Effect of health education on treatment compliance and quality of life in adult patients with epilepsy / 中华健康管理学杂志

ABSTRACT

Objective To investigate the effect of health education on treatment compliance and the quality of life (QOL) in adult patients with epilepsy. Methods A total of 130 adults patients with epilepsy were assigned to the bealth-education group ( n = 68 ) and the non-health-education group ( n = 62 ). All participants received standard treatment. In the health-education group, instructions on epilepsy prevention and treatment and individual psychological counseling were given to the patients or theirs families for 6 months. Quality of life in epilepsy-31 ( QOLIE-31, Chinese version ) was used for evaluation. Results Knowing rate of epilepsy-related information in the health-education group (94. 12% ) was significantly higher than that in the non-health-education group (29.03%) (X2 = 58.99 ,P ＜ 0. 05 ) ; patients with non-standard treatment and experienced adjusted medication were significantly lower in the health-education group ( 10. 29% vs. 27.42%, and 27.94% vs. 45. 16%, respectively ) ( P ＜ 0. 05 ). At 3 and 6 months, the patients whose attack rate decreased ＞ 50% and had disease completely controlled in the health-education group (79.41% vs. 51.61%, 36.77% vs. 20.97%, 85.29% vs. 61.29%, 42.65% vs. 25.81%,respectively) were more than that in the non-health-education group. QOL scores were remarkablely increased after intervention in all the patients ( P ＜ 0. 05 ), especially in the health-education group ( P ＜ 0. 05 ).Conclusions More health education may be helpful in improving treatment comphance and QOL and reducing disease attack in epilepsy patients.