A structured, nurse-led intervention program improves quality of life in patients with epilepsy:: A randomized, controlled trial

被引:80
作者
Helde, G [1 ]
Bovim, G [1 ]
Bråthen, G [1 ]
Brodtkorb, E [1 ]
机构
[1] NTNU, Fac Med, Dept Neurosci, N-7006 Trondheim, Norway
关键词
epilepsy; specialist nursing; quality of life;
D O I
10.1016/j.yebeh.2005.06.008
中图分类号
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号
03 [法学]; 0303 [社会学]; 030303 [人类学]; 04 [教育学]; 0402 [心理学];
摘要
We tested the hypothesis that structured epilepsy nursing improves quality of life (QOL). One hundred fourteen adult patients with uncontrolled epilepsy were randomly assigned to either an intervention group or a control group. The intervention group was offered an interactive, 1-day group education program followed by extended nurse follow-up and counseling. The nurse was present at as many outpatient consultations as possible and performed repeated consultations by telephone. All patients completed the QOLIE-89 before randomization and after 2 years. QOL was significantly improved from inclusion to completion of study in the intervention group (P=0.019), mainly in the subitems for Health Discouragement (P=0.01), Medication Effects (P = 0.035), and Physical Role Limitations (P = 0.05). To our knowledge, this is the first study to demonstrate a significant effect of a structured nurse-led intervention program in QOL of patients with epilepsy. (c) 2005 Elsevier Inc. All rights reserved.
引用
收藏
页码:451 / 457
页数:7
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