Current status of self-management in patients with epilepsy and related influencing factors
10.19845/j.cnki.zfysjjbzz.2024.0099
- VernacularTitle:癫痫患者自我管理现状及其影响因素分析
- Author:
Handong XU
1
;
Jiping WANG
Author Information
1. 上海市复旦大学附属金山医院神经内科,上海 201508
- Keywords:
Epilepsy;
Self-management;
Epilepsy Self-Management Scale;
Influencing factor
- From:
Journal of Apoplexy and Nervous Diseases
2024;41(6):521-524
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the current status of self-management in adult patients with epilepsy and re-lated influencing factors.Methods Epilepsy Self-Management Scale(ESMS)was used to evaluate the self-management abilities of 180 patients with epilepsy in a district of Shanghai,China,and the impact of related factors on the self-management abilities of patients was analyzed,including demographic factors(sex,age,marital status,and educational level,etc.)and clinical factors(age of onset,course of disease,seizure frequency,and types of medication,etc.).Results The total score of self-management was(102.62±6.11)points for the patients with epilepsy.There was a sig-nificant difference in self-management score between the patients with different occupations(F=2.950,P<0.05)and be-tween the patients with different family incomes(F=7.298,P<0.05).The patients who missed fewer doses of antiepilep-tic drugs had a higher self-management score(F=35.948,P<0.05),and there was a significant difference in self-management score between the patients with different follow-up frequencies(F=15.619,P<0.05).Medication manage-ment showed the strongest correlation with safety management(r=0.435,P<0.05),while safety management showed the lowest correlation with seizure management score(r=-0.152,P<0.05).The multiple linear regression analysis showed that medication compliance and follow-up frequency in specialized care were influencing factors for total self-management score.Conclusion The patients with epilepsy have poor self-management abilities,and improving employment rate,in-creasing family income,enhancing medication compliance,and increasing follow-up frequency in specialized care have a certain clinical significance in improving the self-management abilities of patients.
