Status quo and influencing factors of self-management in young patients with refractory partial epilepsy
10.3760/cma.j.cn115682-20220315-01222
- VernacularTitle:青年难治性部分性癫痫患者自我管理行为现状及影响因素分析
- Author:
Xiaoqing SHI
1
;
Xin TIAN
;
Tao YU
;
Fan JI
Author Information
1. 首都医科大学宣武医院功能神经外科,北京 100053
- Keywords:
Youth;
Refractory partial epilepsy;
Self-management;
Self-concept;
Self-efficacy;
Coping style
- From:
Chinese Journal of Modern Nursing
2023;29(11):1483-1488
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the status of self-management in young patients with refractory partial epilepsy (RPE) and analyze its influencing factors.Methods:From May 2018 to April 2021, convenient sampling was used to select 226 young patients with RPE admitted to Xuanwu Hospital of Capital Medical University as the study subject. The patients were investigated using the General Information Questionnaire, the Epilepsy Self-Management Scale (ESMS), the General Self-Efficacy Scale (GSES), the Self-Concept Scale, and the medical coping modes questionnaire (MCMQ). Pearson correlation was used to analyze the correlation between self-concept, self-efficacy, coping style, and self-management. Linear hierarchical regression was used to explore the influencing factors of self-management in young patients with RPE. A total of 226 questionnaires were distributed and 214 were recovered, with a recovery rate of 94.69%. Excluding questionnaires with regular responses and omissions exceeding 10%, 208 valid questionnaires were recovered, with a valid recovery rate of 97.20% (208/214) .Results:Among 208 young patients with RPE, the total ESMS score was (110.64±12.56). Gender, education level, work situation, monthly family income, self-efficacy, self-concept and medical coping modes were the influencing factors of self-management in young patients with RPE ( P<0.05) . Conclusions:Medical and nursing staffs should implement individualized and systematic self-management education programs for young patients with RPE based on their personal circumstances, combined with self-efficacy and self-concept, to improve the self-management of young patients with RPE.