Academic Unit of Primary Medical Care, University of Sheffield, UK.
Epilepsy Behav. 2013 Jan;26(1):109-13. doi: 10.1016/j.yebeh.2012.10.021. Epub 2012 Dec 14.
This community-based survey of people with epilepsy who were divided into adherent and non-adherent groups used validated scales to determine factors associated with medicine non-adherence and self-management of epilepsy to identify those people at risk of poor self-management behavior or medicines non-adherence. Using demographic characteristics, it is possible to identify those people at risk during a regular epilepsy review. Adults with epilepsy were identified from general practices using clinical and drug searches with the diagnosis confirmed by case notes analysis. Four hundred thirty-eight people with epilepsy were divided into adherent and non-adherent groups using medication records and self-report of non-adherent behavior. Data were also collected on patient demographics, seizure activity and self-management behavior. Low self-management scores and recent seizures were associated with non-adherence. Young adults, those in education or employment, those living with others and those who had recent seizures were more likely to have low self-management scores.
本项基于社区的调查，将癫痫患者分为依从组和不依从组，使用经过验证的量表来确定与药物不依从和癫痫自我管理相关的因素，以识别那些存在自我管理行为不良或药物不依从风险的人群。利用人口统计学特征，有可能在常规癫痫检查期间识别出有风险的人群。使用临床和药物搜索，从全科医生那里确定癫痫患者，通过病例记录分析确认诊断。使用药物记录和不依从行为的自我报告，将 438 名癫痫患者分为依从组和不依从组。还收集了患者人口统计学、发作活动和自我管理行为的数据。低自我管理评分和近期发作与不依从有关。年轻的成年人、正在接受教育或就业的成年人、与他人一起生活的成年人和近期发作的成年人更有可能自我管理评分较低。
