The effect of self-management training on health-related quality of life in patients with epilepsy |
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| Institution: | 1. School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran;2. Zanjan University Medical Sciences, Valiasr Hospital, Neurology Department, Zanjan, Iran;3. Tehran University of Medical Sciences, Nursing Management Department, Nursing and Midwifery Care Research Center, Tehran, Iran;4. Zanjan University Medical Sciences, Emam Hossein, Zanjan,Iran;1. Rollins School of Public Health, Emory University, 1518 Clifton Rd., Atlanta, GA 30322, USA;2. Rhode Island Hospital, Brown University, 593 Eddy St., Providence, RI 02903, USA;3. University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109-2029, USA;4. University of Texas School of Public Health, 7000 Fannin St., Suite 2668, Houston, TX 77030, USA;5. The Epilepsy Foundation, 8301 Professional Place, Landover, MD 20785-2353, USA;6. Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215, USA;1. Ondokuz Mayis University, Faculty of Health Sciences, Turkey;2. Istanbul University-Cerrahpasa, Florence Nightingale Faculty of Nursing, Turkey;3. Istanbul Arel University, Faculty of Science and Letters, Department of Psychology, Turkey;4. Istanbul University, Istanbul Medical Faculty, Department of Neurology, Turkey;1. Department of Neurology, Epilepsy Center, The Second Affiliated Hospital, Zhejiang University School of Medicine, No. 88 Jiefang Road, Hangzhou, Zhejiang Province 310009, China;2. Department of Psychiatry, The Second Affiliated Hospital, Zhejiang University School of Medicine, No. 88 Jiefang Road, Hangzhou, Zhejiang Province 310009, China;3. Department of Pharmacy, The Second Affiliated Hospital, Zhejiang University School of Medicine, No. 88 Jiefang Road, Hangzhou, Zhejiang Province 310009, China;1. Academic Neurology Unit, University of Sheffield, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF, UK;2. School of Psychology, University of Sussex, Falmer, Brighton BN1 9QH, UK;3. Clinical Psychology Unit, University of Sheffield, Cathedral Court, 1 Vicar Lane, Sheffield S1 2LT, UK |
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| Abstract: | PurposeEpilepsy is the most common chronic neurological disease after headache. Health-related quality of life in patients with epilepsy is disturbed by psychosocial factors, seizures, and treatment side effects. This study was conducted to determine the effect of a self-management training program on quality of life in patients with epilepsy.MethodsIn this controlled clinical trial, 60 patients with epilepsy going to Zanjan Neurology Clinic were examined. The samples were selected using convenience sampling and divided randomly into the case group (30 people) and control group (30 people) using the table of random numbers. Four training sessions on the nature of epilepsy and self-managementwere run for the case group. All the patients completed an inventory for quality of life twice: before and one month after the intervention. The data were analyzed using the chi-square test, independent t-test, and paired t-test.ResultsThere was no statistically significant difference between the two groups before the intervention in terms of personal specifications and scores and dimensions of the quality of life. One month after the intervention, a statistically significant difference was observed between the two groups in terms of the scores and dimensions of quality of life that indicated improved quality of life in the case group (P < 0.001).ConclusionThe self-management training program improved the quality of life in patients with epilepsy. The present findings highlight that psychosocial variables can have incremental significance over biomedical variables in the health-related quality of life of patients with epilepsy. |
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