Volume 27, Issue 5 (3-2019)                   Avicenna J Nurs Midwifery Care 2019, 27(5): 361-369 | Back to browse issues page


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Bahiraei N, Dehghani M, Khachian A. The Effect of Educational Program on Self-Management of Patients with Epilepsy: A Randomized Clinical Trial Study. Avicenna J Nurs Midwifery Care 2019; 27 (5) :361-369
URL: http://nmj.umsha.ac.ir/article-1-1974-en.html
1- Department of Medical Surgical Nursing, School of Nahavand Paramedical, Hamadan University of Medical Sciences, Hamadan, Iran
2- Department of Pediatrics Nursing, School of Nahavand Paramedical, Hamadan University of Medical Sciences, Hamadan, Iran
3- Department of Medical-Surgical Nursing, Assistant Professor, Faculty of Nursing and Midwifery, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran , alicekhachian@hotmail.com
Abstract:   (15421 Views)

Introduction: Patients with epilepsy need to learn to identify seizure-inducing factors in order to adapt to seizure activity and disease management and taking precautionary measures to minimize seizure damage. The aim of this study was to determine the effect of an educational program on self-management empowerment of patients with epilepsy.
Methods: This quasi-experimental study was conducted on 90 patients with epilepsy referring to Iranian Epilepsy Association. The study used convenient sampling and samples were randomly divided into two groups: control (n= 45) and experimental group (n=45). The control group received routine training and the experimental group in addition to routine training, participated in three educational sessions held by the researcher in Epilepsy Association. All the patients completed a self-management questionnaire before and six weeks after the intervention. The data were analyzed by SPSS 22 using Kolmogorov-Smirnov, independent paired t-test and descriptive statistics.
Results: The findings showed that there were no significant differences between the two groups in terms of demographic characteristics (P>0.05). Before implementing educational program, the two groups showed no significant difference in medication, knowledge, information, safety and seizure scores (P> 0.05). After implementing educational program the two groups showed significant difference in the scores (P<0.01), which is indicative of the increased scores in experimental group.
Conclusion: The results of the study indicated that the education has been effective in information, seizure control and safety of people with epilepsy. Implementation of such programs in order to better accommodate people with epilepsy with their illness is recommended.

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The results of the study indicated that the education has been effective in information, seizure control and safety of people with epilepsy. Implementation of such programs in order to better accommodate people with epilepsy with their illness is recommended.


Type of Study: Original Research | Subject: Nursing
Received: 2018/12/25 | Accepted: 2019/03/4 | Published: 2019/03/27

References
1. Smeltzer SC, Bare BG, Hinkle JL, Cheever KH. Brunner & Suddarht's of textbook of Medical- Surgical Nursing. 12th edition .Philadelphia: Lippincott Williams & Wilkins; 2010.
2. Binagwaho A, Cohen L, Galea S, Grover A, Jabbour S, Jha V, Kickbusch L, Kieny MP, Land MA, Majdzadeh R, Nuwayhid I, Saxena S, Seng CK, Sissay L, Woodward A. Epilepsy.Available at:URL:http: //www.who.int/.Accessed :March 7,2012
3. Masoud SA, Kochaki E. Surveying the family attitude of a patients with epilepsy hospitalized in Shahid Beheshti Hospital in Kashan, 1378-79. Feyz. 2004; 8(1):79-86.
4. Oh A, Thurman DJ, Kim H. Comorbidities and risk factors associated with newly diagnosed epilepsy in the US pediatric population. Epilepsy & Behavior. 2017; 75:230-60 [DOI:10.1016/j.yebeh.2017.07.040] [PMID]
5. Perzynski AT, Ramsey RK, Colón-Zimmermann K, Cage J, Welter E, Sajatovic M. Barriers and facilitators to epilepsy self-management for patients with physical and psychological co-morbidity. Chronic Illness. 2017; 13(3):188-203. [DOI:10.1177/1742395316674540] [PMID] [PMCID]
6. Ferrari CMM, de Sousa RMC, Castro LH. Factors associated with treatment non-adherence in patients with epilepsy in Brazil. Seizure. 2013; 22 (5):384-9. [DOI:10.1016/j.seizure.2013.02.006] [PMID]
7. Murray CJ, Vos T, Lozano R, Naghavi M, Flaxman AD, Michaud C, et al. Disability-adjusted life years (DALYs) for 291 diseases and injuriesin 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012; 380(9859):2197-223. [DOI:10.1016/S0140-6736(12)61689-4]
8. Edward KL, Cook M, Giandinoto JA. An integrative review of the benefits of self-management interventions for adults with epilepsy. Epilepsy & Behavior. 2015; 45:195-204. [DOI:10.1016/j.yebeh.2015.01.026] [PMID]
9. Ashktorab T, Yadollahi S, Safavi Bayat Z, Zayery F. The correlation between self-management behaviors and drug adherence among people with epilepsy in Iran Epilepsy Association. Scientific Journal of Hamadan Nursing & Midwifery Faculty. 2013; 21(2):5-15.
10. Ridsdale L, Wojewodka G, Robinson EJ, Noble AJ, Morgan M, Taylor SJ, et al. The effectiveness of a group self‐management education course for adults with poorly controlled epilepsy, SMILE (UK): A randomized controlled trial. Epilepsia. 2018; 59(5):1048-61. [DOI:10.1111/epi.14073] [PMID] [PMCID]
11. Smithson WH, Hukins D, Buelow JM, Allgar V, Dickson J. Adherence to medicines and self-management of epilepsy: a community-based study. Epilepsy & Behavior. 2013; 26(1):109-13. [DOI:10.1016/j.yebeh.2012.10.021] [PMID]
12. Xiao X, Si Y, Mo Q, Liu Y, Li C, Zhao J, et al. Development and validation of the Chinese Version of the Adult Epilepsy Self-Management Scale (C-ESMS) in Western China. Epilepsy Research. 2018; 144:43-8. [DOI:10.1016/j.eplepsyres.2018.04.014] [PMID]
13. Escoffery C, McGee R, Bidwell J, Sims C, ThroppEK, Frazier C, et al. A review of mobile apps for epilepsy self-management. Epilepsy & Behavior. 2018; 81:62-9. [DOI:10.1016/j.yebeh.2017.12.010] [PMID]
14. Taylor SJ, Pinnock H, Epiphaniou E, Pearce G, Parke HL, Schwappach A, et al. A rapid synthesis of the evidence on interventions supportingself-management for people with long-term conditions. Health Services and Delivery Research. 2014; 2(53):1-580. [DOI:10.3310/hsdr02530] [PMID]
15. Johnson EK, Fraser RT, Miller JW, Temkin N, Barber J, Caylor L, et al. A comparison of epilepsy self-management needs: provider and patient perspectives. Epilepsy & behavior. 2012; 25(2):150-5. [DOI:10.1016/j.yebeh.2012.07.020] [PMID]
16. Dash D, Sebastian TM, Aggarwal M, Tripathi M. Impact of health education on drug adherence and self-care in people with epilepsy with low education. Epilepsy & Behavior. 2015; 44:213-7. [DOI:10.1016/j.yebeh.2014.12.030] [PMID]
17. Noble AJ, Snape DA, Morgan M, Goodacre S, Marson AG, Ridsdale L. PO051 Seizure first aid training for people with epilepsy attending emergency departments, and informal carers.: BMJ Publishing Group Ltd; 2017. [DOI:10.1136/jnnp-2017-ABN.84]
18. Sahebolzamani M, Shakuri A, Aliloo A, Rashidi A. The efficacy of self-care education on knowledge and performance of epileptic patients who referred to selected educational hospitals of Tehran University of Medical Sciences in 2008. The Journal of Urmia University of Medical Sciences. 2010; 20(4):284-9.
19. Dilorio C, Faherty B, Manteuffel B. The development and testing of an instrument to measure self-efficacy in individuals with epilepsy. The Journal of neuroscience nursing: journal of the American Association of Neuroscience Nurses. 1992 Feb;24(1):9-13. [DOI:10.1097/01376517-199202000-00004] [PMID]
20. McLaughlin DP, McFarland K. A randomized trial of a group based cognitive behavior therapy program for older adults with epilepsy: the impact on seizure frequency, depression and psychosocial well-being. Journal of Behavioral Medicine. 2011; 34(3):201-7. [DOI:10.1007/s10865-010-9299-z] [PMID]
21. Kralj-Hans I, Goldstein LH, Noble AJ, Landau S, Magill N, McCrone P, et al. Self-Management education for adults with poorly controlled epilepsy (SMILE (UK)): a randomised controlled trial protocol. BMC neurology. 2014;14 (1):69. [DOI:10.1186/1471-2377-14-69] [PMID] [PMCID]
22. Tong X, Chen J, Park SP, Wang X, Wang C, Su M, et al. Social support for people with epilepsy in China. Epilepsy & Behavior. 2016; 64:224-32. [DOI:10.1016/j.yebeh.2016.08.010] [PMID]
23. Laybourne AH, Morgan M, Watkins SH, Lawton R, Ridsdale L, Goldstein LH. Self-management for people with poorly controlled epilepsy: Participants' views of the UK Self-Management in epILEpsy (SMILE) program. Epilepsy & Behavior. 2015; 52:159-64. [DOI:10.1016/j.yebeh.2015.08.023] [PMID]
24. DiIorio C, Escoffery C, McCarty F, Yeager KA, Henry TR, Koganti A, et al. Evaluation of WebEase: an epilepsy self-management Web site. Health Education Research. 2008; 24 (2):185-97. [DOI:10.1093/her/cyn012] [PMID]
25. May TW, Pfäfflin M. The efficacy of an educational treatment program for patients with epilepsy (MOSES): results of a controlled, randomized study. Epilepsia. 2002; 43(5):539-49. [DOI:10.1046/j.1528-1157.2002.23801.x] [PMID]
26. Aliasgharpour M, Nayeri ND, Yadegary MA, Haghani H. Effects of an educational program on self-management in patients with epilepsy. Seizure. 2013; 22(1):48-52. [DOI:10.1016/j.seizure.2012.10.005] [PMID]
27. Moursy AME, Mekky GF. Effect of self management guidelines for adult patients with epilepsy on their health practices. Life Science Journal. 2015; 12(4):77-64.
28. Wichit N, Mnatzaganian G, Courtney M, Schulz P, Johnson M. Randomized controlled trial of a family-oriented self-management program to improve self-efficacy, glycemic control and quality of life among Thai individuals with Type 2 diabetes. Diabetes research and clinical practice. 2017; 123:37-48. [DOI:10.1016/j.diabres.2016.11.013] [PMID]
29. Seethalakshmi A, Shankar V. Effectiveness of an epilepsy education programme on the self-management among patients with epilepsy. IOSR Journal of Nursing and Health Science. 2015; 4(5):33-54.
30. Yoo H, Kim HS. Development and evaluation of the Empowering A Self-Efficacy (EASE) program for children with epilepsy. Journal of Korean Academy of Nursing. 2015; 45(1):54-63. [DOI:10.4040/jkan.2015.45.1.54] [PMID]

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