Examining the Quality of Life in Patients with Epilepsy and the Effective FactorsName : Dr. Nuray Dayapoglu
Affliation : Associate Professor
University : University of Atatürk
Country : Turkey
Aim: This study was conducted in order to examine the quality of life in patients with epilepsy and the effective factors.
Material and Method: This descriptive study was conducted with 150 epileptic patients who were registered to Atatürk University Training and Research Hospital Neurology Outpatient clinic between June and December 2015 and met inclusion criteria of the study. Descriptive information form and quality of life in epilepsy inventory (QOLIE-31-P) were used to collect the data of the study. Number, percentage, and means were analyzed to assess the data and independent samples t test, Mann Whitney-U test, one way analysis of variance, Kruskall Wallis and Spearman's correlation analysis were used for statistical comparison of the variables.
Findings: It was found that the patients with epilepsy participating in the study had a mean score of 59.88±13.21 in the subscale of worry about seizure, a mean score of 59.88±17.78in the subscale of overall quality of life, a mean score of 45.55±11.02 in the subscale of emotional well-being, a mean score of56.33±12.96 in the subscale of energy/fatigue, a mean score of49.38±12.96 in the subscale of cognitive function, a mean score of 59.45±25.57 in the subscale of medication effects, and a mean score of60.78±15.28 in the subscale of social function in the quality of life inventory and a total QOLIE-31 mean score of 54.65±7.85. A significant difference was not found between mean scores of all quality of life subscales and general OQLIE-31-P quality of life mean scores in terms of patient’s age, gender, marital status, educational level, occupation, family type, seizure type, and anti-epileptic treatment type (p>0.05). Overall quality of life means scores of patients participating in the study in terms of their residential location and time of diagnosis, their mean scores of worry about seizure and cognitive function in terms of perception of income, and their emotional well-being subscale mean scores in terms of presence of another chronic disorder were found to be statistically significant (p<0.05). There was a negative low statistical correlation between the number of seizures experienced within last one year and scores of the subscales overall quality of life (r=-0.201, p<0.05) and energy/fatigue (r=-0.196 p<0.05).
Conclusion: It was found that the patients with epilepsy had a moderate level quality of life; and as the number of seizures they experienced within last one year increased, their quality of life and energy decreased. It is recommended to consider socio-demographic characteristics in planning nursing interventions to be applied to patients with epilepsy.
Nuray DAYAPO?LU is an associate professor at Departmant of Nursing, Atatürk University, Erzurum, Turkey. She has completed her PhD at Atatürk University Department of internal medicine nursing. Her primary interest are neurology nursing and cronic diseases managemant.