Amirhosseni HamidReza, Davoodvand Shirmohammad, Kheiri Soleiman, Jafari Majid, Masoudi Reza
Nursing and Midwifery School, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Department of Adult and Geriatric Nursing, Nursing and Midwifery School, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Epilepsy Behav. 2025 May;166:110382. doi: 10.1016/j.yebeh.2025.110382. Epub 2025 Mar 13.
The impairment of sleep quality and the occurrence of frequent nocturnal awakenings significantly contribute to the reduction of effective sleep duration in individuals diagnosed with epilepsy. This deterioration not only compromises overall life satisfaction but also adversely affects cognitive functioning and concentration on daily living activities. Therefore, the imperative for enhanced management strategies for this disorder among individuals with epilepsy is critically important. This study is designed to systematically assess the impact of an educational-support program grounded in the Continuous Care Model on the daily living activities and sleep quality of individuals with epilepsy.
This clinical trial was conducted in 2023, involving 70 patients diagnosed with epilepsy, who were selected through purposive sampling and subsequently randomized into intervention and control groups. The intervention group participated in a 12-week program formulated according to the principles of the Continuous Care Model. Data collection was executed utilizing a demographic questionnaire, the Barthel Activities of Daily Living Scale, and the Pittsburgh Sleep Quality Index (PSQI). Statistical analyses were performed using SPSS software version 22 to evaluate the data.
The study population consisted of 42.9 % females and 57.1 % males, with a mean age of 37.8 ± 16.6 years. The mean age for the intervention group was 34.9 ± 12.9 years, while the control group had a mean age of 40.7 ± 19.4 years. Prior to the intervention, no statistically significant differences were identified between the intervention and control groups concerning the mean scores for daily living activities (P = 0.24) and sleep quality (P = 0.377). However, immediately following the intervention and at the two-month follow-up, statistically significant differences were observed between the two groups in the mean scores for daily living activities (P < 0.001) and sleep quality (P < 0.001).
The implementation of a structured care program based on the Continuous Care Model has demonstrated beneficial effects on both daily living activities and sleep quality in individuals with epilepsy. Given its safety profile, cost-effectiveness, and proven efficacy, the integration of this model into standard care practices is strongly advocated to enhance the functional capabilities and sleep quality of individuals living with epilepsy.
睡眠质量受损和夜间频繁醒来的情况，对被诊断为癫痫的个体有效睡眠时间的减少有显著影响。这种恶化不仅会降低总体生活满意度，还会对认知功能和日常生活活动的注意力产生不利影响。因此，为癫痫患者加强这种疾病管理策略的必要性至关重要。本研究旨在系统评估基于持续护理模式的教育支持项目对癫痫患者日常生活活动和睡眠质量的影响。
该临床试验于2023年进行，纳入70例被诊断为癫痫的患者，通过目的抽样选取，随后随机分为干预组和对照组。干预组参加了一个根据持续护理模式原则制定的为期12周的项目。使用人口统计学问卷、巴氏日常生活活动量表和匹兹堡睡眠质量指数（PSQI）进行数据收集。使用SPSS 22版软件进行统计分析以评估数据。
研究人群中女性占42.9%，男性占57.1%，平均年龄为37.8±16.6岁。干预组的平均年龄为34.9±12.9岁，而对照组的平均年龄为40.7±19.4岁。干预前，干预组和对照组在日常生活活动平均得分（P = 0.24）和睡眠质量（P = 0.377）方面未发现统计学上的显著差异。然而，干预后即刻及两个月随访时，两组在日常生活活动平均得分（P < 0.001）和睡眠质量（P < 0.001）方面存在统计学上的显著差异。
基于持续护理模式实施结构化护理项目已证明对癫痫患者的日常生活活动和睡眠质量均有有益影响。鉴于其安全性、成本效益和已证实的疗效，强烈主张将该模式纳入标准护理实践，以提高癫痫患者的功能能力和睡眠质量。
