A structured, nurse-led intervention program improves quality of life in patients with epilepsy: a randomized, controlled trial |
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Authors: | Helde Grethe Bovim Gunnar Bråthen Geir Brodtkorb Eylert |
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Institution: | Department of Neuroscience, Faculty of Medicine, NTNU, N-7006 Trondheim, Norway. grethe.helde@ntnu.no |
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Abstract: | We tested the hypothesis that structured epilepsy nursing improves quality of life (QOL). One hundred fourteen adult patients with uncontrolled epilepsy were randomly assigned to either an intervention group or a control group. The intervention group was offered an interactive, 1-day group education program followed by extended nurse follow-up and counseling. The nurse was present at as many outpatient consultations as possible and performed repeated consultations by telephone. All patients completed the QOLIE-89 before randomization and after 2 years. QOL was significantly improved from inclusion to completion of study in the intervention group (P=0.019), mainly in the subitems for Health Discouragement (P=0.01), Medication Effects (P=0.035), and Physical Role Limitations (P=0.05). To our knowledge, this is the first study to demonstrate a significant effect of a structured nurse-led intervention program in QOL of patients with epilepsy. |
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