluated using a self-rating Stress Assessment Questionnaire.
RESULTS
Caregivers of 140 children with epilepsy from seven centers served by paediatric neurologists were interviewed. Mean duration of epilepsy was 7.9 years(SD 4). Majority were on one (52.1 %) or two (20 %) anti-seizure medications regularly. The pandemic did not affect epilepsy control in majority (87.3 %), however, signficant proportion faced difficulties over regular reviews and presecription refills. Despite difficluties, 87.1 % of parents maintained dispensing anti-seizure medications to their child regularly. Caregivers demonstrated healthy self-management strategies such as awareness on medications and access methods to healthcare during lockdown and remained confident of accessability to services. Stress was experienced in < 5%.
CONCLUSION
Lockdown status for COVID-19 did not significantly affect the control of epilepsy in children though it posed difficulties for regular reviews and obtaining medications. Self-management strategies will help caregivers to adopt to new-normal status and potential future outbreaks.
DOI: 10.1016/j.seizure.2020.12.001
PubMed: 33321430
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Electronic address: jithangi@gmail.com.</nlm:affiliation><country xml:lang="fr">Sri Lanka</country><wicri:regionArea>Department of Paediatrics, Faculty of Medicine, University of Colombo</wicri:regionArea><wicri:noRegion>University of Colombo</wicri:noRegion></affiliation></author><author><name sortKey="Jayawickrama, Ashan" sort="Jayawickrama, Ashan" uniqKey="Jayawickrama A" first="Ashan" last="Jayawickrama">Ashan Jayawickrama</name><affiliation wicri:level="1"><nlm:affiliation>Department of Paediatrics, Faculty of Medicine, University of Colombo, Sri Lanka.</nlm:affiliation><country xml:lang="fr">Sri Lanka</country><wicri:regionArea>Department of Paediatrics, Faculty of Medicine, University of Colombo</wicri:regionArea><wicri:noRegion>University of Colombo</wicri:noRegion></affiliation></author><author><name sortKey="Hewawitharana, Gemunu" sort="Hewawitharana, Gemunu" uniqKey="Hewawitharana G" first="Gemunu" last="Hewawitharana">Gemunu Hewawitharana</name><affiliation wicri:level="1"><nlm:affiliation>Teaching Hospital, Karapitiya, Sri Lanka.</nlm:affiliation><country xml:lang="fr">Sri Lanka</country><wicri:regionArea>Teaching Hospital, Karapitiya</wicri:regionArea><wicri:noRegion>Karapitiya</wicri:noRegion></affiliation></author><author><name sortKey="Munasinghe, Jagath" sort="Munasinghe, Jagath" uniqKey="Munasinghe J" first="Jagath" last="Munasinghe">Jagath Munasinghe</name><affiliation wicri:level="1"><nlm:affiliation>Sirimavo Bandaranayaike Specialized Children's Hospital, Peradeniya, Sri Lanka.</nlm:affiliation><country xml:lang="fr">Sri Lanka</country><wicri:regionArea>Sirimavo Bandaranayaike Specialized Children's Hospital, Peradeniya</wicri:regionArea><wicri:noRegion>Peradeniya</wicri:noRegion></affiliation></author><author><name sortKey="Weeraratne, Chathurika T" sort="Weeraratne, Chathurika T" uniqKey="Weeraratne C" first="Chathurika T" last="Weeraratne">Chathurika T. Weeraratne</name><affiliation wicri:level="1"><nlm:affiliation>Teaching Hospital, Anuradhapura, Sri Lanka.</nlm:affiliation><country xml:lang="fr">Sri Lanka</country><wicri:regionArea>Teaching Hospital, Anuradhapura</wicri:regionArea><wicri:noRegion>Anuradhapura</wicri:noRegion></affiliation></author><author><name sortKey="Ratnayake, Pyara" sort="Ratnayake, Pyara" uniqKey="Ratnayake P" first="Pyara" last="Ratnayake">Pyara Ratnayake</name><affiliation wicri:level="1"><nlm:affiliation>Lady Ridgeway Hospital for Children, Colombo, Sri Lanka.</nlm:affiliation><country xml:lang="fr">Sri Lanka</country><wicri:regionArea>Lady Ridgeway Hospital for Children, Colombo</wicri:regionArea><wicri:noRegion>Colombo</wicri:noRegion></affiliation></author><author><name sortKey="Wijesekara, Dimuthu S" sort="Wijesekara, Dimuthu S" uniqKey="Wijesekara D" first="Dimuthu S" last="Wijesekara">Dimuthu S. Wijesekara</name><affiliation wicri:level="1"><nlm:affiliation>Department of Paediatrics, Faculty of Medical Sciences, University of Sri Jayewardenepura, Sri Lanka.</nlm:affiliation><country xml:lang="fr">Sri Lanka</country><wicri:regionArea>Department of Paediatrics, Faculty of Medical Sciences, University of Sri Jayewardenepura</wicri:regionArea><wicri:noRegion>University of Sri Jayewardenepura</wicri:noRegion></affiliation></author><author><name sortKey="Fernando, Sanjaya" sort="Fernando, Sanjaya" uniqKey="Fernando S" first="Sanjaya" last="Fernando">Sanjaya Fernando</name><affiliation wicri:level="1"><nlm:affiliation>North Colombo Teaching Hospital, Ragama, Sri Lanka.</nlm:affiliation><country xml:lang="fr">Sri Lanka</country><wicri:regionArea>North Colombo Teaching Hospital, Ragama</wicri:regionArea><wicri:noRegion>Ragama</wicri:noRegion></affiliation></author><author><name sortKey="Rupasinghe, Priyanka" sort="Rupasinghe, Priyanka" uniqKey="Rupasinghe P" first="Priyanka" last="Rupasinghe">Priyanka Rupasinghe</name><affiliation wicri:level="1"><nlm:affiliation>Teaching Hospital, Batticaloa, Sri Lanka.</nlm:affiliation><country xml:lang="fr">Sri Lanka</country><wicri:regionArea>Teaching Hospital, Batticaloa</wicri:regionArea><wicri:noRegion>Batticaloa</wicri:noRegion></affiliation></author></analytic><series><title level="j">Seizure</title><idno type="eISSN">1532-2688</idno><imprint><date when="2021" type="published">2021</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Anticonvulsants (therapeutic use)</term><term>COVID-19 (MeSH)</term><term>Caregivers (MeSH)</term><term>Child (MeSH)</term><term>Child, Preschool (MeSH)</term><term>Communicable Disease Control (MeSH)</term><term>Cross-Sectional Studies (MeSH)</term><term>Epilepsy (drug therapy)</term><term>Female (MeSH)</term><term>Health Services Accessibility (MeSH)</term><term>Humans (MeSH)</term><term>Infant (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Parents (psychology)</term><term>Public Policy (MeSH)</term><term>SARS-CoV-2 (MeSH)</term><term>Self-Management (MeSH)</term><term>Sri Lanka (MeSH)</term><term>Stress, Psychological (psychology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Accessibilité des services de santé (MeSH)</term><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Aidants (MeSH)</term><term>Anticonvulsivants (usage thérapeutique)</term><term>Contrôle des maladies transmissibles (MeSH)</term><term>Enfant (MeSH)</term><term>Enfant d'âge préscolaire (MeSH)</term><term>Femelle (MeSH)</term><term>Gestion de soi (MeSH)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Nourrisson (MeSH)</term><term>Parents (psychologie)</term><term>Politique publique (MeSH)</term><term>Sri Lanka (MeSH)</term><term>Stress psychologique (psychologie)</term><term>Épilepsie (traitement médicamenteux)</term><term>Études transversales (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anticonvulsants</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Sri Lanka</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Epilepsy</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Parents</term><term>Stress psychologique</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Parents</term><term>Stress, Psychological</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Épilepsie</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Anticonvulsivants</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>COVID-19</term><term>Caregivers</term><term>Child</term><term>Child, Preschool</term><term>Communicable Disease Control</term><term>Cross-Sectional Studies</term><term>Female</term><term>Health Services Accessibility</term><term>Humans</term><term>Infant</term><term>Male</term><term>Middle Aged</term><term>Public Policy</term><term>SARS-CoV-2</term><term>Self-Management</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Accessibilité des services de santé</term><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aidants</term><term>Contrôle des maladies transmissibles</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Femelle</term><term>Gestion de soi</term><term>Humains</term><term>Mâle</term><term>Nourrisson</term><term>Politique publique</term><term>Sri Lanka</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Sri Lanka</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>PURPOSE</b></p><p>Abrupt halt of service provision due to pandemic state of COVID-19, significantly affected care of patients with chronic diseases like epilepsy; its impact being greater on caregivers of vulnerable groups such as children with epilepsy. We performed this study to describe difficulties posed by the lockdown to caregivers of children with epilepsy in a low-middle income country and describe their responses and self-management strategies to overcome difficulties and prepare for a recurrence.</p></div><div type="abstract" xml:lang="en"><p><b>METHOD</b></p><p>A cross-sectional all-island survey was carried out at paediatric neurology centers in Sri Lanka. Data was gathered via a face-to-face interview after the lockdown period. Parental stress level was evaluated using a self-rating Stress Assessment Questionnaire.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Caregivers of 140 children with epilepsy from seven centers served by paediatric neurologists were interviewed. Mean duration of epilepsy was 7.9 years(SD 4). Majority were on one (52.1 %) or two (20 %) anti-seizure medications regularly. The pandemic did not affect epilepsy control in majority (87.3 %), however, signficant proportion faced difficulties over regular reviews and presecription refills. Despite difficluties, 87.1 % of parents maintained dispensing anti-seizure medications to their child regularly. Caregivers demonstrated healthy self-management strategies such as awareness on medications and access methods to healthcare during lockdown and remained confident of accessability to services. Stress was experienced in < 5%.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Lockdown status for COVID-19 did not significantly affect the control of epilepsy in children though it posed difficulties for regular reviews and obtaining medications. Self-management strategies will help caregivers to adopt to new-normal status and potential future outbreaks.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">33321430</PMID><DateCompleted><Year>2021</Year><Month>01</Month><Day>25</Day></DateCompleted><DateRevised><Year>2021</Year><Month>01</Month><Day>25</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-2688</ISSN><JournalIssue CitedMedium="Internet"><Volume>84</Volume><PubDate><Year>2021</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Seizure</Title><ISOAbbreviation>Seizure</ISOAbbreviation></Journal><ArticleTitle>Experience during COVID-19 lockdown and self-managing strategies among caregivers of children with epilepsy: A study from low middle income country.</ArticleTitle><Pagination><MedlinePgn>112-115</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1059-1311(20)30389-7</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.seizure.2020.12.001</ELocationID><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Abrupt halt of service provision due to pandemic state of COVID-19, significantly affected care of patients with chronic diseases like epilepsy; its impact being greater on caregivers of vulnerable groups such as children with epilepsy. We performed this study to describe difficulties posed by the lockdown to caregivers of children with epilepsy in a low-middle income country and describe their responses and self-management strategies to overcome difficulties and prepare for a recurrence.</AbstractText><AbstractText Label="METHOD" NlmCategory="METHODS">A cross-sectional all-island survey was carried out at paediatric neurology centers in Sri Lanka. Data was gathered via a face-to-face interview after the lockdown period. Parental stress level was evaluated using a self-rating Stress Assessment Questionnaire.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Caregivers of 140 children with epilepsy from seven centers served by paediatric neurologists were interviewed. Mean duration of epilepsy was 7.9 years(SD 4). Majority were on one (52.1 %) or two (20 %) anti-seizure medications regularly. The pandemic did not affect epilepsy control in majority (87.3 %), however, signficant proportion faced difficulties over regular reviews and presecription refills. Despite difficluties, 87.1 % of parents maintained dispensing anti-seizure medications to their child regularly. Caregivers demonstrated healthy self-management strategies such as awareness on medications and access methods to healthcare during lockdown and remained confident of accessability to services. Stress was experienced in < 5%.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Lockdown status for COVID-19 did not significantly affect the control of epilepsy in children though it posed difficulties for regular reviews and obtaining medications. Self-management strategies will help caregivers to adopt to new-normal status and potential future outbreaks.</AbstractText><CopyrightInformation>Copyright © 2020 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Wanigasinghe</LastName><ForeName>Jithangi</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Paediatrics, Faculty of Medicine, University of Colombo, Sri Lanka. Electronic address: jithangi@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jayawickrama</LastName><ForeName>Ashan</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Paediatrics, Faculty of Medicine, University of Colombo, Sri Lanka.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hewawitharana</LastName><ForeName>Gemunu</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Teaching Hospital, Karapitiya, Sri Lanka.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Munasinghe</LastName><ForeName>Jagath</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Sirimavo Bandaranayaike Specialized Children's Hospital, Peradeniya, Sri Lanka.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Weeraratne</LastName><ForeName>Chathurika T</ForeName><Initials>CT</Initials><AffiliationInfo><Affiliation>Teaching Hospital, Anuradhapura, Sri Lanka.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ratnayake</LastName><ForeName>Pyara</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Lady Ridgeway Hospital for Children, Colombo, Sri Lanka.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wijesekara</LastName><ForeName>Dimuthu S</ForeName><Initials>DS</Initials><AffiliationInfo><Affiliation>Department of Paediatrics, Faculty of Medical Sciences, University of Sri Jayewardenepura, Sri Lanka.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fernando</LastName><ForeName>Sanjaya</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>North Colombo Teaching Hospital, Ragama, Sri Lanka.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rupasinghe</LastName><ForeName>Priyanka</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Teaching Hospital, Batticaloa, Sri Lanka.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>12</Month><Day>08</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Seizure</MedlineTA><NlmUniqueID>9306979</NlmUniqueID><ISSNLinking>1059-1311</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D000927">Anticonvulsants</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000927" MajorTopicYN="N">Anticonvulsants</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000086382" MajorTopicYN="Y">COVID-19</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017028" MajorTopicYN="N">Caregivers</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003140" MajorTopicYN="N">Communicable Disease Control</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004827" MajorTopicYN="N">Epilepsy</DescriptorName><QualifierName UI="Q000188" MajorTopicYN="Y">drug therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006297" MajorTopicYN="N">Health Services Accessibility</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007223" MajorTopicYN="N">Infant</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010290" MajorTopicYN="Y">Parents</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011640" MajorTopicYN="Y">Public Policy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000086402" MajorTopicYN="N">SARS-CoV-2</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073278" MajorTopicYN="Y">Self-Management</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013188" MajorTopicYN="N" Type="Geographic">Sri Lanka</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013315" MajorTopicYN="N">Stress, Psychological</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">Caregivers</Keyword><Keyword MajorTopicYN="N">Children with epilepsy</Keyword><Keyword MajorTopicYN="N">Self-management</Keyword><Keyword MajorTopicYN="N">Stress</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>11</Month><Day>12</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>12</Month><Day>02</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>12</Month><Day>07</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>12</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2021</Year><Month>1</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>12</Month><Day>15</Day><Hour>20</Hour><Minute>13</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">33321430</ArticleId><ArticleId IdType="pii">S1059-1311(20)30389-7</ArticleId><ArticleId IdType="doi">10.1016/j.seizure.2020.12.001</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Sri Lanka</li></country></list><tree><country name="Sri Lanka"><noRegion><name sortKey="Wanigasinghe, Jithangi" sort="Wanigasinghe, Jithangi" uniqKey="Wanigasinghe J" first="Jithangi" last="Wanigasinghe">Jithangi Wanigasinghe</name></noRegion><name sortKey="Fernando, Sanjaya" sort="Fernando, Sanjaya" uniqKey="Fernando S" first="Sanjaya" last="Fernando">Sanjaya Fernando</name><name sortKey="Hewawitharana, Gemunu" sort="Hewawitharana, Gemunu" uniqKey="Hewawitharana G" first="Gemunu" last="Hewawitharana">Gemunu Hewawitharana</name><name sortKey="Jayawickrama, Ashan" sort="Jayawickrama, Ashan" uniqKey="Jayawickrama A" first="Ashan" last="Jayawickrama">Ashan Jayawickrama</name><name sortKey="Munasinghe, Jagath" sort="Munasinghe, Jagath" uniqKey="Munasinghe J" first="Jagath" last="Munasinghe">Jagath Munasinghe</name><name sortKey="Ratnayake, Pyara" sort="Ratnayake, Pyara" uniqKey="Ratnayake P" first="Pyara" last="Ratnayake">Pyara Ratnayake</name><name sortKey="Rupasinghe, Priyanka" sort="Rupasinghe, Priyanka" uniqKey="Rupasinghe P" first="Priyanka" last="Rupasinghe">Priyanka Rupasinghe</name><name sortKey="Weeraratne, Chathurika T" sort="Weeraratne, Chathurika T" uniqKey="Weeraratne C" first="Chathurika T" last="Weeraratne">Chathurika T. Weeraratne</name><name sortKey="Wijesekara, Dimuthu S" sort="Wijesekara, Dimuthu S" uniqKey="Wijesekara D" first="Dimuthu S" last="Wijesekara">Dimuthu S. Wijesekara</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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