Jopowicz Anna, Piechal Agnieszka, Bronisz Elżbieta, Kurkowska-Jastrzębska Iwona
Department of Rehabilitation, Eleonora Reicher National Institute of Geriatrics, Rheumatology and Rehabilitation, Spartańska 1, 02-637 Warsaw, Poland.
Second Department of Neurology, Institute of Psychiatry and Neurology, Sobieskiego 9, 02-957 Warsaw, Poland.
Brain Sci. 2024 Mar 5;14(3):255. doi: 10.3390/brainsci14030255.
The primary problem in the treatment of epilepsy is poor seizure control. Several studies have shown that non-adherence to doctors' recommendations regarding drug dosage, time of drug administration as well as lifestyle modifications are the most frequent causes of the persistence or reoccurrence of seizures, other than cases of misdiagnosis and poor drug selection. The aim of this study was to assess the prevalence of non-compliance with medical recommendations, both in relation to medicine dosage, regularity of administration and lifestyle, and also to determine the factors affecting patients with diagnosed epilepsy. This study was carried out on a total of 169 patients diagnosed with epilepsy who were under the care of an outpatient neurology clinic. The assessment of compliance was performed using the Patient Rating of Compliance Scale (PRCS), Clinician Rating Scale (CRS) and authors' scale. Depending on the scale used, varying degrees of non-compliance were noted. They were as follows-65.3% on the authors' scale, 10% on the PRCS and 9% on the CRS. The following factors influenced compliance with doctors' recommendations: type of epilepsy, consumption of alcoholic beverages, frequency of follow-up visits to the neurology clinic, type of pharmacotherapy and number of medicines taken.
癫痫治疗的主要问题是癫痫发作控制不佳。多项研究表明,除了误诊和药物选择不当的情况外,不遵守医生关于药物剂量、给药时间以及生活方式调整的建议是癫痫持续发作或复发的最常见原因。本研究的目的是评估不遵守医疗建议的发生率,包括药物剂量、给药规律和生活方式方面,并确定影响已确诊癫痫患者的因素。本研究共纳入了169例在门诊神经科诊所接受治疗的已确诊癫痫患者。使用患者依从性评分量表(PRCS)、临床医生评分量表(CRS)和作者自行设计的量表对依从性进行评估。根据所使用的量表,发现了不同程度的不依从情况。具体如下:作者自行设计的量表显示为65.3%,PRCS量表显示为10%,CRS量表显示为9%。以下因素影响了对医生建议的依从性:癫痫类型、酒精饮料的摄入、到神经科诊所随访的频率、药物治疗类型以及所服用药物的数量。